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Risk of STD from oral sex.
Dear Doctor,
I am a heterosexual male who had two sexual encounters. The first involved a friend. We both performed oral sex on each other with condoms and french kissed. What are the risks of STD transmission?( I was tested negative for all STD's including HIV,herpes,chlamydia, gonorrhoea and hepatitis 3 months prior to this encounter and had not been sexually active till then). My friend also had no prior history of STDs.
Recently I had protected vaginal intercourse with a woman I met over the internet. She also performed fellatio on me without using a condom. I did not ejaculate in her mouth however. She said she was tested 2 weeks earlier and was found to be negative for all STDs. She also tested negative 2 months ago for the same. 8-10 hours after this encounter I developed bodyaches and fever which has lasted for 5 days now. I had no rashes, sores, discharge or burning pains on passing urine. I have an occasional twinge or mild sensation at the penis and am not sure that this is only because I am very concerned about getting an STD. I am concerned that the bodyaches, muscle pains and shooting pains were prodromal sypmtoms due to any of the above STDs. What STD should I be concerned about?
I am a heterosexual male who had two sexual encounters. The first involved a friend. We both performed oral sex on each other with condoms and french kissed. What are the risks of STD transmission?( I was tested negative for all STD's including HIV,herpes,chlamydia, gonorrhoea and hepatitis 3 months prior to this encounter and had not been sexually active till then). My friend also had no prior history of STDs.
Recently I had protected vaginal intercourse with a woman I met over the internet. She also performed fellatio on me without using a condom. I did not ejaculate in her mouth however. She said she was tested 2 weeks earlier and was found to be negative for all STDs. She also tested negative 2 months ago for the same. 8-10 hours after this encounter I developed bodyaches and fever which has lasted for 5 days now. I had no rashes, sores, discharge or burning pains on passing urine. I have an occasional twinge or mild sensation at the penis and am not sure that this is only because I am very concerned about getting an STD. I am concerned that the bodyaches, muscle pains and shooting pains were prodromal sypmtoms due to any of the above STDs. What STD should I be concerned about?
hi doc,
An update. I continue to have bodyaches and shooting pains 6-7 days after the above encounter. I did notice some disharge yesterday after peeing that was clear and not malodorous with mild burning senation while passing urine. Had no sores on penis or on genitals. I panicked and had my physician friend prescribe 1 gm of azithromycin. Continue to have bodyaches and also noticed ulcers on underside of tongue the same day. I'm very concerned regarding my risk of herpes. Is it possible to get herpes even though my partner said she screened negative for herpes 2 weeks earlier?
Also how long do herpes prodromal symptoms last as I am having bodyaches and shooting pains for 7 days now.
An update. I continue to have bodyaches and shooting pains 6-7 days after the above encounter. I did notice some disharge yesterday after peeing that was clear and not malodorous with mild burning senation while passing urine. Had no sores on penis or on genitals. I panicked and had my physician friend prescribe 1 gm of azithromycin. Continue to have bodyaches and also noticed ulcers on underside of tongue the same day. I'm very concerned regarding my risk of herpes. Is it possible to get herpes even though my partner said she screened negative for herpes 2 weeks earlier?
Also how long do herpes prodromal symptoms last as I am having bodyaches and shooting pains for 7 days now.
MEDICAL PROFESSIONAL
Even unprotected oral sex is generally low risk, and the transmission risk is zero with condoms. And kissing is no risk either. So your first encounter was completely risk free.
Protected vaginal sex isn't a concern. The penile partner in fellatio is at zero risk for some STDs (HPV, chlamydia), almost zero for HIV, and very low for syphilis. There are modest risks for genital herpes due to HSV-1; gonorrhea; and nongonococcal urethritis (NGU), which sometimes probably is due to normal oral bacteria. Among these, it is statistically exceedingly unlikely your partner has syphilis, HIV, or gonorrhea. That leaves herpes and NGU as the only realistic concerns. Where you ejaculated has no bearing on any infection for the penile partner, but increases the risk for the oral partner.
None of these infections would cuase the symptoms you describe. Indeed, they cannot possibly be due to that sexual encounter, since no infection of any kind can start to cause symptoms in 8-10 hours; 2-3 days is the minimum.
All in all, your partner was at greater risk of catching STD from the fellatio than you were of catching anything from her.
If you develop blisters/sores of the penis or abnormal discharge of pus or mucus from your urethra in the next 2-3 weeks, of course get it checked out. Otherwise, don't worry about it. Testing isn't necessary or recommended in the absence of STD symptoms.
I hope this helps. Best wishes-- HHH, MD
Protected vaginal sex isn't a concern. The penile partner in fellatio is at zero risk for some STDs (HPV, chlamydia), almost zero for HIV, and very low for syphilis. There are modest risks for genital herpes due to HSV-1; gonorrhea; and nongonococcal urethritis (NGU), which sometimes probably is due to normal oral bacteria. Among these, it is statistically exceedingly unlikely your partner has syphilis, HIV, or gonorrhea. That leaves herpes and NGU as the only realistic concerns. Where you ejaculated has no bearing on any infection for the penile partner, but increases the risk for the oral partner.
None of these infections would cuase the symptoms you describe. Indeed, they cannot possibly be due to that sexual encounter, since no infection of any kind can start to cause symptoms in 8-10 hours; 2-3 days is the minimum.
All in all, your partner was at greater risk of catching STD from the fellatio than you were of catching anything from her.
If you develop blisters/sores of the penis or abnormal discharge of pus or mucus from your urethra in the next 2-3 weeks, of course get it checked out. Otherwise, don't worry about it. Testing isn't necessary or recommended in the absence of STD symptoms.
I hope this helps. Best wishes-- HHH, MD
MEDICAL PROFESSIONAL
With new genital herpes, the first symptoms usually are the blisters/sores, not body aches etc. As noted above, It is possible to get NGU from oral sex, perhaps explaining your scant urethral discharge; gonorrhea is less likely but perhaps possible. Herpes causes a few cases of NGU, but herpetic NGU generally is very painful and usually accompanied by typical herpetic lesions on the penis. As far as ulcers in your mouth, I suppose it could be herpes, caught from kissing your partner. But this is speculation only.
It was a mistake to get treated with azithromycin without medical evaluation. You should have gotten proper care rather than blind treatment by a friend; the azithromycin probably will make it impossible to ever know just what is going on. Still, at this point you should see a health care provider if your symptoms persist or you remain concerned. Feel free to return with more information after you have done that. Until then I will have nothing more to offer.
It was a mistake to get treated with azithromycin without medical evaluation. You should have gotten proper care rather than blind treatment by a friend; the azithromycin probably will make it impossible to ever know just what is going on. Still, at this point you should see a health care provider if your symptoms persist or you remain concerned. Feel free to return with more information after you have done that. Until then I will have nothing more to offer.
Thanks for the invaluable advice doc!
crich64
crich64
You are reading content posted in the STDs Forum
Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
