[Question #5246] Oral sex, Chlamydia, Gonorrhea

24 months ago
A massage therapist put the tip of my penis in her mouth for a few seconds. I told her to stop. I did let her suck on my testicles for a few minutes.  What is the risk for Chlamydia and Gonorrhea? Should I get tested if I have no symptoms?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
24 months ago
You could have asked about these infections in your other thread a couple of days ago. Although Dr. Hook didn't metion gonorrhea and chlamydia, his comments there apply to all STDs. Oral chlamydia is uncommon and is almost never transmitted by oral sex, even with several minutes of oral sex to ejaculation. Oral gonorrhea is more common and transmissible by oral sex, but not by the very brief and superficial contact of the sort you had. And oral contact with intact skin -- of the testicles or anywhere else on the body -- is risk free. 

These and Dr. Hook's comments apply to all STDs. Don't worry about it and don't get tested.

HHH, MD
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24 months ago
Thank you. I got tested just to ease my mind. I was urine tested for both about 32 hours after the event. They came back negative. Is this enough time for the tests to be accurate?
How soon after contacting either can they be spread?
Also, can chlamydia or gonorrhea be mistaken for a yeast infection in women?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
24 months ago
It takes at least 3 days, maybe 4-5 days, for chlamydia testing to detect all infections. Probably it can be transmitted to other partners a bit sooner, maybe after 1-2 days, but this is just an educated guess; no data exist.

It is uncommon for gonorrhea or chlamydia to be mistaken for yeast, but it might happen from time to time.

I repeat that you were not at risk for either of these STDs from the exposure described. Don't overthink it. Really, you needn't be worried at all. Knowing what I know (which is a lot!), if somehow I had been in your situation I would not have been tested; would never stop having unprotected sex with my wife; and would not be at all worried if she were diagnosed with a yeast infection around the same time. Do you best to let it go and move on with your life.
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24 months ago
Thank you! One last question to close it out. What type of oral contact is required to contract either disease?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
24 months ago
Exactly the way most people understand oral sex:  head of penis (and urethral opening) inside a partner's mouth for a least a minute or two, usually longer. Same for all STDs, i.e. including herpes, syphilis, and HPV. Contact of penis with the back of the throat may be required for transmission of gonorrhea or chlamydia; saliva itself probably is not infectious (although this is a bit controversial).

I hope the disucssion has been helpful. Best wishes and stay safe (as you were this time).
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