Urgent Urology Concerns: Risks and Symptoms After Oral Sex - Urology

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Please, doctor, I really need you to respond to my question quickly... I'm begging you?


Hello, Doctor...
About two weeks ago, on December 11, I engaged in risky oral sex.
Since then, I've been very anxious.
Previously, I experienced a stinging sensation when urinating, so I went to see a doctor who performed a brief urinalysis.
The doctor said there were no significant issues with the urine test and prescribed Amoxicillin 500mg, which I took for about two to three days, and it seemed to help.
However, these days, I've been feeling a strange rolling sensation in my lower abdomen, accompanied by gas sounds, like gurgling.
Sometimes it makes noise.
On one hand, I'm very nervous about this.

I would like to ask the doctor, besides HIV and syphilis, what else can a urinalysis detect? Why is my lower abdomen feeling strange? Regarding the oral sex, it was mutual oral sex, and I ejaculated in my partner's mouth, but I did not allow them to ejaculate in my mouth.
That was the nature of our previous oral sexual activities, and we also kissed.
Doctor, what is the risk of contracting HIV in this situation? What other diseases could I potentially be exposed to? I would greatly appreciate your patient and detailed responses.
Thank you, Doctor.

A Jie, 20~29 year old female. Ask Date: 2003/12/26

Dr. Huang Chikai reply Urology


Hello, Ajie: The gas sounds and discomfort in your lower abdomen you described are likely unrelated to the oral sex on December 11.
However, if you are concerned about the possibility of infections such as gonorrhea, syphilis, or other conditions, please visit a urology specialist for a thorough examination.
Wishing you good health! Dr.
Huang Chih-Kai, December 27, 2003, 10:20 PM.

Reply Date: 2003/12/26

More Info


When it comes to assessing the risks associated with oral sex, particularly in the context of potential sexually transmitted infections (STIs), it is important to consider several factors. Oral sex can indeed pose a moderate risk for the transmission of various STIs, including but not limited to gonorrhea, chlamydia, syphilis, and herpes. The risk of HIV transmission through oral sex is generally considered to be lower than through vaginal or anal intercourse, but it is not zero, especially if there are open sores or bleeding gums involved.

In your case, you mentioned engaging in mutual oral sex, where you ejaculated in your partner's mouth but did not allow them to do the same in yours. This scenario does reduce the risk of certain infections, particularly those that are transmitted through bodily fluids, such as HIV. However, it is still possible to contract infections like gonorrhea or chlamydia if your partner is infected, as these bacteria can be present in the throat and can be transmitted through oral contact.

Regarding your symptoms, such as the sensation of gas or bubbling in your lower abdomen, it is essential to differentiate between gastrointestinal issues and potential urological concerns. The sensation you describe could be related to anxiety, which can manifest physically, or it could be a sign of gastrointestinal distress. It is also worth noting that antibiotics like Amoxicillin can sometimes lead to changes in gut flora, which might contribute to gastrointestinal symptoms.

If you are experiencing persistent discomfort or unusual sensations, it is advisable to follow up with a healthcare provider. They may recommend further testing, including a more comprehensive STI panel, which can check for infections that may not be detected through a standard urinalysis. This panel can include tests for gonorrhea, chlamydia, syphilis, and others, depending on your risk factors and symptoms.

In terms of your concerns about HIV and other STIs, it is crucial to understand that while the risk of transmission through oral sex is lower, it is not negligible. If your partner has an active infection, there is still a possibility of transmission, especially if there are any cuts or sores in the mouth. Regular STI screenings are recommended for sexually active individuals, particularly if engaging in high-risk behaviors.

Lastly, if you are feeling anxious about your health or the possibility of having contracted an STI, it is important to seek medical advice. Healthcare providers can offer reassurance, conduct necessary tests, and provide treatment if needed. Remember, open communication with your partner about sexual health and safe practices is vital in reducing risks associated with STIs.
In summary, while the risk of contracting STIs through oral sex exists, it is generally lower than through other forms of sexual activity. However, symptoms like abdominal discomfort warrant further investigation. Regular screenings and open discussions about sexual health with partners are key components of maintaining sexual health and well-being.

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