Is Tongue Pain After Oral Sex a Sign of Infection or Just a Cold?

Is oral sex causing pain at the base of the tongue in women?

Hello, doctor.
I had my first sexual intercourse yesterday, and it was with a sex worker.
I performed oral sex on her, and while her genital area did not have any unusual odor, the lighting was dim, so I couldn't clearly see if there were any abnormalities.
I also licked her breasts, but I used a condom throughout the entire intercourse.
Could my sore throat today be due to an infection from bacteria or viruses, or could it be related to a slight cold I have today?

Ping, 20~29 year old female. Ask Date: 2022/03/19

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, it is recommended that if the symptoms persist, you should seek a physician for diagnosis and treatment.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2022/03/19

More Info

Experiencing tongue pain after oral sex can be concerning, especially if it's your first sexual encounter. It's important to understand that while oral sex is generally considered a lower-risk sexual activity compared to vaginal or anal intercourse, it is not without risks.
In your case, since you mentioned that you engaged in oral sex with a sex worker and used a condom during vaginal intercourse, the risk of sexually transmitted infections (STIs) is somewhat reduced, but not eliminated. The fact that you did not notice any unusual odor or visible abnormalities in your partner's genital area is reassuring, but it does not guarantee that there are no infections present. Many STIs can be asymptomatic, meaning that a person can carry an infection without showing any signs.

The pain you are experiencing at the base of your tongue could be attributed to several factors. One possibility is that it could be a result of irritation or trauma from the oral sex itself, especially if there was vigorous activity involved. Additionally, if you were feeling under the weather or experiencing cold-like symptoms, it is possible that your immune system is reacting to a viral infection, which could also cause throat discomfort.

Infections such as herpes simplex virus (HSV), human papillomavirus (HPV), or even bacterial infections can be transmitted through oral sex. Symptoms of these infections can vary widely, and while some may cause pain or discomfort in the mouth or throat, others may not present symptoms immediately.
If you are experiencing persistent pain, it is advisable to consult a healthcare professional. They can perform a thorough examination and may recommend tests for STIs, including HIV, herpes, gonorrhea, and chlamydia, among others. Early detection and treatment are crucial for managing STIs effectively.

Moreover, if you notice any additional symptoms such as fever, swollen lymph nodes, or unusual discharge, it is essential to seek medical attention promptly. These could be signs of an infection that requires treatment.

In summary, while tongue pain after oral sex could be due to irritation or a cold, it is also important to consider the possibility of an STI, especially given the circumstances of your encounter. Consulting a healthcare provider will provide you with clarity and peace of mind, as they can offer appropriate testing and treatment options based on your specific situation. Remember, practicing safe sex and regular STI screenings are vital components of maintaining sexual health.

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