Concerns About STDs After Oral Sex: What You Need to Know - Urology

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I couldn't resist going to a hotel, received oral sex but did not ejaculate?


Hello, Dr.
Chen: I visited a hotel today for sexual services and had unprotected oral sex without ejaculation.
My genital area was not injured, and the encounter lasted about 30 minutes (with minimal arousal).
After the oral sex, I immediately washed my genitals and urinated.
This was my only experience, but I am still concerned about the possibility of contracting a sexually transmitted infection (STI).
I have a history of bacterial prostatitis and I am also circumcised.
I would like to know if I need to undergo testing.
I truly regret this decision.
Thank you, Doctor.

Fu, 10~19 year old female. Ask Date: 2023/03/01

Dr. Chen Jiansheng reply Urology


Please seek medical attention.

Reply Date: 2023/03/01

More Info


It's understandable to feel anxious after engaging in sexual activities, especially when they involve potential risks for sexually transmitted diseases (STDs). Let's break down your concerns regarding oral sex and the associated risks, particularly in the context of your recent experience.


Understanding the Risks of Oral Sex
1. Transmission of STDs: Oral sex can indeed transmit certain STDs, including gonorrhea, chlamydia, syphilis, and herpes. However, the risk of transmission is generally lower compared to vaginal or anal sex. In your case, since there was no ejaculation and you did not experience any injuries to your genital area, the risk of contracting an STD is further reduced.
2. Bacterial Prostatitis: You mentioned having bacterial prostatitis. This condition can be caused by various factors, including infections. While it's not directly linked to oral sex, if you have an existing infection, it's essential to manage it properly. Engaging in sexual activities can sometimes exacerbate symptoms or lead to complications, so it's wise to consult with your healthcare provider about your prostatitis in the context of your recent experience.

3. Hygiene Practices: You took steps to clean your genital area and urinate after the encounter, which is a good practice. This can help reduce the risk of infections, although it does not eliminate the risk entirely. Maintaining good hygiene is crucial, especially if you have a history of infections.


Recommendations for Testing
Given your concerns and the fact that you have a history of prostatitis, it would be prudent to undergo STD testing. Here are some points to consider:
- Testing for STDs: Even if you feel fine, it's a good idea to get tested for STDs, especially if you have engaged in activities that carry some risk. Testing can provide peace of mind and help you address any potential issues early on.

- Consulting a Healthcare Provider: Since you have existing health concerns (bacterial prostatitis and phimosis), discussing your situation with a healthcare provider is essential. They can provide tailored advice and may recommend specific tests based on your sexual history and symptoms.

- Follow-Up Care: If you experience any symptoms such as unusual discharge, pain during urination, or persistent discomfort, seek medical attention promptly. These could be signs of an infection that may require treatment.


Psychological Impact
It's common to feel regret or anxiety after a sexual encounter, especially if it was unprotected or involved a new partner. Here are some strategies to cope with these feelings:
- Educate Yourself: Understanding the actual risks associated with different sexual activities can help alleviate some anxiety. Knowledge is empowering and can help you make informed decisions in the future.

- Talk About It: If you're comfortable, discussing your feelings with a trusted friend or a mental health professional can provide support and help you process your emotions.

- Focus on Prevention: Moving forward, consider implementing safer sex practices, such as using condoms during oral sex, to reduce the risk of STDs. This can help you feel more secure in your sexual health.


Conclusion
In summary, while the risk of contracting an STD from oral sex is present, it is generally lower than other forms of sexual activity, especially in your specific circumstances. However, given your history of prostatitis and your recent encounter, it is advisable to get tested and consult with a healthcare provider for personalized advice. Taking proactive steps can help you manage your health and alleviate your concerns. Remember, it's never too late to prioritize your sexual health and well-being.

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