STDs: Risks and Testing After Oral Contact - Urology

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Fast-acting depression


Hello doctor, I visited a sex worker at the beginning of January for relief.
Since it was my first time, I didn't know that kissing could also transmit STDs, even though I used a condom throughout.
What types of STDs might I be at risk for? When should I get tested? I've read many articles, and the incubation periods vary.
I really regret going, and my immune system isn't that great.

Wu Zhi De Shao Nian, 20~29 year old female. Ask Date: 2016/01/04

Dr. Xu Weikai reply Urology


Ignorant Youth: There are quite a few oral infectious diseases, and it's not possible to introduce them all.
It's best to address them when abnormal symptoms appear.
For other conditions such as HIV, hepatitis, herpes, and syphilis, it is recommended to get tested after three months.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers found online should only be used as a reference; it is still necessary to seek medical attention at healthcare facilities.
Ministry of Health and Welfare, Taitung Hospital, cares about you.
This response is provided by Dr.
Hsu Wei-Kai, Director of the Urology Department at our hospital.

Reply Date: 2016/01/04

More Info


When it comes to understanding the risks associated with sexually transmitted diseases (STDs) and the implications of oral contact, especially in the context of engaging with sex workers, it's essential to consider several factors.
Firstly, while using a condom during penetrative sex significantly reduces the risk of transmitting STDs, oral sex can still pose a risk, albeit generally lower than unprotected vaginal or anal intercourse. The act of kissing, particularly deep kissing (often referred to as "French kissing"), can also carry some risk, especially if either partner has cuts, sores, or bleeding gums in their mouth. This is because certain STDs, including HIV, can be transmitted through blood, and if there are open wounds, the risk increases.

In your case, since you mentioned that you engaged in oral contact (kissing and possibly oral sex) with a sex worker, it is prudent to consider the following STDs that can be transmitted through oral sex:
1. Gonorrhea and Chlamydia: These bacterial infections can infect the throat and are often asymptomatic. They can be transmitted through oral sex, and symptoms may not appear until complications arise.

2. Syphilis: This STD can be transmitted through direct contact with syphilis sores, which may be present in the genital area or mouth.

3. Herpes Simplex Virus (HSV): Oral herpes (HSV-1) can be transmitted through kissing, and genital herpes (HSV-2) can also be transmitted through oral sex if the infected partner has sores.

4. HIV: While the risk of HIV transmission through oral sex is lower compared to anal or vaginal sex, it is not zero, especially if there are cuts or sores in the mouth.

Given your concerns about your immune system and the potential for infection, it is advisable to get tested. The window period for testing varies depending on the STD:
- HIV: The recommended time to get tested is typically 3 months after potential exposure, as this is when most tests will yield accurate results. However, some tests can detect HIV earlier, around 10-14 days post-exposure.

- Gonorrhea and Chlamydia: Testing can be done about 1-2 weeks after exposure, as these infections can be detected relatively quickly.

- Syphilis: Testing is usually recommended about 6 weeks after exposure, as it may take time for antibodies to develop.

- Herpes: If you suspect exposure, testing can be done about 2-12 weeks after contact, depending on the type of test used.

In addition to testing, it is important to monitor for any symptoms that may arise, such as unusual discharge, sores, or flu-like symptoms. However, many STDs can be asymptomatic, which is why regular testing is crucial if you are sexually active, especially with new partners.

Lastly, if you are feeling anxious or regretful about your experience, consider speaking with a healthcare provider or a counselor who specializes in sexual health. They can provide support, answer your questions, and help you navigate your concerns about STDs and your sexual health moving forward. Remember, taking proactive steps towards your health is the best way to manage your concerns.

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