Red and White Spots on My Tongue After Oral Sex: What Could It Be?

After oral sex, I noticed…

Hello doctor, about a month ago on January 14th, I performed oral sex on my boyfriend (he does not have any sexually transmitted infections, but he did not wash his genitals before the act).
That same evening, I noticed small red spots on my tongue, which worsened the next day, becoming more pronounced and clustered at the tip of my tongue.
Eating and drinking caused a tingling pain, and I also felt a slight burning sensation in my throat.
After about a day, the pain subsided, and the redness became less noticeable, but it was still present.
Gradually, my tongue developed red and white spots (originally all red, some turned white).
Now, except for the base of my tongue, it is almost entirely covered in white patches, not completely, but quite a lot, resembling thick white coating but not exactly.
It has a somewhat fuzzy appearance; when I scrape it with my teeth, the fuzziness protrudes but does not come off, it seems to be growing on my tongue.
On both sides of the front of my tongue, there are small white bumps, and on one side, there is a more prominent bump (red and white, which changes direction when I push it with clean dental floss).
Is this genital warts or another sexually transmitted infection?! But neither my boyfriend nor I have any STIs! Could it be a bacterial infection? It has been a bit long, please help me, thank you very much...
PS: 1.
Today marks exactly one month since the incident.
2.
I have not particularly observed my tongue before, but I remember it did not have these white bumps; it seems to have developed after oral sex...
However, this is not my first time performing oral sex, and I did not have this issue previously (with a regular partner).
Additionally, which department should I consult for examination, urology?

Feichang xinqi de ren, 10~19 year old female. Ask Date: 2016/02/14

Dr. Xu Weikai reply Urology

If you are feeling very anxious, you may be experiencing a localized infection, such as staphylococcus or streptococcus.
If you are uncomfortable, it is advisable to consult with an oral surgeon or an otolaryngologist for a diagnosis.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Responses from the internet should only be used as a reference; if necessary, you should seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/02/14

More Info

It sounds like you're experiencing some concerning symptoms following oral sex, and it's understandable to be worried about what they might indicate. Based on your description, the red and white spots on your tongue, along with the discomfort you're experiencing, could be due to several factors, including oral infections, irritation, or even sexually transmitted infections (STIs).

Firstly, it's important to note that oral sex can indeed transmit certain STIs, even if there is no penetrative intercourse involved. Common STIs that can be transmitted through oral sex include herpes simplex virus (HSV), human papillomavirus (HPV), gonorrhea, and syphilis. While you mentioned that both you and your partner do not have any known STIs, it's still possible to contract an infection if either partner has been exposed to one, even if asymptomatic.

The symptoms you're describing—red spots, white patches, and a burning sensation—could potentially be indicative of a few different conditions:
1. Oral Thrush: This is a fungal infection caused by an overgrowth of Candida yeast. It can present as white patches on the tongue and inside the mouth, and it may cause discomfort or pain. Oral thrush can occur after oral sex, especially if there is an imbalance in the oral flora.

2. Herpes Simplex Virus: If the red spots are painful and blister-like, they could be a sign of an oral herpes outbreak. This virus can be transmitted through oral sex, and symptoms can include sores or blisters in the mouth or on the lips.

3. Irritation or Allergic Reaction: Sometimes, the mouth can react to certain substances, including bodily fluids or even certain foods, leading to irritation and inflammation.

4. Human Papillomavirus (HPV): Certain strains of HPV can cause lesions in the mouth, although this is less common. The lesions can appear as warts or bumps.

Given that your symptoms have persisted for a month and have changed in appearance, it is crucial to seek medical attention. You should consider visiting a healthcare provider who specializes in oral health, such as a dentist or an oral surgeon, as well as a healthcare provider who specializes in STIs, such as a urologist or an infectious disease specialist. They can perform a thorough examination and may recommend tests to determine the exact cause of your symptoms.

In the meantime, here are a few recommendations:
- Maintain Oral Hygiene: Continue to brush your teeth and tongue gently to keep your mouth clean. Avoid harsh mouthwashes that could further irritate your mouth.

- Avoid Irritants: Stay away from spicy, acidic, or abrasive foods that could exacerbate your discomfort.

- Stay Hydrated: Drink plenty of water to keep your mouth moist and help with healing.

- Avoid Oral Sex: Until you have a clearer understanding of your symptoms, it may be wise to avoid further oral sexual activity to prevent potential transmission of infections.

In conclusion, while your symptoms may not necessarily indicate a serious condition, they warrant a professional evaluation to rule out any infections or other underlying issues. Early diagnosis and treatment can help prevent complications and promote healing.

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