[Question #12417] Oral sex
8 months ago
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Hello again, apologies for being back so soon. I have some issues in my personal life regarding alcohol use and what it has been driving me to do. I regrettably was once again unfaithful to my partner and received unprotected oral sex with a—pretty rough—handjob until completion from a SW. I guess I felt comfortable enough that it was a no risk activity based on what i’ve read but am now incredibly anxious. Why is it that oral sex is deemed so safe? and should I realistically be hesitant to engage in sex with my partner?
8 months ago
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Should I be hesitant to engage in any type of sex with partner because of a potential risk of infecting them that is. Also should I take PrEp?
8 months ago
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Lastly did I put my partner at risk by giving her oral sex? I performed it but didn’t receive anything.
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Edward W. Hook M.D.
8 months ago
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I'm surprised to see you returning with more questions about oral sex, something that you've already discuss with Dr. Handsfield and Terri. Among his replies, Dr. Handsfield said "Unprotected oral sex is also low risk for all other STIs, and having used a condom all risks were zero for all practical purposes. The amount of saliva exposure, which you described to Terri, also makes no difference. Saliva rarely transmits infection -- in fact it is toxic to most STI bacteria and viruses. Neither your partner's acne nor "red spots" on her skin fit with HIV or any STI. There is no such thing as microscopic condom leaks that permit STI transmission. That's an urban myth, and inspecting condoms after sex is pointless; if a condom hasn't broken wide open, protection is complete. Receipt of oral sex rarely leads to STI acquistion and has never been proven to lead to acquistion of HIV. IThe throat is rarely infected by STIs and transmission of oral infections is a biologically inefficient process.
Receipt of oral sex would not lead to an oral infection in you. You did not put your partner at risk by performing oral sex on her.
There is no need to seek PrEP. Testing is not necessarily needed unless you develop symptoms or need it to address your anxiety. EWH
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7 months ago
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So realistically what STIs are transmitted from receipt of oral sex? And also am I ok to have sex with my partner again without fear of giving her something?
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Edward W. Hook M.D.
7 months ago
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The major Bacterial STI acquired from receipt of oral sex is gonorrhea which is symptomatic in over 90% of infected persons within 3-5 days of exposure. HIV as never been proven to be aquired from receipt of oral sex. Other STIs are extraordinarily rare.
I would not hesitate to have unprotected sex with your regular partner. EWH
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7 months ago
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Ok, first off happy holidays. Secondly understood. Am totally clear of hiv? Do symptoms like itchiness and diarrhea indicate towards hiv?
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Edward W. Hook M.D.
7 months ago
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You were not at risk for HIV from the encounter you described to start with. Diarrhea and/or itchiness are not signs of recently acquired HIV. Time for you to move on.
This completes this thread. There should be no need to return to the Forum. If you do, the thread may be closed without a response and without return of your posting fee. EWH
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