Sexually transmitted infections (STIs)
Hello, doctor.
In the past, I encountered some female workers in entertainment venues who performed unprotected oral sex on men.
From other Q&A sessions, I learned that the risk associated with this behavior is considered moderate.
I would like to ask if the risk of unprotected oral sex can be reduced under the following circumstances, and if so, to what extent: 1) The woman uses mouthwash or rinses with a solution beforehand, or brushes her teeth.
2) The woman undergoes regular blood tests.
3) The man is circumcised.
Niming, 50~59 year old female. Ask Date: 2021/02/08
Dr. Li Xinyi reply Urology
The issues you described may potentially reduce the likelihood of infection, but there is no clear and accurate data available.
What is the level of risk? Will the chances of infection vary significantly? Numbers may not be useful to you; the key point is to ensure safe behavior.
If you have concerns, it is advisable to consult a urologist for an examination and further discussion with a physician.
Reply Date: 2021/02/08
More Info
Engaging in oral sex without protection carries inherent risks, particularly concerning sexually transmitted infections (STIs). While certain practices may reduce these risks, it's essential to understand that no method is foolproof. Here’s a detailed analysis of the factors you mentioned and their potential impact on reducing the risk of infection during unprotected oral sex.
1. Using Mouthwash or Brushing Teeth Before Oral Sex: While maintaining good oral hygiene is important, using mouthwash or brushing teeth before engaging in oral sex does not significantly reduce the risk of STIs. In fact, brushing teeth can create micro-abrasions in the gums, which may increase susceptibility to infections if there are pathogens present in the partner's bodily fluids. Mouthwash may help reduce the bacterial load in the mouth temporarily, but it does not eliminate the risk of viral infections such as HIV, herpes, or HPV. There is no substantial scientific evidence to suggest that these practices can effectively prevent STIs.
2. Regular Blood Testing for STIs: Regular testing is a crucial component of sexual health, especially for individuals who engage in high-risk sexual behaviors. If a woman is regularly tested and knows her STI status, this can provide some reassurance. However, it is important to note that testing is only effective if both partners are consistently tested and aware of their health status. STIs can be asymptomatic, and a person may not show symptoms even if they are infected. Therefore, while regular testing can help identify infections early and reduce transmission risk, it does not eliminate the risk entirely.
3. Circumcision of the Male Partner: Circumcision has been shown to reduce the risk of certain STIs, including HIV, in some studies. The removal of the foreskin may decrease the likelihood of infections due to reduced mucosal surface area and lower susceptibility to pathogens. However, it is important to note that circumcision does not provide complete protection against STIs. The risk of transmission still exists, particularly for infections that can be spread through oral sex, such as gonorrhea, chlamydia, and syphilis.
In summary, while the practices you mentioned may have some impact on reducing the risk of STIs during unprotected oral sex, they do not eliminate the risk entirely. The safest way to engage in sexual activities is to use protection, such as condoms or dental dams, which can significantly reduce the risk of STI transmission. Additionally, open communication with partners about sexual health, regular testing, and mutual consent are vital components of safe sexual practices.
If you have concerns about your sexual health or potential exposure to STIs, it is advisable to consult with a healthcare professional or a urologist. They can provide personalized advice, testing, and treatment options based on your specific circumstances. Remember, prioritizing your health and safety is essential in any sexual relationship.
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