[Question #5572] Oral sex std risk

21 months ago
Hello, 

First of all thank you about this website, it is really a great way to get in touch with the professuionals!

I made a terrible mistake four months ago while on  a working trip in Italy and still anxious about it.
I have big concerns about the possible risks of oral sex (cunnilingus) I performed twice during the same night to a stripper.  Both times were about 5minutes long sessions during the lap dance. Didn't see any lesions. Also did not insert the tongue, just licked the vulva. 

About two months after that I noticed very small whitish dots on my lower lips which were completely painless and not bumps. Also, have had really small and painless bumps on my inner-lower lips about five or six times after that. I remember having those sometimes before the incident though.  I also noticed some white coating on the back of my tongue.

I met my girlfriend two months ago after her backpacking trip and now she has had a bad cough, pain when swallowing and swollen lymph nodes around her neck. 

Is there big risk of catching any STDs from that incident and then transmiting it to my girlfriend? I have been reading the internet that oral sex can be very risky and that's why I'm so anxious and scared to go to the tests. Particuralry afraid of syphilis or hpv. Are my symptoms related to any STD? Thank you in advance! 
Edward W. Hook M.D.
Edward W. Hook M.D.
21 months ago
 Welcome to our forum and thanks for your question. I'll do my best to help. The sexual encounter you describe is virtually no risk for acquisition of any STI including HIV.   Cunnilingus  does not put your mouth or your tongue in contact with the uterine cervix which is the site where are the most common STIs (Gonorrhea, Chlamydia)  occur. While there is a theoretical possibility of acquiring an infection through oral sex in reality this is extraordinarily rare.   Further, there are no proven cases of HIV which have been acquired from oral sex and had you acquired syphilis or herpes you would have developed lesions by now.    When you combine these facts with the fact that it is statistically very unlikely that your partner had any STI (even commercial sex worker are rarely infected) this really is not something to worry about. I see no medical reason for testing. On the other hand if it would make you feel better testing is easily performed and reliable at this time.

 The white spots on your lips and small bumps on the inside of your lips do not suggest any specific STI, including Syphilis and HPV. Rather, they suggest that you are looking at your lips and mouth far more closely than you did in the past and are noticing normal variation. 

 Similarly your girlfriend sore throat and swollen glands are unlikely to represent any STI. Rather they likely represent the sort of community acquired, non-STI sore throat that most people get from time to time. 

 The Internet is not your friend here. Much of what is said there is taken out of context, is out of date, or is just plain wrong. 

 I hope this information is helpful to you. If there are any further questions or if clarification is needed please feel free to use your up to two follow-up questions for that purpose. EWH 
---
21 months ago
Hello,

Thank you for your professional response, it really calmed my nerves.

I would like to make an appointment about the bumps inside my lips. So they appear sometimes and they are like 1mm wide and completely painless. I understand when you say that the internet is not my friend in this situation but I've read that one of the symptoms of syphilis are little painless bumps. But nothing to worry about as you said?

Also about the white coating on the tongue is written to be one symptom as syphilis, I'm a bit concerned about that. I guess that all of these are just the result of my anxiety and stress I'm causing to myself.

Thank you so much!


Edward W. Hook M.D.
Edward W. Hook M.D.
21 months ago
As an expert on syphilis, I can assure you that the bumps you describe are NOT due to syphilis.  Neither is a white coating on the tongue.  The latter is one of the complaints we hear about often from anxious clients who start to examine themselves more closely than they had in the past- a whitish "coat" can be due to a dry mouth, smoking, normal variation or, rarely thrush.  If you are really worried, you should be examined, either by a dermatologist or perhaps your dentist.  EWH---
21 months ago
Thank you doctor, i really appreciate your answers! Have a nice day and summer!
21 months ago
Hello, 

One follow up question popped up to my mind from your latest response. What are the most common lesions that I would have developed from an oral STD? Let's say chlamydia, gonorrhea, syphilis HIV and HPV. 

Thank you!
Edward W. Hook M.D.
Edward W. Hook M.D.
21 months ago
The most common infection acquired following participation of oral sex is gonorrhea.  Al of the other infections, including infections which sometime cause lesions are very, very rare.  

As you know, we provide up to three responses to each client's questions.  This is my 3rd response.  Thus as per Forum guidelines, this thread will be closed shortly without further replies.  Take care and please don't worry.  EWH
---