Sexually transmitted infections (STIs) or atypical dermatitis?
Hello, Dr.
Tsai: Recently, I became intimate with an online acquaintance I had known for a month.
On that day, I noticed she had some scars on her face and body.
I asked her if these were caused by hives, and she said no.
Later, I inquired if it might be atopic dermatitis, to which she replied that it could be considered that.
However, after researching images of sexually transmitted infections (STIs) online, I saw some cases where individuals displayed skin changes due to STIs, including wounds on the face and body, which made me wonder if she might have an STI and didn't disclose it.
During our encounter, I used a condom, but she really enjoys French kissing and bit my lip during the process, leaving slight marks (though it didn't bleed).
She also performed oral sex on me.
I would like to know how likely it is for me to be infected in this situation.
Wei, 20~29 year old female. Ask Date: 2020/06/07
Dr. Cai Zhuorong reply Urology
Oral sex is still a possible route for sexually transmitted infections (STIs).
If there are any concerns, it is advisable to seek medical attention.
Reply Date: 2020/06/07
More Info
When it comes to understanding the risks associated with sexually transmitted diseases (STDs) versus dermatitis, especially after intimate encounters, it's essential to consider several factors, including the nature of the skin conditions, the methods of transmission of STDs, and the precautions taken during sexual activity.
Firstly, dermatitis is a general term that refers to inflammation of the skin, which can manifest in various forms, such as eczema, contact dermatitis, or urticaria (hives). These conditions can result from allergic reactions, irritants, or other non-infectious causes. If your partner has a history of dermatitis, it is crucial to understand that these skin conditions are not contagious and cannot be transmitted through sexual contact. Therefore, if her skin issues are indeed related to dermatitis, there is no risk of STD transmission from her skin condition.
On the other hand, STDs are infections that can be transmitted through sexual contact, including vaginal, anal, and oral sex. Common STDs include chlamydia, gonorrhea, syphilis, herpes, and human immunodeficiency virus (HIV). The risk of contracting an STD can vary based on several factors, including the type of sexual activity, the presence of cuts or sores, and whether protection was used.
In your case, you mentioned that you used a condom during intercourse, which significantly reduces the risk of transmitting most STDs. However, it is important to note that while condoms are highly effective in preventing the transmission of many STDs, they do not provide complete protection against infections that can be transmitted through skin-to-skin contact, such as herpes or human papillomavirus (HPV). Additionally, since you mentioned engaging in oral sex and kissing, there is a potential risk for transmission of oral STDs, particularly if your partner has an active infection.
Regarding the concerns about your partner's skin condition, if she has scars or lesions, it is advisable to approach the situation with caution. While dermatitis itself is not contagious, if there are open sores or lesions, there is a possibility that they could be indicative of an STD, particularly if they are associated with symptoms such as pain, itching, or unusual discharge. It is essential to communicate openly with your partner about her health status and any potential risks.
If you are experiencing any symptoms such as unusual discharge, sores, or persistent irritation, it is crucial to seek medical attention promptly. A healthcare provider can perform the necessary tests to rule out STDs and provide appropriate treatment if needed. Regular screenings for STDs are also recommended for sexually active individuals, especially when engaging in new sexual relationships.
In summary, while dermatitis is not contagious and poses no risk of STD transmission, it is essential to remain vigilant about potential signs of STDs, especially if there are visible lesions or if you have engaged in activities that could increase your risk. Open communication with your partner and seeking medical advice when necessary are key steps in ensuring both your health and well-being.
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