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Q: Oral sex and herpes ( Answered,   0 Comments )
Question  
Subject: Oral sex and herpes
Category: Health > Women's Health
Asked by: kt528-ga
List Price: $20.00
Posted: 05 Sep 2006 17:46 PDT
Expires: 05 Oct 2006 17:46 PDT
Question ID: 762545
I knew I shouldn't have sex without protection, but somehow I made
that mistake. I had oral sex with a guy two days ago and he ejected in
my mouth. Before that I had some sore on my gum. Now I had cold sore
(herpes) on my upper lip, which I had before. But I also have a runny
nose this timw. I'm not sure if this has anything to do with the guy
and I've been worried about it...what's the possibility for me to get
STDs from oral sex and what should I do now? Please help...

Clarification of Question by kt528-ga on 05 Sep 2006 17:52 PDT
To make to question more clear, will herpes 2 (genital herpes virus)
cause cold sore, or blisters on the mouth?

Clarification of Question by kt528-ga on 05 Sep 2006 19:32 PDT
I'm wondering what kind of STDs may I get from this incident. If I
want to go for an STD test, which diseases should I pay attention to?
Answer  
Subject: Re: Oral sex and herpes
Answered By: crabcakes-ga on 06 Sep 2006 13:14 PDT
 
Hello Kt528,

  I?m glad you are concerned about your health following this
incident. I?ll discuss STDs in my answer- but, should you have become
infected with any STD, you must let your former partner know. If you
don?t, he could be infecting more people. Please see your doctor, or
visit your local STD clinic. It?s important to get a clean bill of
health. Chances are, a whole battery of STD tests will be ordered for
you, including herpes I&II, chlamydia, syphllis, gonorrhea, HPV, and
HIV.

 The short answer is yes, herpes I and II can spread from genital to
oral and back to genital herpes. Herpes can also be transmitted, even
without evidence of sores. Once one has herpes, it is with you for
life. You can reduce outbreaks and sores with anti-virals, but once
infected, a person can infect for life.

  If you had a cold sore (herpes) on your lip, you could have infected
your partner as well. You said you had the sore before he ejaculated
in your mouth, so you could transmit the virus to him.

?Am I at risk for having an STI?
If you've ever had sex, you may be at risk for having an STI. Your
risk is higher if you have had many sex partners, have had sex with
someone who has had many partners or have had sex without using
condoms. Some common symptoms of STIs are listed in the box below?
http://familydoctor.org/165.xml



Please read the entire site for further information:
?Herpes simplex I and II spread very easily when sores are present.
Herpes I and II sores can also spread between the mouth and genitals
of different individuals during oral sex. Sometimes people have the
herpes viruses but don't show any symptoms. These people can still
spread the herpes viruses to others.?

?Herpes Simplex Virus I: People with herpes simplex I get cold sores
or fever blisters around the mouth or nose lasting for a few days to a
few weeks. Other symptoms may include fever, fatigue, swollen glands
and muscle pain. These signs can be considerably more severe and
longer-lasting in people with HIV.
Herpes Simplex Virus II: People with herpes simplex II break out from
time to time with painful sores on the genitals or anus. They
sometimes feel like they have the flu before and during an outbreak.
Once again, symptoms can be considerably more severe and
longer-lasting in people with HIV.?
http://www.gmhc.org/health/treatment/factsheets/herpes.html



   ?Herpes I and Herpes II are viral infections spread through direct
skin to skin contact and sexual contact (oral, anal or vaginal). The
main difference between Herpes I and Herpes II is that the Herpes I
virus is usually found in the mouth or facial area and the Herpes II
virus is usually found in the genital area. Some other symptoms of
herpes are flu-like symptoms, fatigue, fever or swollen glands. Both
Herpes I and Herpes II can cause either genital and/or oral outbreaks
and the virus remains in the body for the person's entire life.?

?There is no cure for Herpes, but there are treatments that can
shorten and prevent future outbreaks, and help to relieve the pain.
After the initial outbreak, both Herpes I and II can go into a
sleeping mode or dormant stage in the body. This is a time when the
infected person may have absolutely no symptoms and no sores, but they
still can transmit the virus to other people and have other outbreaks
throughout their life.?
http://www.teenhealthfx.com/answers/sex-9.htm




   ?Herpes may begin with an initial tingling, burning, or numb
sensation, followed by clusters of small, painful, fluid-filled
blisters. HSV-1 blisters usually appear around the lips and
surrounding skin. HSV-2 blisters appear on the genitals, around the
anus, and on the buttocks. Within a few days, HSV-1 and -2 blisters
are covered with a thin, yellow crust as they begin to dry, and the
pain subsides. The blisters are gone within one to two weeks. Herpes
Zoster often begins with a general feeling of sickness, including
chills, fever, headache, fatigue, nausea, and diarrhea. Symptoms
usually occur on one side of the face, back, or upper abdomen, which
are the areas most commonly affected by chickenpox. The blisters
follow a nerve path and usually appear in a line, most often on just
one side of the back and spreading toward the abdomen.

 This area may be extremely sensitive to touch. After several days,
the blisters begin to dry and scab. Some people develop the rash on
one side of the face, which can also cause eye inflammation. All
symptoms of shingles are usually gone within three to five weeks.
However, some people may suffer nerve damage that causes pain to
continue for months to years after the rash is gone. This condition is
called post-herpetic neuralgia. HSV-1 and ?2 symptoms can occur
repeatedly, but most people get shingles only once in their lifetime.?
http://www.hmc.psu.edu/healthinfo/h/herpes.htm


  I don?t want to alarm you, but I do want to warn you - you can get a
number of STDs from oral sex, as listed in the paragraph above, even
one incident of oral sex. It just is not worth risking disease,
especially a deadly disease (AIDS/HIV).


Here is a nice chart that describes STD modes of transmission:
http://www.dph.sf.ca.us/sfcityclinic/stdbasics/stdchart.asp


Chlamydia
?Since chlamydia can be transmitted by oral or anal sex, men who have
sex with men are also at risk for chlamydial infection.?
http://www.cdc.gov/std/Chlamydia/STDFact-Chlamydia.htm#HowGet




HPV
?HPV is probably the most common STD.  HPV stands for Human Papilloma
Virus.  HPV can cause 2 different types of symptoms, genital warts and
changes in the cervix which can lead to cancer.  Studies suggest that
as many as 90% of sexually active college age people carry HPV. 
Although HPV is treatable, once you have HPV it is believed to be in
your body for the rest of your life.  We look for HPV by examining the
genitalia (penis or vagina) with the naked eye and with PAP smears. 
Occasionally we use a colposcope, which is a type of microscope, to
look for warts too small to be seen with the naked eye.?
http://www.bsu.edu/students/healthcenter/article/0,,16356--,00.html


Chancroid
?Who gets chancroid?
Any sexually active person can be infected with chancroid. It is more
commonly seen in men than in women, particularly uncircumcised males.

How is chancroid spread?
Chancroid is spread by sexual contact with an infected individual. The
bacteria are more likely to invade the sexual organs at the point of a
pre-existing injury, such as a small cut or scratch. The likelihood of
transmission is greater if a person is very active sexually and does
not practice personal hygiene.

What are the symptoms of chancroid?
The first sign of infection is usually the appearance of one or more
sores or raised bumps on the genital organs. Sores are surrounded by a
narrow red border which soon becomes filled with pus and eventually
ruptures, leaving a painful open sore. In 50 percent of untreated
cases, the chancroid bacteria infect the lymph glands in the groin.
Within five to 10 days of the appearance of primary sores, the glands
on one side (sometimes both sides) of the groin become enlarged, hard
and painful. A rounded painful swelling results which may eventually
rupture.

How soon do symptoms appear?
Symptoms usually appear four to seven days after exposure.
When and for how long is a person able to spread chancroid?
Chancroid is contagious as long as the infected person has any open
sores. The open sores contain
bacteria and any contact with these sores can result in infection.

What complications can result from chancroid?
Untreated chancroid often results in ulcers occurring on the genitals.
Sometimes the ulcers persist for weeks or months.

Does past infection with chancroid make a person immune?
No. Reinfection can readily occur immediately after cure. There is no
evidence of natural resistance.

What is the treatment for chancroid?
Chancroid may be successfully treated with certain antibiotics.
Lesions and ulcers can be expected to heal within two weeks.

How can the spread of chancroid be prevented?
?	Limit the number of your sex partners.
?	Use a condom.
?	Carefully wash the genitals after sexual relations.
?	If you think you are infected, avoid any sexual contact and visit
your local STD clinic, a hospital or your doctor. Notify all sexual
contacts immediately so they can obtain examination and treatment.?
Page 13
http://www.health.state.ny.us/nysdoh/communicable_diseases/en/pdf/factshts.pdf#search=%22STSs%20%2B%20oral%20sex%22



Testing:

   Some STDs have longer incubation periods than others. What this
means is you should get tested now, and again in several months. The
testing facility will tell you when to return, based on their testing
methodology and your case. For example, if you were infected with HIV,
your test now will be negative, as it takes months for the antibodies
to be produced. However, a negative test now is a great baseline, and
can determine that you were HIV free now, in case your test is
positive later. The same applies for herpes, although some facilities
have rapid tests available.

  This site, for a clinic in Virginia describes STD testing. Not all
clinics/labs have the same tests, so use this as a guideline.
http://www.healthcenter.vt.edu/HE/healthinfo/stdInfo.htm


   ?How long after a possible exposure does it take for STDs to show up in a test?
The time it takes for STDs to show up in tests varies from 1 day to 3
months, depending on the particular STD. For example, a bacterial STD
such as gonorrhea might take only a day to develop, but it can take up
to three months for the body to produce enough HIV antibodies to show
up in a test.

Although it takes three months for some STDs to show up in tests, you
shouldn't wait three months after a possible exposure to get tested.
If you have any symptoms of STDs (see ASHA link below for information
about symptoms), come in to get tested right away. Even if you don't
have any symptoms, common bacterial STDs like chlamydia and gonorrhea
can be easily and quickly detected and treated a short time after
exposure. Your health care provider may recommend that you come back
in for a follow-up appointment later if she or he thinks that
additional testing is needed.?

What factors should I consider when deciding whether to get tested for STDs? 
STDs can be transmitted in two ways: 
?	through mucous membranes in the vagina, penis, rectum or mouth
coming into contact with infectious body fluids, such as semen,
vaginal fluid, and blood
?	through skin-to-skin contact with sores or lesions. Skin-to-skin
contact can include genital-genital contact, oral-genital contact, or
hand-genital contact
http://web.mit.edu/medical/student/sex/std.html 


   Please go for a check up as soon as possible, and always practice
safe sex! Remember, STDs can be transmitted with oral sex, as well as
genital sex. Take care of yourself!


I hope this information has helped you! If anything is unclear, please
ask for an Answer Clarification, and allow me to respond, before you
rate this answer.

Sincerely, Crabcakes



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