[Question #9244] Metallic taste in mouth after cunnilingus and analingus
34 months ago
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On 9/22, I met with a CSW and engaged in the following acts:
- Very brief and superficial cunnilingus
- Analingus on her (tongue stayed on the outside)
- Unprotected oral on me
- Mutual masterbation
There was no other activities, so I felt like this was a low risk encounter. But 4 days later I started experiencing a kind of bitter, metallic taste in my mouth. I have no other symptoms of any kind (no rash, discharge, blisters, etc) and didn’t notice anything like that on my partner either.
Is metallic taste a symptom of any kind of STD? Should I be concerned here, and if so for what?
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H. Hunter Handsfield, MD
34 months ago
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Welcome back to the forum. Thank you for your continued confidence in our services.
This was a low risk exposure. We (or you and Dr. Hook) have discussed the low STI/HIV risks from cunnilingus. I don't recall if analingus was discussed, but it's pretty much the same as cunnilingus: very low risk for all STIs, if any risk at all for the oral partner. That said, there is controversy about whether oral gonorrhea is common or rare from analingus. The main health risk is for viral diarrhea, various intestinal bacterial infections, certain parasites, and hepatitis A (although the risk for the last two is exceedingly low in industrialized countries).
No STI is a likely cause of altered or abnormal taste. Lasting 4-5 days, I would have to assume this is more psychological than physical. I also wonder if you are taking any new medications, perhaps starting around the time of the sexual exposure. Metallic or other altered taste sensations is a common side effect of many drugs. (If so, you can search online at sites like drugs.com, and others, to find if there is a known association with anything you might be taking.)
To the extent there was any STI risk, it stems primarily from your partner's oral sex on you. Be on the lookout for genital STI symptoms, like discharge, painful urination, or penile sores. I would not recommend STI testing unless something like this shows up in the next couple of weeks. But of course you are welcome to be tested for common STIs if the expected negative results would give you additional reassurance. In that case, you could have urine and a throat swab for gonorrhea at any time (5 days is plenty of time for valid results). (There was no risk for chlamydia, which probably is never transmitted by oral sex, cunnilingus or analingus, but chlamydia testing usually is automatic along with gonorrhea testing.)
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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34 months ago
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Thank you for your response. Your comments were very helpful.
Given my situation, should I refrain from sexual relations with my girlfriend for a couple weeks, or is that not necessary?
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H. Hunter Handsfield, MD
34 months ago
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The risk you caught an STI is not zero, but as we discussed it is very low. It is entirely up to you whether you want to take the very tiny risk of infecting her. If somehow I were in your situation, I would continue unprotected sex with my wife without worry. But I'm not you and you need to make your own decision. A middle ground would be to be tested for gonorrhea and go ahead with your partner when you get the expected negative results in a day or two. I certainly see no need to wait a full two weeks.---
34 months ago
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I have avoided sexual relations for 3 weeks after my encounter as you suggested. I do not have any discharge, painful urination, or penile sores, so from your previous comments it looks like I am in the clear now and can return to normal relations with my girlfriend (unless you disagree).
Thank you for all your advice and patience.
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H. Hunter Handsfield, MD
34 months ago
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Well, I didn't suggest you avoid sex with your gf, certainly not for three weeks. As I said above, I would never have stopped having sex with my wife. In any case, it should be entirely safe for you to resume sex with her at this time without further worry.
That concludes this thread. Thanks for the thanks: I'm very glad to have helped. That's why we're here!
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