Analingus Risk

[mickv]

Hello Doctor,

A two days ago, I went to see a certified message therapist that provided nude sensual release. At one point in the message, we were in a 69 position and I performed a analingus on her for a few minutes. I am really worried about contracting oral gonorrhea. This was the first time I have ever done this and I am really worried about putting my girlfriend's health in jeopardy. If I did have oral gonorrhea, should I worry about passing it to her via cunnalingus or even kissing?

Shortly after the encounter, I thought I was feeling sore throat type symptoms. While in 69, my neck was in a really awkward position (strained to bend). Could this be causing what I think are sore throat systems (tense swallowing, slight cough, etc)?

Thanks for taking the time to answer my question. I hope everything is just the feelings of guilt and anxiety.

M

[Edward W Hook, MD]

Welcome to the Forum.  This risk of getting gonorrhea from analingus is roughly comparable to the risk of getting infected through cunnilingus and that risk is miniscule.  Odds are that she did not have gonorrhea, and even if she did, analingus is a particularly inefficient means of acquiring infection.  This topic was discussed extensively by Dr. Handsfield two days ago in a question answer that we discussed as he wrote it.  Take a look, here's the link.  It starts talking about chlamydial infection with oral sex but then goes on to discuss gonorrhea as well:

http://www.medhelp.org/posts/STDs/chlamydia-by-cunnilingus/show/1733963


Personally, after an exposure of this sort I would not worry at all and would not seek testing.  If you need testing for your peace of mind (as opposed to meaningful risk), please do so but if you do, I predict the result will be a negative test.  

I hope this comment is helpful, EWH

[mickv]

Thanks. This was very helpful.