[Question #11659] Oral Sex risk
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13 months ago
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Hi and thanks in advance for your help.
To make senseof everything and I asses my risk for an oral STD, here is a timeline:
June 2022: Gave protected oral sex to a man. He did not ejaculate.
January 2023: Because of my concern about getting an STD, I got tested. Oral Gonorrhea test came back negative.
April 2023: With new female partner. I gave her oral sex. Was worried that (since I never tested for Oral Chlamydia), I somehow gave it to her.
June 2023: Still worried, so got tests done for oral and gential Chlamydia. Both came back negative.
January 2024: Got tested for gential and Chlamydia and Gonorrhea. Both came back negative.
June 2024: Current partner (female, the same one I gave cunnlingus to) does routine bloodwork and pap smear. All results are good and nothing suspicious found in any of the tests.
July 2024: I can't shake the feeling I may have given her Chlamydia from the cunnlingus in April 2023, and now she has some mild back pain from time to time. She does work a lot on her feet though, so I am aware there are more common reasons for that. A few days ago, she had diarrhea but has not needed to have a BM since then.
So, what was my risk from my encounter in June 2022, and could my current partner now have PID because of giving her oral sex in April 2023?
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Edward W. Hook M.D.
13 months ago
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Welcome to the Forum. Thanks for your questions. I’ll do my best to allay your concerns. Your June 2022 encounter was very low risk for Chlamydia. You do not know that your partner had chlamydia and statistically it is unlikely as most people do not. Even if he did, the risk of you becoming infected is very, very low. For reasons that are not completely understood, chlamydia does not “ like” to infect the throat, making oral chlamydial infections relatively rare. Further, your June 2023 test provides strong evidence that your throat was not infected. Bottom line, there is abundant evidence that you never had oral chlamydia. Finally, if you did, transmission of chlamydia from a person’s throat to another person by cunnilingus is extraordinarily rare.
You are good to worry about your partner but I’m confident that you are worrying needlessly. It’s time to move forward without concern. There is no need for further testing related to the concerns you list. EWH
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12 months ago
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Thank you for your detailed reply.
I just have one more question. Would the fact that, when I gave the oral sex to the man, he was covered by a condom and did not ejaculate also brings down the risk a lot?
Also, my current (female) partner is complaining of waking up with sore shoulders and arms, and sometimesin her back. I guess some aches and pains. I imagine this is related to us not sleeping well due to the summer heat, dehydration for the summer heat as well and the fact that she is more physically active in her new job, more than she is used to. But would some mild aches and pains in the morning (but not during the day) be typical of an STD? Otherwise she is fine, without discharge or pelvic pain, and as discussed in my first qs, her recent blood tests and pap smear were clear.
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Edward W. Hook M.D.
12 months ago
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The fact the the man you performed oral sex on was covered by a condom and did not ejaculate makes that exposure an essentially no risk event. You have since proven you were not infected with testing.
There are no STIs that would explain the aches and pains your partner is experiencing.
While I appreciate your concern for your partner's health, there is no reason for you to worry that you past oral sex encounter may have threatened her health. EWH
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12 months ago
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Thank you Dr for all your help, much appreciated.
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Edward W. Hook M.D.
12 months ago
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Thank you. I'm glad I could help. EWH---