STDs: Oral Sex Risks and Symptoms Explained

Regarding sexually transmitted diseases (STDs)

Hello doctor! I recently had unprotected oral sex (but with my girlfriend) for the past three days.
I came across information online that brushing teeth before oral sex could potentially lead to sexually transmitted infections (STIs).
I then looked up the symptoms related to chlamydia.
About a month ago, I had a cold, and during that time, I experienced itching and a burning sensation while urinating, but that has since resolved.
As for gonorrhea, I understand that it can cause a discharge from the glans, but I haven't noticed anything unusual.
Recently, I did squeeze to check, and the discharge was mostly clear.
However, there were two instances where I squeezed out a milky white fluid (without any odor).
I would like to ask the doctor if I might have an infection? Is the fluid I squeezed out pus or semen?

Wei, 20~29 year old female. Ask Date: 2016/02/11

Dr. Xu Weikai reply Urology

Hello, gonorrhea typically presents with yellow discharge from the urethra.
If you suspect a sexually transmitted infection, it is advisable to seek medical attention as soon as possible.
If you have any further questions or need clarification, feel free to ask, and we can discuss it further.
Please remember that online responses should only be used as a reference; it is essential to visit a healthcare facility for proper evaluation and treatment.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/02/11

More Info

When it comes to understanding the risks of sexually transmitted diseases (STDs) associated with oral sex, it's essential to consider several factors, including the type of sexual activity, the health status of both partners, and the presence of any symptoms.
Oral sex can indeed pose a risk for the transmission of various STDs, including but not limited to gonorrhea, chlamydia, syphilis, and herpes. The mouth can serve as a potential entry point for pathogens, especially if there are any cuts, sores, or abrasions present. This is why some health professionals advise against brushing your teeth immediately before engaging in oral sex, as this can create micro-tears in the gums, increasing the risk of infection.

In your case, you mentioned having unprotected oral sex with your girlfriend and experiencing some symptoms in the past, such as itching and a burning sensation while urinating. These symptoms could potentially indicate a urinary tract infection (UTI) or an STD, particularly if they occurred after a sexual encounter. Gonorrhea and chlamydia can cause such symptoms, and they may not always present with noticeable discharge. The fact that you observed a clear fluid when you squeezed your penis, with occasional white discharge, could be a normal bodily secretion or pre-ejaculate fluid, but it could also indicate an infection, especially if the discharge changes in color or consistency.

It's important to note that not all STDs will present with obvious symptoms, and some individuals may be asymptomatic carriers. This means that even if you or your partner do not exhibit symptoms, there is still a risk of transmission. Regular testing is crucial, especially if you have multiple partners or engage in unprotected sex. The Centers for Disease Control and Prevention (CDC) recommends that sexually active individuals get tested for STDs at least once a year, and more frequently if they have new or multiple partners.

If you are concerned about the possibility of having contracted an STD, it is advisable to consult a healthcare professional for a thorough evaluation. They can perform the necessary tests to determine if you have an infection and provide appropriate treatment if needed. Early detection and treatment are vital in managing STDs effectively and preventing complications.

In summary, oral sex does carry risks for STD transmission, and symptoms such as itching or unusual discharge should not be ignored. It's essential to maintain open communication with your partner about sexual health, practice safe sex whenever possible, and seek medical advice if you have concerns about potential infections. Regular testing and awareness of your sexual health are key components in reducing the risk of STDs.

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