Tongue Abnormalities After Oral Sex: What You Need to Know

Abnormalities of the tongue?

Hello Doctor, I engaged in unprotected sexual activity (oral sex) with a male friend on December 22, during which he ejaculated in my mouth.
I have recently noticed some unusual changes in my oral cavity and tongue, and I am increasingly worried.
Here are the details for your reference:
1.
Under the tongue: There are some small, granular-like protrusions, with about two similar protrusions on each side.

2.
Beside the tongue: There are wave-like indentations that do not appear to be bite marks.

Currently, I feel a sensation of something stuck in my throat.
Earlier this year, I had a cold and saw a doctor; the cold has resolved, but I still feel like I have phlegm and my tongue coating appears particularly white.
Sometimes, I experience sudden feelings of warmth, but my temperature readings are normal, and I am unsure of the cause.

Today, I visited an ENT specialist who said that everything looks normal and suggested that the tongue's appearance is likely its natural structure.
The phlegm is attributed to post-nasal drip.
I have made an appointment with a specialist for further evaluation, but I am very anxious and wanted to consult you first.

Doctor, could this be a sexually transmitted infection? I understand that I should not have engaged in unprotected sexual activity.
If it is indeed an STI, will it heal? I have been feeling very low and overwhelmed, constantly fearing that I am ill.

Zhang, 20~29 year old female. Ask Date: 2024/02/25

Dr. Zheng Jueyi reply Otolaryngology

Hello, it initially appears to be taste buds or minor salivary gland tissue on the tongue.
If the clinical ENT specialist does not observe any significant abnormalities, you may monitor it yourself or follow up regularly with an ENT or infectious disease specialist for a period of time.

Reply Date: 2024/02/25

More Info

It’s understandable to feel anxious after engaging in unprotected oral sex, especially when experiencing unusual symptoms in your mouth. Let’s break down your concerns regarding the potential for sexually transmitted infections (STIs) and the symptoms you are experiencing.

First, it’s important to recognize that oral sex can indeed transmit various STIs, including herpes, gonorrhea, chlamydia, syphilis, and even HIV, although the risk of HIV transmission through oral sex is generally lower compared to anal or vaginal sex. The symptoms you describe, such as the presence of bumps or unusual textures on your tongue and the sensation of something being stuck in your throat, could potentially be linked to an infection, but they are not definitive indicators of an STI.

1. Tongue Abnormalities: The “meat-like” bumps you see under your tongue could be normal anatomical variations, such as lingual papillae or mucous cysts. However, if these changes are new and accompanied by other symptoms, they warrant further investigation. The wave-like appearance on the side of your tongue could also be a normal variant, but if it is causing discomfort or concern, it’s best to have it evaluated by a healthcare professional.

2. Throat Symptoms: The sensation of something being stuck in your throat, along with a white coating on your tongue, could be due to several factors. Post-nasal drip from a cold or allergies can cause throat irritation and a white coating on the tongue. However, if these symptoms persist or worsen, it’s crucial to seek medical advice.
3. Potential STIs: If you are concerned about having contracted an STI, it is advisable to get tested. Many STIs can be asymptomatic, meaning you might not show any signs of infection even if you are infected. Testing is the only way to confirm your status. If you do test positive for an STI, many can be treated effectively with antibiotics or antiviral medications, depending on the specific infection.

4. Mental Health: It’s also important to address the emotional toll that these worries can take on you. Anxiety about potential infections can lead to significant distress. Consider speaking with a mental health professional or a counselor who can help you manage these feelings.
5. Follow-Up Care: Since you have already seen an ENT specialist who did not find any abnormalities, it may be helpful to follow up with a healthcare provider who specializes in STIs or infectious diseases. They can provide a more comprehensive evaluation and testing for STIs.
6. Safe Practices: Moving forward, it’s crucial to practice safer sex. Using condoms during oral sex can significantly reduce the risk of transmitting STIs. Regular testing for STIs is also recommended, especially if you have multiple partners or engage in unprotected sex.

In conclusion, while your symptoms could be concerning, they do not definitively indicate an STI. It’s essential to seek further evaluation and testing to address your concerns. Remember, many STIs are treatable, and taking proactive steps can help you maintain your sexual health. Don’t hesitate to reach out for support, both medically and emotionally, as you navigate this situation.

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