Std risks to Male From Performing Cunnilingus on Female Stripper

[Redeemer119]

Dr. Warren,

First I would like to thank you for all your diligent work. I would like to also say to anyone reading this that do not condemn yourself for making a mistake or an error in judgment. You are no less valuable before your issue began than afterwards, no matter what stigma society places on you. The facts are follows:

Male goes to strip club. Male gets lap dances. Prior to female stripper performing nude lap dances, Male use flashlight feature on IPhone and examines female stripper’s entire vagina and anus. Male does not see any visible pimples, legions, or blisters. Female stripper confirms no stds, and begins nude lap dance. In the midst of dance, male performs cunnilingus on stripper while stripper uses hand only to rub Male’s penis. The entire exchange was no longer than 5-7 minutes. Subsequently, Male also very briefly licked strippers anus (entire anal licking exchange was approximately 2 minutes. That was extent of contact. No vagina-penile contact or intercourse. No oral sex performed on Male from stripper. No odors or other signs that stripper had any STI’s or STD’s.

Question: What if any STDs or STI’s could male be at risk for, and how likely are those risks given the facts above?

[Terri Warren]

Using the flashlight feature to examine genitals. How interesting. I just had to do the same thing two weeks ago when we lost power in the clinic for a few hours. Works pretty well, I think.

Technically, you could be at risk of any of the STD’s because of the cunnilingus. From a practical point of view, I think the risk of you acquiring anything (and it would be oral, not genital) is very low indeed. While people can get STD’s in their mouth, the rates in the literature are very low. If you do decide to test for anything, be certain that only your mouth/throat is swab tested – like for gonorrhea or chlamydia, not the genitals. Should you test? Oh my goodness, that would be your call. Would I? If I had a regular partner, maybe, just out of a total abundance of caution.

But again, the likelihood is very low indeed. Wish I could give you a percentage but I don’t have one to give. Just very low.
Terri

[Redeemer119]

Thank you for your reply Dr. Warren. My 2 follow up questions are listed below:

1) I have read in prior forums hosted by Dr. Handsfield and Dr. Hook that, ” of all insertive acts or sexual contact, cunnilingus poses the lowest risk as there are no reports of HIV acquisition through cunnilingus, and since STDs generally do not prefer the oral area, absent an obvious outbreak and direct contact, other STd acquisition would be highly unlikely as well.” Above you said that you would only test for oral gonorrhea or chlamydia, why specifically those, and why not Herpes? I’m trying to figure out how you ruled herpes out.

2). Since I understand from Dr. Hook and Dr. Handsfield’s forums that there are not reported events of oral chlamydia, in addressing oral gonnorhea, what would those symptoms be and how soon would the occur from exposure? I’m trying to figure out when I can stop letting anxiety cause me heart palpitations, and rapid grey hair growth.

[Terri Warren]

1. I agree that cunnilingus is very low risk. You asked if it is possible you could have acquired something and I replied that technically it is possible. I agree with them – “highly unlikely”. When I mentioned testing or gonorrhea and chlamydia, I was addressing only the swab testing – so as not to swab the genital area as it is not a risk. I can see how that was confusing – if you are going to test for STI’s you should also do the blood testing, too – syphilis, herpes. You could HIV test to put your mind at rest but I think the chances of acquiring HIV in this way as astronomically low.

There are most definitely reported cases of oral chlamydia and gonorrhea. Here is one very recent professional journal article about this.

BMC Infect Dis. 2015 Nov 17;15(1):533. doi: 10.1186/s12879-015-1280-6. What is needed to guide testing for anorectal and pharyngeal Chlamydia trachomatis and Neisseria gonorrhoeae in women and men? Evidence and opinion. Dukers-Muijrers NH1,2, Schachter J3, van Liere GA4,5, Wolffs PF5, Hoebe CJ4,5.

I doubt that they would have said that; I think you might have misread what they wrote. If you are going to test, a throat swab is very simple. And you could test as early as 7-10 days later with great accuracy. But again, the risk is really really low.

Terri

[Redeemer119]

Thank you Dr. Warren.

I’m not sure if I have used my two follow up questions as my question number 2 about the symptoms was not addressed from my review of the response (I’m sure unintentionally. If you agree with my presumption, then I would like to change my 2nd follow up question to the following:

Based on the facts listed above, what is the likelihiod of this encounter leading to the contraction of any herpes varietal, and why?

[Terri Warren]

Sorry, the symptoms of oral gonorrhea or chlamydia may be a sore throat or discharge in the back of the throat. But most people that we see that test positive from the throat for either of these, have no symptoms at all.

If you acquired HSV from this encounter, which I do not believe at all that you did, it would most likely, statistically, be HSV 2.

Terri

[Author]

Posts