[Question #13903] Oral sex question

1 months ago

Hello,

Thanks for this service. My question is: Recently I had an episode of hematospermia. I don’t have any STIs, but in the event that I receive unprotected oral sex from a woman, what STIs could be transmitted to her if I ejaculate in her mouth because of the blood in the semen? Would that change something in comparison to normal semen?

My hematospermia was benign and nothing of concern was found, but I think it could be concerning for a partner (especially a sex worker). In case I have another episode, I want to have the knowledge to ease any concerns she might have, or if indeed there's an added risk.

Thanks.

H. Hunter Handsfield, MD

1 months ago

Welcome to the forum. Thank you for your confidence on our services.

Hematospermia is not a known symptom of any STI, and therefore we and other STI experts are not likely to be your best source of information. A urologist is more likely to be helpful. We also are not a resource for issues about genital symptoms other than those caused by STI.

That said, from my limited professional experience I know that most hematospermia episodes are spontaneous, i.e. without known cause. And some cases follow trauma to the perineum -- i.e. the space between the testicles and anus. Mountain bike or horseback riding can trigger it, for obvious reasons; or if there has been a traumatic event, as if someone has slipped onto a rail between the legs. You imply you have been medically evaluated and it's good to hear your episode was benign; I'm guessing your doctor has given you similar advice as these comments. And men who have had hematospermia have no increased risk of transmitting any STI to their sex partners.

Given the benign nature of your episode and lack of association of hematospermia with STI or anything else that could harm a sex partner, I suggest you say nothing to them about this experience. It would be none of their business. However, it would make sense to avoid sex (oral or otherwise) until the blood has entirely cleared from your semen, to avoid unnecessarily alarming a partner.

I hope this information is helpful. Let me know if anything isn't clear.

HHH, MD

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1 months ago

Thanks for your reply. Could the blood in the semen make it more likely or possible for STIs to be transmitted during oral sex from me to the partner? (I don't have, but assuming I have) or it will be of no difference? I'm worried that if I get an episode the partner could think she was exposed to something because of the blood.

H. Hunter Handsfield, MD

1 months ago

You might have missed by statement above that "...men who have had hematospermia have no increased risk of transmitting any STI to partners." And of course regardless of blood in semen, if you believe you have an active transmissible STI, you should not be exposing partners, at least not without their knowledge and permission. But presence or absence of hematospermia has no bearing on the risk of transmission.

I also already replied to your worry about what a partner might think: re-read my statement starting with "However, it would make sense...."

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1 months ago

Ok, thank you. No, I don't believe I have an STI, if was just to know the hyphotetical.
Regards

H. Hunter Handsfield, MD

1 months ago

Understood. Thanks for the thanks -- I'm glad to have helped.

That completes the two follow-up comments and replies included with each question and so ends this thread. I hope the discussion has been helpful. Best wishes and stay safe.

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