[Question #3470] Unprotected oral concern

35 months ago

Hi Doctors,

Last night I made the mistake of ordering a full body massage online. One thing led to another and ended up finishing by having unprotected oral, (which lasted about a minute and did not ejaculate in her mouth).

What if any concerns should I have about contracting an STI/STD? Would you recommend testing in this case at some point? If so when? I asked the SW when she was last tested and she said earlier on in the week, she had a blood draw and came back clean, but obviously sceptical given the circumstance.

Thank you for your help and looking forward to your reply.

All the best,

Edward W. Hook M.D.

35 months ago

Welcome to the Forum. i will be glad to comment. Receipt of oral sex is a relatively low risk sexual encounter. The is no known risk for acquisition of HIV from receipt of oral sex and there are no proven cases of HIV acquisition in this manner. Further, most commercial sex workers do not have other STIs and oral sex only relatively rarely leads to infection even when STIs are present. When it does, the most common problems are either gonorrhea of non-gonococcal urethritis (NGU) caused by mouth organisms introduced in to the urethra during sex (acquisition of chlamydia from receipt of oral sex is VERY, VERY rare because the organism rarely is present in the mouth). These infections (gonorrhea and non-chlamydial NGU) are typically symptomatic as well so if you do not have symptoms with the next 5-10 days, you are likely in the clear.

If you are particularly nervous, you could go and get tested for gonorrhea and chlamydia with a urine test but if I were you, I would probably not be worried at this time. I hope this comment is helpful. EWH

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35 months ago

What about the risk of syphillis? If no clear symptoms would you say it's okay to resume sex with my regular partner?

35 months ago

What about the risk of syphillis? If no clear symptoms of anything would you say it's safe to resume sex with my regular partner?

Edward W. Hook M.D.

35 months ago

Syphilis is a rare STI which occurs most often among men who have sex with other men. The infection is transmitted through DIRECT contact with an infectious lesions which is typically both visible and can be felt. I see no reason for you to be worried about syphilis. Similarly, I see no reason for you to worry about future unprotected sex with your regular sex partner.
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