[Question #7552] STD risk from Oral sex

3 months ago
Hi

2 weeks ago i received brief oral sex from a girl . I dont really know the girl. it lasted a few minutes and i did ejaculate. what are my risk of stds from this. i have not really had any symptoms, I urinate fine, no puss no  discharge, no burning when i urinate. I also examined my penis and see  no changes. I did see my doctors and he said that no need for anything testing as this was a low risk exposure. He said that my anxity is guilt driven as  im married. he also did a physical exam or my pelvic area and saw no reason for concern .he said that nothing needs to be done and to move on unless some symptoms show up. I did take 400 MG cefixime and 1 G Azithormycin just to be safe. I know that oral gonnera is hard to transmit when you are receiving oral sex. is it true for all other stds as well. This girl has no visible sores on her mouth. I also did take 1 G of Azithmorzyin. Please advise. 
Edward W. Hook M.D.
Edward W. Hook M.D.
3 months ago

Welcome to the Forum. Thanks for your question.  I'll be glad to comment.  Your doctor is correct- among penetrative sexual activities, receipt of oral sex is a biologically inefficient process.  Further, most persons do not have STIs, including oral STIs. Oral STIs are less common than genital infections and when an individual is exposed to a partner with an oral STI, they are less likely to become infected than if they had be genitally exposed to a partner with a genital STI.   There is no known risk for acquisition of HIV from receipt of oral sex.  Gonorrhea, chlamydia and NGU all can result in receipt of oral sex but the cefixime and azithromycin you took would prevent those infections if you were exposed.  These medicines would also prevent development of syphilis.  Thus, between your low risk for infection, the medications you took, and the absence of symptoms, it is safe to assume that you did not acquire an STI from the exposure you describe.  I see no reason for continuing concern, no need for testing of any sort, and no reason to abstain from unprotected sex with your regular partner.

I hope that this information is helpful.  EWH

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3 months ago
Thank you just ine for question I have had sex protected intercourse with my wife during all this and unproctected oral. Is it safe to assume that I did not give her oral stds?
Edward W. Hook M.D.
Edward W. Hook M.D.
3 months ago
Yes, be confident that you did not give your wife an STI acquired from the exposure you have described.  EWH
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3 months ago
Thank you have have taken a huge anxiety off my shoulder.   So in general oral sex is low risk? I did have unprotected oral sex with her but I dont tend to ejaculate inside her and also protected intercourse? No real reason for concern for me that I have given anything to her
3 months ago
I also had sex with wife b4 I took the medicine. Still safe?
Edward W. Hook M.D.
Edward W. Hook M.D.
3 months ago

 This is a repetitive question.  As I said above, you can be confident that you did not give your wife an STI.

This is my third reply to your questions.  Therefore, as per Forum Guidelines, this thread will now be closed.  Take care. Please don't worry.  EWH

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Edward W. Hook M.D.
Edward W. Hook M.D.
3 months ago
Yes- safe.  EWH
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