Oral Sex-Related STIs: Symptoms and Concerns - Urology

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Oral sexually transmitted infection (STI)


Hello doctor, I would like to ask if after performing unprotected oral sex for someone, I experienced tonsillitis and some fever about five to six days later, and then after a few days, I gradually developed mouth sores and swollen gums.
Could this situation be early symptoms of HIV or other sexually transmitted infections?

Ting, 20~29 year old female. Ask Date: 2015/09/19

Dr. Li Yilun reply Urology


Any contact with bodily fluids and oral sex with wounds can still transmit or infect certain bacteria or viruses.
Reducing sexual activities with multiple partners can decrease the risk of infection.
Using condoms consistently can reduce bodily fluid contact and lower the likelihood of contracting diseases.
The more sexual partners one has, the higher the chance of sexually transmitted infections (STIs).
Prevention is better than treatment, as all bodily fluids can carry infectious viruses.
If you belong to a high-risk group and experience symptoms, it is essential to seek medical attention.
When visiting a healthcare provider, be sure to inform them to conduct HIV testing.
Reducing sexual activities with multiple partners can decrease the risk of infection, and consistent condom use can lower the likelihood of disease transmission.
The more sexual encounters, the greater the risk of STI transmission, and prevention is always preferable to treatment.

Reply Date: 2015/09/19

More Info


When it comes to the risks associated with oral sex and sexually transmitted infections (STIs), it's important to understand that while oral sex is generally considered safer than anal or vaginal intercourse, it is not without risks. Engaging in oral sex can expose individuals to various STIs, including but not limited to gonorrhea, chlamydia, syphilis, herpes, and human papillomavirus (HPV).
In your case, the symptoms you describe—such as tonsillitis, fever, mouth sores, and swollen gums—could potentially be indicative of an STI, but they are not definitive signs of HIV or any specific STI. These symptoms can arise from a variety of causes, including viral infections, bacterial infections, or even non-infectious conditions like stress or allergies.
HIV, the virus that causes AIDS, can present with flu-like symptoms in its acute phase, which typically occurs 2 to 4 weeks after exposure. Symptoms may include fever, sore throat, fatigue, swollen lymph nodes, and muscle aches. However, not everyone will experience these symptoms, and they can be mistaken for other illnesses. The presence of mouth sores and swollen gums could also be related to other infections, such as herpes simplex virus, which is known to cause oral lesions.

Given your recent sexual activity and the onset of these symptoms, it is advisable to seek medical attention. A healthcare provider can perform the necessary tests to determine if you have contracted an STI, including HIV. Testing for STIs is crucial, especially if you have engaged in unprotected oral sex, as many STIs can be asymptomatic or present with mild symptoms that may be overlooked.

In terms of treatment, if an STI is diagnosed, there are effective treatments available for most infections. For example, bacterial STIs like gonorrhea and chlamydia can typically be treated with antibiotics, while viral infections like herpes can be managed with antiviral medications. If you are diagnosed with HIV, antiretroviral therapy (ART) can help manage the virus and maintain your health.

It's also important to consider preventive measures for the future. Using barriers such as condoms or dental dams during oral sex can significantly reduce the risk of transmitting STIs. Regular STI screenings, especially if you have multiple partners or engage in high-risk behaviors, are also recommended.

In summary, while your symptoms could be related to an STI, they are not specific to HIV or any other particular infection. It is essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Taking proactive steps in your sexual health can help alleviate concerns and promote overall well-being.

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