Could Oral Sex Lead to STDs? Risks and Symptoms - Urology

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Oral sex issues?


Last week, I performed oral sex on my boyfriend without a condom.
He did not ejaculate in my mouth, and after a few minutes, I pulled away.
However, two days later, I started feeling an itchy throat and have been coughing continuously.
Both of us have only had sexual intercourse with each other, and this was only our second time being intimate.
I would like to know if this could be a sexually transmitted infection (STI).

Chen, 20~29 year old female. Ask Date: 2023/04/15

Dr. Du Shixi reply Urology


Hello: If both individuals are engaging in sexual activity for the second time with the same partner, it is unlikely to be a sexually transmitted infection.
Wishing you good health.

Reply Date: 2023/04/15

More Info


Oral sex can indeed pose a risk for sexually transmitted diseases (STDs), even when there is no ejaculation in the mouth. The risk of transmission depends on several factors, including the presence of STDs in either partner, the type of sexual activity, and the presence of any cuts or sores in the mouth or genital area.

In your case, you mentioned that you performed oral sex on your boyfriend without a condom, and you experienced symptoms such as a sore throat and persistent cough a couple of days later. These symptoms could be indicative of a few different conditions. While it is possible that you could have contracted an STD, it is also important to consider other factors that could contribute to your symptoms.

1. STDs and Oral Sex: Certain STDs can be transmitted through oral sex, including gonorrhea, chlamydia, syphilis, and herpes. If either you or your partner had an undiagnosed STD, there is a risk of transmission. Symptoms of STDs can vary widely; some individuals may experience no symptoms at all, while others may have localized symptoms such as a sore throat, lesions, or discharge.

2. Throat Symptoms: The sore throat and cough you are experiencing could be related to a few different issues. If your partner had an STD like gonorrhea or herpes, it is possible to develop pharyngeal infections, which can cause throat discomfort. However, these symptoms could also be due to a viral infection, allergies, or even irritation from oral sex itself.

3. Risk Assessment: The risk of contracting an STD through oral sex is generally considered lower than through vaginal or anal intercourse, but it is not negligible. Factors that can increase risk include the presence of cuts or sores in the mouth, oral hygiene, and the overall health of both partners. If you both have only been with each other, the risk may be lower, but it is still essential to consider the possibility of prior infections.

4. Testing and Diagnosis: If you are concerned about the possibility of having contracted an STD, it is advisable to seek medical attention. A healthcare provider can perform tests to determine if you have an STD and provide appropriate treatment if necessary. It is important to be open with your healthcare provider about your sexual history and symptoms to receive the best care.

5. Prevention: To reduce the risk of STDs in the future, consider using barriers such as condoms or dental dams during oral sex. Regular testing for STDs, especially if you have multiple partners or engage in high-risk behaviors, is also crucial for maintaining sexual health.

In conclusion, while your symptoms could be related to an STD, they could also stem from other causes. It is essential to consult with a healthcare professional for an accurate diagnosis and appropriate treatment. Open communication with your partner about sexual health and regular testing can help mitigate risks associated with oral sex and STDs.

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Hello: No problem. Wishing you good health. You can refer to http://www.isu.edu.tw/upload/04/7/news/postfile_60883.pdf.

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