Dr James Schaller
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STD's and Oral Sex: The Massive Blind Spot
in Sexual Knowledge in All Ages!

Sexually Transmitted Diseases (STD's)-Bottom line Basics

The expression "sexually transmitted disease" or "STD's" simply refers to infectious diseases transmitted through sexual contact. There are more than 20 STDs. Every year millions of STDs are passed on.

Transmission of Infections

STD's are typically bacteria or viruses and enter you through membranes, such as the warm, moist surfaces of the vagina, urethra, anus, and mouth (except for crabs and scabies). STDs can be caught through oral, anal, or vaginal sex. But some STD's are also transmitted nonsexually.

Teenagers and college-aged men and women are the largest group at risk for getting these infections. Of course, we are talking about sexually active students.

Is Oral Sex Safer?

STD's clearly can occur with oral sex. For example, if the mucous membrane of the mouth has a tiny cut or irritation on the gums, tongue or even the cheek, you are at risk. Just recall, like the vagina, the mouth has mucous membranes, it is not as resistant as the skin on your arm or legs.

Infection Protection

You can protect yourself from acquiring an STD in a number of ways:

  • Don't just "let things happen" without talking. If you are alone with alcohol or drugs, you are more likely just to be impulsive--reflex sex. TV makes this out to be a "natural flow." Complete nonsense! It is acting out if you are not talking about what and why you are doing this act. Talk it over, not merely for the obvious emotional reasons, but to know what you are getting exposed to. Talk to your partner about STDs protection, and do not wait till you are naked and enflamed with passion to discuss protection. Are you too uncomfortable to ask about STDs? But comfortable enough to lick and suck on their loins?
  • Regardless of disclosure, many STD's are not apparent without testing, so someone can be honest and clueless. Also, STD's are not tattooed on the forehead of possible partners. I recall working in a GYN clinic many years ago, and most women positive for STD's were stunned to find out what they had picked up. They had no symptoms at all. It was impossible to guess who was positive unless they were tested.
  • Do not have sex in the complete dark. It may feel more comfortable, but you will be unable to look carefully at your partner's body. If you notice any unusual discharge, sores, blisters, bumps, or redness and think your partner may have an infection, you should refrain. Amazingly, genital warts or syphilis do not require sexual contact for infection. I have been stunned to learn herpes and hepatitis can actually be passed through mere kissing in some situations.
  • Use a dental dam or cut condom during vaginal oral sex (cunnilingus). If you do not know how to determine the effectiveness of a cut condom, you are not ready for vaginal oral sex.
  • Use a latex condom during penile oral sex (fellatio).
  • Use a spermicidally lubricated latex condom during intercourse with a vaginal spermicide.
  • I always suggest two forms of birth control, since I have met many babies conceived with one method. I know the statistics on some seem almost 100%, but just telling you what I have learned from reliable patients.
  • Condoms are better than nothing, but nothing is foolproof. But if you are entirely committed to having sexual relations, instead of having fun 1,000 other ways, they are the best choice for infection protection during intercourse. They must be put on accurately with no tears, nail cuts, and not be from the middle ages in someone's hot wallet or purse that sits in a hot car. They need to be put on before the slight weeping that may occur in which the penis is releasing sperm and secretions before the sensation of release.

Am I Infected?!

Instead of passing things on to someone else and worrying yourself to death, and avoiding possible treatment, go get checked out. Even AIDS has medication that is annoying, but has significant benefits. Also, if positive for an STD, tell your partner. And make sure you learn about the infection and the treatment yourself. Busy medical practices might drop a ball.

The Bottom Line on "Oral"

  1. You can get an STD or HIV (the virus that causes AIDs) from oral sex. If you are utterly committed to this sex act, you must use a condom or dental dam. Period.
  2. Oral sex is not something that everyone is interested in. If you are pressured to do it forcefully, pour ice water on their loins--they will relax. Trust me, I know of what I speak.

    Oral sex is a very intimate and a serious sexual act. Some married couples find it more intimidating and serious than intercourse. You may "technically" hold on to your virginity by having oral sex instead of intercourse, but you are certainly involved in hard-core sex. And the porn industry certainly considers it "hard core."
  3. Placing your mouth over a penis or in someone's vagina is very serious physically intimate act. In oral sex both are very vulnerable to the other. It is not holding hands! Please consider the emotions involved.
  4. Do not merely "service" someone's "urges"--tell them to hit an Artic shower or masturbate, and get out of your face!
  5. The old "spit or swallow" issue is meaningless--folks get STD's either way.
  6. Oral sex is a complicated act and it can be hard to do "correctly."
  7. Most religions do consider premarital oral sex as being as serious as premarital intercourse.

Basic Facts on Sex Diseases

  • Nearly one-third involves teens.
  • STDs is rising, partly because young people are sexually active earlier, and more likely to have more than one sex partner or to change partners frequently.
  • Since as mentioned above, many STDs initially cause no symptoms, even a kid with integrity can pass the disease on to a sex partner unintentionally. So definitely get tested if you have more than a single sex partner.
  • Health problems caused by STDs tend to be more severe and more frequent for women than men. The ladies can get increased cervical cancer, pelvic inflammatory disease, which makes it much harder to have a baby and/or ectopic pregnancy. In ectopic pregnancies the fertilized egg grows in the wrong place, like the tube between ovary and uterus, and eventually bursts. Occassionally it is fatal. Women burned again!
  • STDs can be passed from a mother to her baby and sometimes may cause permanent disability or even death of the infant.

Many of these infections can be treated. Of course, AIDS is in league of its own.

Here are sample common infections that can be "shared."

  • Bacterial vaginosis
  • Chancroid
  • Chlamydial infections
  • Cytomegalovirus infections
  • Herpes
  • Genital mycoplasma infections
  • Genital (venereal) warts (Papillomavirus)
  • Gonorrhea
  • Granuloma inguinale (Donovanosis)
  • Group B streptococcal infections
  • Molluscum contagiosum
  • Pubic lice
  • Scabies
  • Syphilis
  • Trichomoniasis
  • Hepatitis A
  • Amebiasis
  • Giardiasis
  • Shigellosis

*Most STDs are treatable, but AIDS has no cure and death is virtually certain. Therefore, lets face the fact it is usually transmitted by sexual contact. The virus is present in semen and vaginal secretions and enters a person's body through the small tears in the vaginal or rectal tissues that can develop during sexual activity.

*Chlamydia, gonorrhea, herpes, venereal warts and syphilis are highly contagious and many can be spread through even brief sexual contact.

*Thankfully, all STDs die quickly once outside the body.

Which Infections are Serious with Oral Sex and Serious Touch?

  1. Inserting the penis in the mouth (fellatio) with ejaculation and swallowing of semen is the most common cause of throat gonorrhea
  2. Orally touching the clitoris and vaginal opening (cunnilingus) is a frequent method of transmission of the herpes virus.
  3. Herpes is probably the only disease that can be contracted by light (dry) kissing.
  4. Deep (French) tongue kissing may transmit other STDs.

Spermicides and Infections-Do They Help?

Research shows spermicides also kill many of the germs that cause STDs. However, they offer less protection than condoms. So if you have decided you "must" engage in sexual contact such as oral sex, spermicides are best used with condoms, not in place of them. None of these options is 100% safe and the emotional aspects of serious sexual contact are not discussed her, but matter.

Infection Signs to Run From!

If either sex has sores or blisters on the loins or around them, or non-sensual tingling in the loins --run!

In women, if they have scratching, yellow or green discharge, pain during well-lubricated sex, frequent peeing, belly pain, or eccentric fever. Hold off on sexual contact.

If a man has pain or burning when they pee, or watery or a milky penis discharge ... Join a nunnery.

No short article can cover this topic fully.

Will Prompt Cleaning or Douching Protect Me?

Withdrawing the penis before sperm is released has little to do with catching STDs. Washing and peeing after intercourse may remove some STD germs, but it is not reliable to prevent infection.

Doctors do not like douching, since it messes up the vaginal good bacteria and the PH of this organ, increasing infections. Douching spreads vaginal or cervical infections up into the deeper pelvic organs. Studies show douching increase STDs, get twice the pelvic inflammatory disease causing possible infertility and ectopic pregnancy.

Sex and Talk

You should have someone with some wisdom. Someone who is good at listening, and who will do more than talk about the best sex positions or good oral sex techniques. Find someone who you can talk about sex openly. Sex, sexual feelings, and strong feelings for closeness are challenging at any age. We are not meant to be orphans or to be alone with this complex aspect of life. You should have someone who is not a gossip freak, and who you can discuss sex with besides a potential partner.

To Your Safe Happy Life!

Dr. J

Bank Towers, Tamiami Trail, Naples, FL
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