[Question #13608] Red brown spot after cunnilingus

5 days ago

Hi Doctors -

On 11/18 and 11/25, I performed cunnilingus on 2 different sex workers. Today I noticed a small red brownish spot on my tongue (head of a pin sized and round for the most part). No pain, and in a location I’ve noticed other spots on my tongue in the past. Usually, those spots are white but this is a red brown color.

Any thoughts? No other symptoms or dots anywhere else in my mouth.

Worried about syphillis and herpes.

Thanks

5 days ago

I should add… The small bump appears to be raised, Almost like a thread sticking up with a white head (if that makes any sense).

5 days ago

I should revise my description of the spot being more brown to black verses red in color.

Edward W. Hook M.D.

5 days ago

Welcome back to the Forum. In past interactions we have explained the low risk for STIs associated with cunnilingus. That information remains accurate. The lesion you describe sounds nothing like wither herpes or syphilis. Lesions for both of the STIs you mention are flesh colored, herpes lesions are typically multiple and syphilis lesions are larger and quickly ulcerate. Further, oral STIs rarely involve the tongue itself. Lesions which have blood associated with them tend to be black or dark brown in appearance.

Nothing you describe raises any concerns about STIs or suggests a need for testing. Testing however is always a personal choice and should you chose to test, I am confident that the tests will prove that you are not infected. EWH

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