Throat Inflammation Risks After Oral Sex - Urology

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Throat inflammation and oral sex?


Hello, I have recently experienced throat inflammation (I previously had a tonsillectomy, but the white membrane has fallen off, and the doctor said the wound is healing; however, I still feel some inflammation and pain in my throat post-surgery), but there is no bleeding.
I performed oral sex on someone and came into contact with the back of their throat, but I rinsed my mouth immediately afterward and stopped.
I found information stating that oral wounds have a higher risk of infection, but I would like to ask, "Is inflammation without bleeding considered a wound?" What is the risk level, high or low? I am a bit concerned.
Thank you very much, doctor!

Niming, 20~29 year old female. Ask Date: 2022/07/06

Dr. Chen Jiansheng reply Urology


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Reply Date: 2022/07/06

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When it comes to understanding throat inflammation risks after engaging in oral sex, it's important to consider several factors, including the presence of any oral injuries, the health status of both partners, and the nature of the sexual activity itself.

Firstly, the throat can indeed be considered a potential site for infection following oral sex, especially if there are any abrasions or micro-injuries present. Even if there is no visible bleeding, inflammation in the throat can indicate irritation or damage to the mucosal lining. This can occur from vigorous oral sex, which may cause minor trauma to the throat, leading to inflammation. The absence of blood does not negate the possibility of an injury; it simply indicates that the injury may be less severe.

The risk of infection, including sexually transmitted infections (STIs), can be influenced by various factors. If the partner you engaged with has an STI, the likelihood of transmission increases, particularly if there are any cuts or sores in the mouth or throat. Oral sex is generally considered a moderate-risk activity for the transmission of STIs, including gonorrhea, chlamydia, and syphilis, as well as viral infections such as herpes and HPV. While the risk of HIV transmission through oral sex is lower compared to anal or vaginal sex, it is not zero, especially if there are open sores or bleeding gums.

In your case, since you mentioned that you have had your tonsils removed and that there is still some inflammation in your throat, it is advisable to monitor your symptoms closely. If the inflammation persists or worsens, or if you develop additional symptoms such as fever, difficulty swallowing, or swollen lymph nodes, it would be prudent to seek medical attention. A healthcare provider can perform a thorough examination and may recommend tests for STIs if deemed necessary.

Additionally, practicing good oral hygiene, such as rinsing your mouth after sexual activity and avoiding oral sex if you have any cuts or sores in your mouth, can help reduce the risk of infection. Using barriers, such as condoms or dental dams, during oral sex can also provide protection against STIs.

In summary, while the risk of throat inflammation and subsequent infection after oral sex exists, it is influenced by several factors, including the presence of injuries, the health status of both partners, and the nature of the sexual activity. If you have concerns about your symptoms or potential exposure to STIs, it is always best to consult with a healthcare professional for personalized advice and appropriate testing.

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