[Question #11420] Risks of Oral STD

14 months ago

Hello Doctors.

8 days ago i had a sexual encounter at a massage parlor with a female CSW.

1. French kissing. More so like sword fighting as we did this maybe 5-10 seconds. followed by 10 seconds of french kissing, 10 seconds might be over estimating; between 5-10 seconds of french kissing

2. Protected sex (no problem here as I know the condom didn't rip)

3. Protected Oral sex from female provider to me. I don't recall her kissing or licking the tip of my penis. I highly doubt she did. All of the action was condom proteced oral, so i know the condom didn't rip.

My concern is oral STD. I've read Dr. Hooks replies about possibility of oral STD. However, after reading further replies i see that this is mainly with Male to Male action and not really female to male action as my case is.

My concern is oral STD risk as 5 days after the encounter i began having a sore throat. Ever since Thursday it has been off and on. It comes and then goes. Am i at risk for anything? on a scale of 1-100% would you say i should be 1% concerned or less? Am I just overreacting and should move on with my life with zero concern?

I know STD stands for sexually transmitted disease and my sexual encounter were 100% protected.

Thanks in advance.

Edward W. Hook M.D.

14 months ago

Welcome to our forum. Thank you for your confidence in our service. I’ll be glad to comment. While oral STI‘s are certainly more common amongst men who have sex with other men, they can certainly occur through heterosexual oral contact as well. The STI is occurring following, oral sex are the same irrespective of who one’s partner is. Receipt of oral sex on one ‘s penis can potentially lead to gonorrhea or non-gonococcal urethritis (NGU) although both are relatively uncommon. The only STI transmitted with any frequency at all through French kissing is oral gonorrhea and there have been cases of oral gonorrhea transmission through this mechanism between men and women. As I said, however, it is uncommon because most people do not have oral STI’s and most single exposures do not result in infection.

The majority of oral STI are a symptomatic, although when symptoms occur, there may be a mild sore throat. I have a little concern regarding the encounter you describe, but, if you are nervous, the best way to determine conclusively if you were infected or not is to have an oral swab taken for testing for gonorrhea (chlamydia testing is typically performed on the specimen as a matter of routine).

I hope this information is helpful to you. EWH.

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14 months ago

Thanks for your response doctor. If I were to kiss someone else just on the lips, is there a chance they would be infected? No French kissing involved.

How concerned should I be given the details I provided? My anxiety is getting the best of me as you can tell.

14 months ago

You mention little concern from what information I’ve provided. Should I just move on?

Edward W. Hook M.D.

14 months ago

There is no risk of STI acquisition from kissing on the lips.

If I were you, I’d move forward with no concerns. I hope you will. EWH

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14 months ago

Thanks for your response doctor. Just for my knowledge and confirmation of what I've read on this forum is the following:

1. Oral Gonorrhea resides basically in the back of the throat, not on the tongue so the chance of getting this by just kissing is quite low. would you say virtually zero based on my 10-20 seconds of kissing action?

2. Oral Chlamydia- Pretty rare to get through kissing; or nearly impossible? I believe I read Dr. Hunt or yourself comment this based on a study done in the 1970s? does this reside at the throat as well? I believe I read that this clears up on its own within a few weeks? is this correct?

Again, thank you guys for the service you provide. I have learned more about STDs and probabilities on this website than I have my whole life.

Edward W. Hook M.D.

14 months ago

Final Responses:

Yes

Chlamydial infections are vanishingly rare in the throat and there are no data suggesting that when present it is transmitted to others through kissing or oral sex. When present in the throat, STIS such as gonorrhea or chlamydia do resolve spontaneously over time.

You are worrying needlessly about chlamydia. Time to move forward, this completes this thread. EWH

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