Risks of Oral Sex: Health Checks and Concerns - Urology

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What are the issues related to oral sex performed by men on women?


Hello Doctor, about a month ago I had a brief encounter and would like to ask a question.
During the sexual activity, we used condoms throughout, there was no kissing, and no oral sex performed by the female on the male, but there was oral sex performed by the male on the female.
Could I contract any diseases from this? If the male partner wants to get tested, what blood tests should he undergo? How long after the encounter should he wait to get tested for accurate results? Could you please provide details on the specific tests? Additionally, I've recently felt a slight discomfort in my throat when swallowing; could this be related? Thank you.

Mou Ren Jia, 20~29 year old female. Ask Date: 2007/11/19

Dr. Lin Wenxu reply Urology


Hello Sir: Thank you for your inquiry.
I would like to address your question and provide the following advice: Using condoms consistently does indeed reduce the transmission rate of sexually transmitted infections (STIs).
To understand your health status, in addition to blood tests, a clinical examination by a physician is also necessary.
If you experience any discomfort, I recommend following up for treatment at our outpatient clinic.
Lastly, I wish you safety and happiness.

Reply Date: 2007/11/19

More Info


When it comes to understanding the risks associated with oral sex and the necessary health checks, it's important to consider various factors, including the type of sexual activity, the use of protection, and the potential for sexually transmitted infections (STIs).

In your situation, you mentioned that you engaged in oral sex where you performed oral sex on a female partner, but you used condoms for penetrative intercourse and did not engage in kissing. This is a crucial detail because the use of condoms significantly reduces the risk of transmitting STIs during penetrative sex. However, oral sex does carry its own set of risks, particularly when it comes to STIs.


Risk Assessment
1. Oral Sex Risks: Oral sex is generally considered to be a moderate-risk activity for the transmission of STIs. While the risk is lower compared to unprotected vaginal or anal intercourse, it is not negligible. Certain infections, such as gonorrhea, chlamydia, syphilis, and herpes, can be transmitted through oral sex. The risk increases if there are cuts or sores in the mouth or throat, or if the partner has an active infection.

2. Condom Use: Since you used condoms during penetrative sex, this significantly lowers your risk for infections that are typically transmitted through vaginal or anal intercourse. However, since you performed oral sex without a condom, there is still a potential risk for STIs that can be transmitted through oral contact.


Health Checks
If you are concerned about potential STIs, it is advisable to get tested. Here are some key points regarding testing:
1. Timing for Testing: The timing for STI testing can vary depending on the type of test. For most STIs, it is recommended to wait at least 2 weeks after potential exposure for initial testing. However, for some infections like HIV, it may take up to 3 months for antibodies to be detectable in the blood. Therefore, a follow-up test at 3 months is often recommended for a conclusive result.

2. Testing Options: Common tests that you might consider include:
- HIV Test: This can be done using a blood sample or oral swab. Rapid tests can provide results in as little as 20 minutes.

- Chlamydia and Gonorrhea Tests: These can be done using urine samples or swabs from the throat or genital area.

- Syphilis Test: This is typically done through a blood test.

- Herpes Test: This can be done through blood tests or swabs from sores if present.

3. Symptoms: You mentioned feeling a sensation in your throat when swallowing. While this could be unrelated, it is important to monitor any symptoms such as sore throat, unusual discharge, or sores. If these symptoms persist, it would be wise to consult a healthcare provider for a thorough evaluation.


Conclusion
In summary, while the use of condoms during penetrative sex significantly reduces the risk of STIs, engaging in oral sex without protection does carry some risk. It is advisable to get tested for STIs, especially if you have concerns or symptoms. The timing of testing is crucial, and follow-up tests may be necessary for a comprehensive assessment of your sexual health. If you have ongoing anxiety or symptoms, consider discussing these with a healthcare professional who can provide personalized advice and support.

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