STD Symptoms After Unprotected Oral Sex: What You Need to Know - Urology

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Sexually transmitted infections (STIs) issues?


Hello, Doctor Pan.
A week ago, I had sexual intercourse with a girl I had never met before.
Three days later, while taking a shower, I noticed a few red spots on my genital area (glans).
I'm not sure what this condition is, and I'm quite worried about whether I might have contracted AIDS or other sexually transmitted infections (STIs).
Could you please help me understand this issue? Thank you! P.S.
During our sexual encounter, the girl performed oral sex on me without a condom, but I did use a condom during vaginal intercourse.

surbrilan, 20~29 year old female. Ask Date: 2001/07/29

Dr. Pan Zhenqin reply Urology


Vaginal inflammation or excessive discharge in women can potentially lead to urinary tract infections in sexual partners.
Talc powder or additives in condoms may also contribute to these symptoms.
Additionally, there are risks associated with other sexually transmitted infections, including AIDS.
It is advisable to visit a urology clinic for a thorough examination.
During your next sexual encounter, especially with a casual partner, it is best to use condoms throughout to avoid any concerns afterward.

Reply Date: 2001/07/29

More Info


After engaging in unprotected oral sex, it is understandable to be concerned about potential sexually transmitted diseases (STDs), including HIV. The symptoms you are experiencing, such as the appearance of red spots on the glans (head of the penis), can be alarming and may lead to anxiety about your health.
Firstly, it is important to note that while oral sex does carry some risk of transmitting STDs, the likelihood of contracting HIV through oral sex is significantly lower compared to vaginal or anal sex. The presence of cuts or sores in the mouth of the partner can increase the risk, but the overall risk remains relatively low. Other STDs, such as herpes, gonorrhea, chlamydia, and syphilis, can be transmitted through oral sex, and symptoms may vary based on the specific infection.

The red spots you have observed on your glans could be due to several reasons. They might be a sign of irritation, an allergic reaction to soaps or other products, or a symptom of an STD. Common conditions that can cause similar symptoms include:
1. Balanitis: This is an inflammation of the glans, often caused by poor hygiene, irritants, or infections. Symptoms may include redness, swelling, and sometimes discharge.

2. Pearly Penile Papules: These are small, harmless bumps that can appear on the glans and are a normal anatomical variation.

3. Genital Herpes: This viral infection can cause red bumps, blisters, or sores on the genital area. It is important to note that herpes can be asymptomatic, meaning you may not always have visible symptoms.

4. Other STDs: Conditions like gonorrhea or chlamydia can also present with symptoms in the genital area, including redness and irritation.

Given your concerns, it is crucial to seek medical attention. A healthcare provider can perform a physical examination and may recommend tests for STDs based on your sexual history and symptoms. It is generally advised to wait at least 1-2 weeks after potential exposure for accurate testing of most STDs, including HIV, but some tests may require a longer window period.

In addition to seeking medical advice, consider the following steps to protect your sexual health in the future:
- Use Protection: Always use condoms during oral, vaginal, and anal sex to reduce the risk of STDs.

- Regular Testing: If you are sexually active, especially with new partners, regular STD screenings are essential for early detection and treatment.

- Communication: Discuss sexual health openly with partners, including testing history and any symptoms.

Lastly, while it is natural to feel anxious about potential infections, remember that many conditions are treatable, and early intervention can lead to better outcomes. Do not hesitate to reach out to a healthcare professional for guidance and support.

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