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What Are The Chances Of STD Transmission Through Oral Sex?

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Posted on Mon, 21 Sep 2015
Question: Hi

I'm a 27 year old female. I had my first sexual encounter 3 weeks ago with a guy I didn't really know. We didn't have intercourse, only oral. He didn't ejaculate in my mouth. A few days after encounter I developed tonsilitis and ever since haven't felt well. I have had no fever. Just a headache, but I'm prone to those and a tenderness underneath my jaw, outside of my throat. I'm concerred for stds but the clinic I went to said I didn't need testing. I think they're wrong. What is your opinion?
doctor
Answered by Dr. Sankaranantham Murugan (2 hours later)
Brief Answer:
Risk for STD/HIV is low with oral sex, STD causes to be ruled out.

Detailed Answer:
Hi,
Welcome to HCM.
Thanks for posting your query.

Oral sex carries a less risk for STD/HIV compared to vaginal sex and anal sex.
At the same time, certain STDs like gonorrhea, Chlamydia, yeast infection, HSV infections are possible through unprotected oral sex even without an ejaculation. Tonsillitis with headache can occur to anybody even without any sex contact. Especially a bacterial or viral throat infection other than STD/HIV can be possible through oral sex and close intimacy during sexual encounter (direct contact or air born).
If your infection is due to ordinary bacteria other than STD, Amoxycillin would be more often sufficient to have a complete cure. If it is due to STD organisms then the treatment and dosages may vary.
A careful inspection of the throat along with a throat swab smear and culture for STD and non STD organisms and other investigations will reveal the cause of the tonsillitis.
Get well soon.
Dr S.Murugan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sankaranantham Murugan (1 hour later)
thank you for the repsonse. I am also experiencing ear pain on and off, tight feeling in the head, pain in between my shoulder blades, and the feeling that something is stuck in the back of my throat. I'm really scared to go and get an std test. do you think there's a possible chance of hiv?
doctor
Answered by Dr. Sankaranantham Murugan (47 minutes later)
Brief Answer:
HIV is unlikely. Consult an ENT surgeon and get well soon.

Detailed Answer:
Hi, Welcome back to HCM.

It is common to have ear pain, heaviness of head and discomfort feeling over throat in case of all types of throat infection.
HIV is quite unlikely. Earliest HIV manifestations can occur 3-4 weeks after the exposure, in presence of infection, if any and not earlier than that.
Chances of STD also is meager unless the partner had anything at the time of oral sex.
Consult an ENT surgeon and tell him the history and he/she will do the needful.
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 : 3110 Questions

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What Are The Chances Of STD Transmission Through Oral Sex?

Brief Answer: Risk for STD/HIV is low with oral sex, STD causes to be ruled out. Detailed Answer: Hi, Welcome to HCM. Thanks for posting your query. Oral sex carries a less risk for STD/HIV compared to vaginal sex and anal sex. At the same time, certain STDs like gonorrhea, Chlamydia, yeast infection, HSV infections are possible through unprotected oral sex even without an ejaculation. Tonsillitis with headache can occur to anybody even without any sex contact. Especially a bacterial or viral throat infection other than STD/HIV can be possible through oral sex and close intimacy during sexual encounter (direct contact or air born). If your infection is due to ordinary bacteria other than STD, Amoxycillin would be more often sufficient to have a complete cure. If it is due to STD organisms then the treatment and dosages may vary. A careful inspection of the throat along with a throat swab smear and culture for STD and non STD organisms and other investigations will reveal the cause of the tonsillitis. Get well soon. Dr S.Murugan