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Gonnorhea of the throat

Hi Doc...I've done some searching through the archives but can't find an answer to this particular question.

Last week I engaged in a brief episode of giving unprotected cunnilingus to a woman, and we also engaged in protected sex.

Now, 6 days later, I am experiencing a sore throat. My questions:

1. Could this be gonnorhea of the throat?
2. Is that something that is easy to get by giving cunnilingus to a woman?
3. Let's say hypothetically it is gonorrhea. Would it clear by itself? Do I need treatment? Are there any adverse health issues that could arise from not having my throat tested/treated?
4. Also, how likely would it be for me to have picked up herpes on my mouth from this brief unprotected oral encounter?

Thank you for all you do to help onm this site. It's a great resource for people looking for straight answers. Thanks.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Extremely low risk of severe sore throat, like strep; even lower risk of disseminated gonococcal infection, i.e. with spread of gonorrhea bacteria into the bloodstream, with fever, inflamed joints, and skin rash.  You don't have to be "keep your eyes open" for anything; these are not subtle problems and you'll know if you have them.
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Avatar universal
Thanks, Doc. Might we get some explanations of the complications that can arise, just so I know what to keep my eyes open for?
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Directly to your questions:

1) Gonorrhea is an unlikely explanation of your sore throat.  More than 90% of oral-pharyngeal gonorrhea infections are entirely asymptomatic.  It is much more likely that your sore throat has nothing to do with your sexual exposure, unless you caught a cold from her (not from oral sex).

2) Gonorrhea is rarely transmitted in either direction by cunnilingus.  (In research studies in STD clinics, among men with gonorrhea of the throat, the proportion why performed cunnilungus in the preceding 1-2 months is no higher than in men who denied cunnilingus.)

3) Most cases go away without treatment within 3 months, but a person could develop a complication before spontaneous cure.  Anybody with known gonorrhea of the throat should be treated for it.  However, your risk is too low to suggest treatment or even testing.

4) Oral herpes due to cunnilingus is rare; I have never seen a case.  It is not a likely explanation for your sore throat.

Thanks for the thanks about the forum.  Good luck--  HHH, MD
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