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Oral Sex & STD

by siimon, Nov 21, 2007 07:14AM
Hello Doctor,

I engaged in non protected oral sex last night with a sex worker, who did not seem to have any outbreaks or cold sore. I am very concerned about acquiring some form of STD and with information overload from the internet is pushing me towards Panic attack. I know I did make a mistake and will have to bear the consequences, but would like to understand what are the chances of acquiring various STD's from oral and what should I watch out for? Also please do let me know if there is anyway of testing myself anonymously for all STD's that one can get infected with.

I thank you in anticipation and want to commend the effort everyone is putting in to maintain this site an forum.
Member Comments (1)

by looking4helpMD, Nov 21, 2007 08:35AM
To: siimon
From an earlier thread... common reply from doctor.. which I found extremely informative.  Hope this helps you.

In general, it is uncommon to acquire any STD by being the insertive partner in fellatio.  The greater risk is to the oral partner.  Chlamydia of the throat is rare and no case of urethral (penile) chlamydial infection has ever been documented from oral sex; if it occurs, it is too rare to worry much about.  Urethral gonorrhea almost always causes noticeable symptoms (discharge, painful urination); absence of those symptoms is strong evidence you didn't acquire gonorrhea, although not definitive.  The most common STD acquired by fellatio probably is genital herpes due to HSV-1.  Normal bacteria from a partner's mouth can sometimes cause nongonococcal urethritis (NGU), but that kind of NGU probably is harmless both for the infected person and his other sex partner(s)--so there is no need to worry about asymptomatic infection.  Syphilis can be transmitted, but generally causes overt, easily recognized symptoms (a sore on the penis 2-6 weeks later).  Finally, it is extremely uncommon for HIV to be transmitted by oral exposure of the penis.  Also, complications of STD (epididymitis, infertility, etc) do not occur in men in the absence of symptoms.
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