Oral Sex Risks: STDs and Health Concerns Explained

Oral sex

Hello, doctor.
When I was about 15 or 16 years old (3 or 4 years ago), I had oral sex with a boy around my age, and I accidentally swallowed during ejaculation.
However, I haven't experienced any significant issues since then.
In late July of this year, after my girlfriend and I had just showered, we attempted oral sex for the first time (without protection).
I accidentally ejaculated in her mouth, and she also swallowed.
Afterward, she rinsed her mouth and brushed her teeth, and I cleaned myself thoroughly.
I would like to know if, in this situation, we could be at risk for sexually transmitted infections (STIs) or HIV.
Today, I noticed a bump on my glans, and when I went to see a doctor, he said it didn't look like genital warts because it seemed to have blood vessels.
However, he mentioned that it couldn't be ruled out that it could develop into genital warts in the future.
I would like to ask if my girlfriend and I are at risk for STIs or HIV, and if the doctor’s assessment about the possibility of it becoming genital warts is accurate.

L, 10~19 year old female. Ask Date: 2020/08/27

Dr. Cai Zhuorong reply Urology

I would like to ask if, in our current situation, there is still a risk of contracting sexually transmitted infections (STIs) or HIV? A: The probability is lower, but it cannot be completely ruled out.
Today, I noticed a protrusion on my glans, and when I went to see a doctor, he said it didn't look like genital warts because it seemed to have blood vessels (that's what I heard at the time), but he did not rule out the possibility that it could become genital warts in the future.
I would like to ask the doctor if my girlfriend and I could contract STIs or HIV? A: If there are concerns about HIV, it is advisable to undergo anonymous testing.
Also, should I have the lesion checked for the possibility of it becoming genital warts as the doctor mentioned? A: The doctor likely meant that it does not currently appear to be genital warts, but it needs to be monitored further.

Reply Date: 2020/08/27

More Info

When it comes to oral sex, there are several health risks associated with sexually transmitted infections (STIs) and other concerns that individuals should be aware of. Your questions touch on important aspects of these risks, particularly in the context of oral sex and potential STI transmission.

1. Oral Sex and STI Risks: Oral sex can indeed transmit various STIs, including but not limited to gonorrhea, chlamydia, syphilis, herpes, and human papillomavirus (HPV). The risk of transmission is generally lower compared to vaginal or anal intercourse, but it is not negligible. The presence of cuts or sores in the mouth, such as those that can occur from brushing teeth or having gum disease, can increase the risk of infection.
2. Swallowing Semen: Swallowing semen during oral sex does not inherently increase the risk of STI transmission, but it does mean that if the partner is infected with an STI, the virus or bacteria can enter the body. In your case, both you and your girlfriend engaged in oral sex without protection, which poses a risk if either partner has an STI.

3. Symptoms and Follow-Up: You mentioned noticing a bump on your glans (the head of the penis) that your doctor indicated might not be warts but could still be a concern. It’s essential to monitor any changes in your body and report them to a healthcare provider. If the bump persists, changes, or if you develop other symptoms (such as pain, itching, or discharge), you should return for further evaluation.
4. Testing for STIs: Given your history of oral sex and the current symptoms, it would be prudent to get tested for STIs, including HIV. Many STIs can be asymptomatic, meaning you might not show any signs of infection even if you are infected. Regular testing is a good practice, especially if you have multiple partners or engage in unprotected sex.

5. HPV and Warts: HPV is a common STI that can lead to genital warts and is also associated with certain cancers. The bump you described could potentially be a wart, but it’s crucial to have a healthcare professional assess it properly. If it is determined to be HPV-related, there are treatments available, and vaccination against HPV can help prevent future infections.

6. Communication with Partners: It’s vital to communicate openly with sexual partners about STI testing and sexual health. Encourage your girlfriend to also get tested, as this is a shared responsibility in maintaining sexual health.

7. Preventive Measures: To reduce the risk of STI transmission in the future, consider using barriers such as condoms or dental dams during oral sex. These methods can significantly lower the risk of transmitting infections.

In summary, while the risk of contracting STIs through oral sex is lower than through other forms of sexual activity, it is still present. Monitoring your health, getting tested regularly, and practicing safe sex are essential steps in protecting yourself and your partners. If you have any ongoing concerns or symptoms, do not hesitate to seek medical advice.

Similar Q&A

Oral Sex and STDs: Risks and Considerations for Healthy Partners

If a woman has sores in her mouth and performs oral sex on a male partner, there is a risk of transmitting sexually transmitted infections (STIs), even if both partners are healthy and have no known STIs. The risk arises because open sores can serve as entry points for pathogens....

Dr. Xu Weikai reply Urology
Hello, as long as the other person does not have a sexually transmitted infection, you will not be infected. If there are any unclear points, feel free to ask again, and we can discuss and research further. This response is from Dr. Hsu Wei-Kai, Director of the Urology Department...

Assessing STD Risks After Oral Contact During Sexual Encounter

Engaging in sexual activity with a stranger, where oral sex was attempted but declined, and the partner still made contact with the urethral opening using their tongue, carries some risk of sexually transmitted infections (STIs). However, since you used a condom during the subseq...

Dr. Du Shixi reply Urology
Hello: Oral sex carries a moderate risk. Wishing you good health.

Concerns About Oral Sex: Unpleasant Odors and STD Risks

Hello, doctor. Recently, I performed oral sex on a male partner, and when he took off his pants, there was a very unpleasant odor. However, the area outside the glans had a scent of body wash. After performing oral sex, I also swallowed. I'm a bit worried about whether I cou...

Dr. Du Shixi reply Urology
Hello: Many sexually transmitted infections (STIs) are transmitted through sexual contact and the exchange of bodily fluids, which include blood, semen, and vaginal secretions. Therefore, sexual activities that do not involve the exchange of bodily fluids are considered safe. The...

Understanding STIs: Oral Sex Risks and Precautions You Should Know

Performing oral sex on your girlfriend, who is a virgin, and then noticing swollen lymph nodes and white spots may raise concerns about sexually transmitted infections (STIs). It is important to consult a healthcare professional for an accurate diagnosis and appropriate testing. ...

Dr. Li Xinyi reply Urology
Being a virgin does not mean one cannot have a sexually transmitted infection (STI). Oral sex generally does not pose significant issues, but basic hygiene is still important, such as rinsing the mouth before and after oral sex as you mentioned.