Can Swallowing a Small Amount of Semen Transmit STDs? - Urology

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Swallowing a small amount of semen?


Hello doctor, I would like to ask if both A and B are virgins and have never had contact with anyone else's semen before.
A male performs oral sex on B male, and B's semen is ejaculated into A's mouth.
A immediately rinses his mouth and spits out the semen, but is unsure if there was any residue swallowed, and it seems he swallowed a little bit.
Could this result in any sexually transmitted infections?

Yuan, 10~19 year old female. Ask Date: 2020/05/10

Dr. Du Shixi reply Urology


Hello: If both individuals do not have any sexually transmitted infections, there is no possibility of transmitting sexually transmitted infections.

Reply Date: 2020/05/10

More Info


Swallowing a small amount of semen can potentially transmit sexually transmitted diseases (STDs), although the risk varies depending on several factors. In your scenario, where both individuals are engaging in sexual activity for the first time and have not had previous sexual partners, the risk of transmission is lower, but it is not zero.

Firstly, it's important to understand that many STDs can be transmitted through bodily fluids, including semen. Common STDs that can be transmitted this way include Human Immunodeficiency Virus (HIV), Gonorrhea, Chlamydia, Syphilis, and Hepatitis B and C. The transmission risk depends on the presence of the infection in the semen of the infected partner and the susceptibility of the receiving partner.

In your case, if "b" is infected with any of these STDs, there is a possibility that the virus or bacteria could be present in the semen. However, the act of swallowing a small amount of semen does not guarantee transmission. Factors that can influence transmission include:
1. Infection Status: If "b" is not infected with any STDs, then there is no risk of transmission. If "b" is infected, the risk increases.

2. Oral Mucosa: The oral cavity has a different mucosal lining compared to the genital tract, which may provide some level of protection. However, if there are any cuts, sores, or abrasions in the mouth, this could increase the risk of transmission.

3. Amount of Semen: Swallowing a small amount of semen may reduce the likelihood of transmission compared to larger amounts, but it does not eliminate the risk.

4. Immediate Actions: Rinsing the mouth and spitting out the semen, as you mentioned, can help reduce the risk of transmission. However, if any semen was swallowed, there is still a potential risk.

5. Time Frame: The timing of exposure and the immune response of the individual also play a role in whether an infection will take hold.

In conclusion, while the risk of transmitting STDs through swallowing a small amount of semen exists, it is relatively low, especially if both partners are new to sexual activity and have not had prior exposure to other partners. If either partner has concerns about STDs, it is advisable to get tested. Regular screenings and open communication about sexual health are essential components of responsible sexual behavior. If you experience any symptoms such as unusual discharge, sores, or persistent sore throat, it is important to consult a healthcare provider for evaluation and potential testing.

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