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Can STD Be Contracted Through Unprotected Oral Sex?

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Posted on Mon, 4 Jul 2016
Question: I'm a thirty year old male and I've had protected vaginal sex and unprotected oral sex yesterday and this morning with a person I don't know but who claims had tests done every so often. Just a week ago, I did an STD check up and it showed no conditions besides a known HPV. I also occasionally have candida, but I can get it to go away with a cream I got from a previous consult.

Today I noticed my foreskin was a bit sore and I see some red dots/a white dot. Now I'm doubting whether this is due to having contracted an STD or simply friction, any insights would be greatly appreciated. I noticed that in previous bouts of oral sex, I've had a sore penis head/foreskin as well, is this something that happens frequently with other people as well? What would be a good prevention/solution to this?
doctor
Answered by Dr. Sankaranantham Murugan (1 hour later)
Brief Answer:
Oral sex carries a low risk for STD/HIV

Detailed Answer:
Hi,
Welcome to HCM.
Thank you very much for posting your query.
I saw the pictures sent by you. There is no sign of any obvious STD or signs for inflammation (nothing like candidiasis). The red dots could be due to friction as you rightly pointed out. Simple cleaning frequently will assure you will get alright.

The white dots or bumps are normal variation. Not to be worried. But as it was just one day, you have to watch for other symptoms for some more time even though the chances of STD/HIV are low with oral sex. Protected vaginal sex has negligible risk.
Dr S.Murugan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sankaranantham Murugan (2 days later)
Thank you for your comforting answer.

Could you please elaborate or point to a source regarding the lower risk of STD transmission with oral sex? Does it carry negligible risk or is it still risky to do with different partners? For instance, wouldn't herpes have a high risk of transmission?
doctor
Answered by Dr. Sankaranantham Murugan (1 hour later)
Brief Answer:
Herpes simplex type 1 infection and yeast can occur with oral sex.

Detailed Answer:
Hi,
Welcome back.
STDs are more than 25 in number. Ulcerative STDs and warts would be obvious when it was present with the partner's mouth. For the past 20 years I had not come across a single case of STD ulcer in mouth. Of course certain STDs like Herpes, yeast infection can occur with oral sex and Gonorrhea, Chlamydia can be transmitted through oral sex as a receiver of a male partner than with penetrative oral sex.
Herpes simplex infection through oral sex from the partner is possible with HSV 1 infection which is a non STD organism. HIV transmission through oral sex is low as per CDC, XXXXXXX (http://www.cdc.gov/hiv/risk/estimates/riskbehaviors.html)
So not to worry much. If there is any symptom we can investigate with tests.
Dr S.Murugan
Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sankaranantham Murugan

HIV AIDS Specialist

Practicing since :1974

Answered : 3112 Questions

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Can STD Be Contracted Through Unprotected Oral Sex?

Brief Answer: Oral sex carries a low risk for STD/HIV Detailed Answer: Hi, Welcome to HCM. Thank you very much for posting your query. I saw the pictures sent by you. There is no sign of any obvious STD or signs for inflammation (nothing like candidiasis). The red dots could be due to friction as you rightly pointed out. Simple cleaning frequently will assure you will get alright. The white dots or bumps are normal variation. Not to be worried. But as it was just one day, you have to watch for other symptoms for some more time even though the chances of STD/HIV are low with oral sex. Protected vaginal sex has negligible risk. Dr S.Murugan