Gonorrhea Transmission Risks in Oral Sex

Q: Gonorrhea Transmission Risks in Oral Sex

Hello： According to the risk levels of sexual behavior, the no-risk methods include masturbation, hugging, and touching areas other than the genitals; low-risk methods include mutual masturbation, light kissing, mutual rubbing, and sexual intercourse with a condom; medium-risk me

Previous gonorrhea infection issues?

Hello Dr.
Du Shih-Hsi,
In May, I was first infected with a sexually transmitted infection (gonorrhea) and after receiving one injection, I have been symptom-free since then.
However, I still have some questions:
1.
If the partner is male and he has gonorrhea, and I perform oral sex on him without him ejaculating, what is the likelihood that I would contract gonorrhea?
2.
If the partner is male and he has gonorrhea, and he performs oral sex on me, and my penis only comes into contact with his saliva, is there a risk of contracting gonorrhea?
Thank you.

home, 40~49 year old female. Ask Date: 2021/08/01

Dr. Du Shixi reply Urology

Hello: According to the risk levels of sexual behavior, the no-risk methods include masturbation, hugging, and touching areas other than the genitals; low-risk methods include mutual masturbation, light kissing, mutual rubbing, and sexual intercourse with a condom; medium-risk methods include deep kissing, oral sex, and withdrawal before ejaculation; while high-risk methods involve unprotected intercourse or intercourse that causes cuts or bleeding.

1.
If the partner is male and he has gonorrhea, and I perform oral sex on him without him ejaculating, is my risk of contracting gonorrhea high? -- Medium risk.

2.
If the partner is male and he has gonorrhea, and he performs oral sex on me, with my penis only coming into contact with his saliva, will I contract gonorrhea? -- Medium risk.

Wishing you good health.

Reply Date: 2021/08/01

More Info

Understanding the transmission risks of gonorrhea through oral sex is crucial for maintaining sexual health. Gonorrhea, caused by the bacterium Neisseria gonorrhoeae, can be transmitted through various sexual activities, including oral sex. Here’s a detailed breakdown of the risks involved in the scenarios you presented.

1. Oral Sex with an Infected Partner: If you perform oral sex on a male partner who has gonorrhea, the risk of transmission exists even if he does not ejaculate. Gonorrhea can be present in pre-ejaculatory fluid, which means that even without ejaculation, there is still a possibility of exposure to the bacteria. The mucous membranes in the mouth and throat can easily absorb the bacteria, leading to an infection. Studies indicate that oral sex is a recognized route for the transmission of gonorrhea, and the risk increases if there are any cuts or sores in the mouth, which can facilitate the entry of the bacteria.

2. Receiving Oral Sex from an Infected Partner: If a male partner with gonorrhea performs oral sex on you, the risk of transmission is also present. While the primary site of infection for gonorrhea is the genital tract, the bacteria can also infect the throat. If your penis only comes into contact with his saliva, the risk is lower compared to direct contact with infected mucous membranes, but it is not zero. The presence of gonorrhea in the throat can lead to oral gonorrhea, which can then be transmitted back to you.

In summary, both scenarios carry a risk of transmission, albeit with varying degrees. The absence of symptoms does not guarantee that the infection is not present, as many individuals can be asymptomatic. It is essential to get tested if you suspect exposure to gonorrhea or any sexually transmitted infection (STI). Regular screenings and open communication with sexual partners about STI status are vital components of sexual health.

Additional Considerations:
- Symptoms of Gonorrhea: While you mentioned that you have no symptoms, it’s important to be aware of potential signs of gonorrhea, which can include painful urination, unusual discharge, and in some cases, sore throat or swollen lymph nodes if the throat is infected. If you experience any of these symptoms, seek medical attention promptly.

- Testing and Treatment: Since you have already received treatment for gonorrhea, it is advisable to follow up with your healthcare provider to ensure that the infection has been fully cleared. Testing is typically recommended about 1-2 weeks after treatment to confirm that the infection has resolved.

- Prevention: To reduce the risk of gonorrhea and other STIs in the future, consider using barriers such as condoms or dental dams during oral sex. These methods can significantly lower the risk of transmission.

- Partner Notification: If you test positive for gonorrhea or any STI, it is crucial to inform your sexual partners so they can also get tested and treated if necessary. This helps prevent the spread of infections.

In conclusion, while the risk of contracting gonorrhea through oral sex exists, understanding the dynamics of transmission can help you make informed decisions about your sexual health. Regular testing, safe sex practices, and open communication with partners are key strategies for reducing the risk of STIs.

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