Can Oral Sex Transmit Chlamydia? Weight Loss Concerns Explained - Internal Medicine

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Sexually transmitted infections (STIs)


Hello Dr.
Liao,
1.
Can chlamydia be transmitted through oral sex?
2.
What tests should be conducted if there is a sudden and significant weight loss?

ww, 20~29 year old female. Ask Date: 2012/01/30

Dr. Liao Zhongxin reply Internal Medicine


Dear readers:
1.
There is a wide variety of sexually transmitted infections (STIs), with syphilis and HIV being the most notable.
2.
The method of sexual activity can lead to STIs in different areas; typically, these infections are located in the perineal region (both anterior and posterior), but with changes in positions and the diversity of sexual practices, they can appear in other areas as well.
3.
If there is a sudden weight loss, in addition to considering STIs, there are more serious conditions that should be taken into account, such as cancer, diabetes, tuberculosis, substance abuse, and mental health disorders.
4.
If other diseases have been ruled out and there is a significant history of exposure, such as drug addiction, sex work, or one-night stands, along with symptoms like rapid weight loss, fever, and lymphadenopathy, it is advisable to consult and get tested at a medical facility that offers anonymous screening.
Thank you!

Reply Date: 2012/01/30

More Info


Yes, oral sex can transmit Chlamydia. Chlamydia is a sexually transmitted infection (STI) caused by the bacterium Chlamydia trachomatis. While it is more commonly associated with genital-to-genital contact, it can also be transmitted through oral sex if one partner is infected. If an infected person performs oral sex on another person, the bacteria can infect the throat, leading to a condition known as pharyngeal chlamydia. Symptoms may not always be present, which is why regular STI screenings are important for sexually active individuals.

Regarding your second question about sudden weight loss, it is crucial to investigate the underlying causes, as unexplained weight loss can be a sign of various health issues. Here are some potential areas to consider for testing:
1. Thyroid Function Tests: Hyperthyroidism, or an overactive thyroid, can lead to significant weight loss. Testing levels of Thyroid Stimulating Hormone (TSH) and free T4 can help determine thyroid function.

2. Blood Sugar Levels: Conditions like diabetes can cause weight loss, particularly if blood sugar levels are poorly controlled. A fasting blood glucose test or an HbA1c test can provide insight into your blood sugar control.

3. Gastrointestinal Issues: Conditions such as celiac disease, Crohn's disease, or other malabsorption syndromes can lead to weight loss. Tests may include blood tests for celiac disease antibodies or imaging studies of the gastrointestinal tract.

4. Infections: Chronic infections, including tuberculosis or HIV, can lead to weight loss. A thorough evaluation, including blood tests and possibly imaging, may be necessary.

5. Cancer Screening: Unexplained weight loss can sometimes be an early sign of cancer. Depending on your age, family history, and other risk factors, your doctor may recommend specific screenings.

6. Mental Health Evaluation: Conditions such as depression or anxiety can lead to changes in appetite and weight. A mental health assessment may be beneficial.

7. Nutritional Assessment: A dietitian can help evaluate your dietary intake and identify any deficiencies or imbalances that may contribute to weight loss.

If you are experiencing sudden weight loss, it is essential to consult a healthcare provider for a comprehensive evaluation. They can guide you through the necessary tests and help determine the cause of your symptoms. Remember, early intervention can be crucial in managing any underlying health issues effectively.
In summary, both oral sex can transmit chlamydia, and sudden weight loss warrants a thorough medical evaluation to identify potential underlying causes. Regular check-ups and open communication with your healthcare provider are vital for maintaining sexual health and overall well-being.

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