Tongue Ulcers After Oral Sex: Infection or STD?

Tongue ulcers after oral sex?

About five days ago, on August 10th, I had sexual intercourse with a male online friend.
During the process, there was oral sex involved, and at that time, I had a small sore on my tongue, but I didn't think much of it.
A few days later, the ulcer on my tongue became very severe, with even small red spots, and it bleeds when I apply pressure with my teeth.
Could this be a sexually transmitted infection or just a simple bacterial infection? Is it advisable to see an oral surgeon at a nearby dental clinic?

Chris, 20~29 year old female. Ask Date: 2019/08/15

Dr. Chen Jiansheng reply Urology

You can seek treatment from either oral and maxillofacial surgery or otolaryngology (ENT).

Reply Date: 2019/08/15

More Info

When it comes to oral sex and the potential for infections or sexually transmitted diseases (STDs), it's important to understand the risks involved, especially when there are pre-existing conditions like tongue ulcers. In your case, you mentioned engaging in oral sex with a partner while having a pre-existing sore on your tongue, which has since worsened.
First, let's address the potential causes of your tongue ulcers. Tongue ulcers can arise from various factors, including trauma (like biting your tongue), infections (viral, bacterial, or fungal), and even stress or nutritional deficiencies. Given that you had a sore on your tongue prior to engaging in oral sex, it's possible that the act of oral sex exacerbated the condition, leading to increased irritation and inflammation.
In terms of sexually transmitted infections, oral sex can indeed transmit certain STDs, including herpes simplex virus (HSV), human papillomavirus (HPV), gonorrhea, and syphilis. If your partner had any of these infections, there is a risk of transmission, particularly if there were any cuts or sores in your mouth, as these can serve as entry points for pathogens. The presence of red spots and bleeding when you apply pressure to the sore could indicate a more severe irritation or an infection, which may or may not be related to an STD.

It's also worth noting that while some STDs can be transmitted through oral sex, the risk is generally lower compared to vaginal or anal intercourse. However, this does not eliminate the risk entirely, especially if there are open sores or ulcers in the mouth.
Regarding your question about whether you should see a dentist or an oral surgeon, it would be advisable to seek medical attention. A healthcare professional can provide a thorough examination of your oral cavity, assess the severity of your symptoms, and determine whether you need any specific tests for STDs or other infections. They can also rule out other potential causes of your symptoms, such as oral thrush (a fungal infection) or other types of bacterial infections.

In summary, while your tongue ulcers could be a result of a simple bacterial infection or irritation, there is also a possibility that they could be related to an STD, especially given the recent sexual activity. It is crucial to consult with a healthcare provider who can evaluate your symptoms, provide appropriate testing, and recommend treatment if necessary. Early intervention can help prevent complications and ensure that any underlying issues are addressed promptly.
In the meantime, maintaining good oral hygiene, avoiding irritants (like spicy or acidic foods), and staying hydrated can help alleviate some discomfort. If you experience any additional symptoms, such as fever, persistent pain, or spreading lesions, seek medical attention immediately.

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