Can Oral Sex Transmit Candida Glansitis Even with Condom Use? - Urology

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Candida balanitis


Hello doctor, if I have candidal balanitis and my girlfriend performs oral sex on me while I use a condom throughout intercourse, is there a risk of transmitting the infection to her?

Guo Xiansheng, 20~29 year old female. Ask Date: 2019/06/08

Dr. Du Shixi reply Urology


Hello: There are risks associated with oral health, so please be cautious.
Wishing you good health.

Reply Date: 2019/06/08

More Info


Oral sex can indeed pose a risk for the transmission of various infections, including Candida, which is the fungus responsible for candidiasis, commonly known as a yeast infection. In your case, if you are already diagnosed with Candida glansitis (a yeast infection of the glans or head of the penis), there are several factors to consider regarding the risk of transmission to your partner during oral sex, even if you are using a condom during penetrative intercourse.

Firstly, it is important to understand that Candida is a naturally occurring organism in the body, particularly in the mouth, gastrointestinal tract, and on the skin. However, when there is an overgrowth of Candida, it can lead to infections. In the context of oral sex, if your partner performs oral sex on you while you have an active Candida infection, there is a potential risk that the Candida could be transmitted to her mouth. This could lead to oral thrush, which is a yeast infection in the mouth.

Using a condom during penetrative sex significantly reduces the risk of transmitting sexually transmitted infections (STIs) and other pathogens, including Candida. However, during oral sex, if the condom is not used, there is a direct exposure risk. Even if you are using a condom for penetrative intercourse, if your partner's mouth comes into contact with your genital area, there is still a potential risk for transmission of Candida.

To mitigate the risk of transmission, here are some recommendations:
1. Avoid Oral Sex During Active Infection: If you are experiencing symptoms of Candida glansitis, it is advisable to avoid oral sex until the infection is fully treated and resolved. This will help prevent any potential transmission to your partner.

2. Use Barriers: If oral sex is to occur, consider using a dental dam or a flavored condom during oral sex. This can provide a barrier that reduces the risk of transmission of Candida and other pathogens.

3. Maintain Good Hygiene: Both partners should practice good genital hygiene. This includes washing the genital area before and after sexual activity to minimize the risk of infections.

4. Consult a Healthcare Provider: If you have concerns about Candida or any other infections, it is essential to consult with a healthcare provider. They can provide appropriate treatment and guidance on managing infections and reducing transmission risks.

5. Monitor Symptoms: If your partner develops symptoms of a yeast infection (such as itching, burning, or unusual discharge) after engaging in oral sex, she should seek medical advice promptly.

In summary, while using a condom during penetrative sex reduces the risk of transmission of infections, oral sex without a barrier can still pose a risk for transmitting Candida glansitis. It is best to avoid oral sex during an active infection and to use protective barriers if engaging in oral sex. Always consult with a healthcare professional for personalized advice and treatment options.

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