Jaw Pain After Oral Sex: Causes and Tests - Family Medicine

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A few days ago, I performed oral sex on my boyfriend without a condom.
He has no previous sexual experience, and I didn't have any wounds in my mouth.
However, about 8 to 10 hours later, I experienced a mild pain near my left jaw close to the chin.
Could this be an infection? If I need to get tested, what tests should I consider?

Iris, 20~29 year old female. Ask Date: 2022/05/11

Dr. Chen Bozhang reply Family Medicine


You may continue to monitor your condition, and if you experience persistent discomfort, please visit a family medicine clinic.
Thank you.

Reply Date: 2022/05/11

More Info


Experiencing jaw pain after oral sex can be concerning, especially when it follows an intimate encounter. In your case, since you engaged in oral sex without a condom and are experiencing pain in the left side of your jaw near the chin, it’s important to consider several potential causes and the appropriate tests that might be necessary.


Possible Causes of Jaw Pain After Oral Sex
1. Muscle Strain: One of the most common reasons for jaw pain after oral sex is muscle strain. The act of oral sex can involve prolonged opening of the mouth, which may lead to discomfort or soreness in the jaw muscles. This is particularly true if you were in an awkward position or if the activity lasted for an extended period.

2. Temporomandibular Joint (TMJ) Dysfunction: The TMJ connects your jawbone to your skull. If you have been clenching your jaw or grinding your teeth during the act, this could lead to TMJ dysfunction, resulting in pain and discomfort.

3. Infection: While you mentioned that you did not have any open wounds in your mouth, there is still a possibility of infection. Oral sex can transmit infections such as herpes simplex virus (HSV), gonorrhea, or chlamydia, even if the partner has no visible symptoms. The pain could be a result of an infection in the oral cavity or throat, which may not present immediately.

4. Dental Issues: If you have pre-existing dental problems, such as cavities or gum disease, these could be exacerbated by the physical activity of oral sex, leading to pain.

5. Nerve Irritation: Sometimes, the nerves in the jaw area can become irritated due to various reasons, including muscle tension or inflammation, leading to pain.


Recommended Tests and Evaluations
If your jaw pain persists or worsens, it is advisable to seek medical attention. Here are some tests and evaluations that a healthcare provider might consider:
1. Physical Examination: A thorough examination of your jaw, mouth, and throat will help identify any visible signs of infection, inflammation, or dental issues.

2. Swab Test: If there is suspicion of an infection, a swab of the throat or oral cavity may be taken to test for sexually transmitted infections (STIs) such as gonorrhea, chlamydia, or herpes.

3. Blood Tests: Blood tests can help identify the presence of certain infections or antibodies, particularly if there is concern about viral infections like HSV.

4. Imaging Studies: In cases of suspected TMJ dysfunction or other structural issues, imaging studies such as X-rays or MRI may be recommended to assess the joint and surrounding structures.

5. Dental Evaluation: If dental issues are suspected, a visit to a dentist may be necessary to rule out cavities, gum disease, or other oral health problems.


Conclusion
While jaw pain after oral sex can be caused by various factors, including muscle strain and potential infections, it is essential to monitor your symptoms closely. If the pain persists beyond a few days, worsens, or is accompanied by other symptoms such as fever, swelling, or difficulty swallowing, it is crucial to seek medical attention promptly. Early diagnosis and treatment can help prevent complications and ensure your overall health and well-being. Remember to practice safe sex in the future to minimize the risk of infections and other complications.

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