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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 throatCancer - throat or larynx Throat swab culture is rare and no case of urethralAcute bilateral obstructive uropathy Cystitis - noninfectious Prostate removal Urethral discharge culture Urethral stricture (penileCancer - penis) 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.