The information on this page is taken from a brochure "Oral Sex - using your head" developed by the San Francisco Department of Public Health:
Answers to two key questions on Oral Sex and STD's in the Bay Area
1. "How easy is it to transmit (this disease) through oral sex?"
2. "What are my chances of having sex with someone with this STD?"
HIV/AIDS
Probably difficult to transmit
·
There have been no published studies measuring the risk of HIV from oral sex.(Update 1/12/02 from gay.com website news: Oral sex probably isn't a risk factor for HIV, according to a study done last year. But it may spread the virus that causes Kaposi's sarcoma. The study was published in the January 9 issue of The Journal of the American Medical Association.)
·
There have been documented cases of men getting infected from sucking.·
There have been no recorded cases of getting HIV from being sucked.·
There have been no reported cases of getting infected from rimming.High Risk
·
It is estimated that 30-39% - nearly 1/3 - of the men who have sex with men in San Francisco are infected with HIV.Herpes
(Type I & Type II)
Easy transmission
·
Sores and blisters (usually on the lips, genitals or anus) are extremely infectious·
Easily passed by sucking, getting sucked, rimming and licking/being licked·
In many cases the herpes virus can be passed when no symptoms are presentHigh risk
·
Nearly 7 out of every 10 Americans have Oral Herpes, often acquired non-sexually during childhood {ie "cold sores")·
At least 45 million Americans have Genital Herpes, about 1 out of every 5 peopleSyphilis
Very Easy transmission
if sores or mucus patches are present·
Easily passed through contact with open sores (chancres) on the penis, anus or mouth·
Transmitted through all types of oral sex·
Also passed through contact with mucus patches in the mouthLow risk
·
Currently (July 1999) the rates for syphilis are low in San Francisco, however, in many cities syphilis is returning among men who have sex with menGonorrhea
Moderately Easy transmission
·
When passed through oral sex, gonorrhea is usually transmitted from the penis into the throat while sucking cock·
It also can be passed from an infected throat to a penis while getting suckedRisk low but increasing
·
The number of reported gonorrhea cases among men who have sex with men has dropped since the early 1980's but has recently increasedNGU
(Non gonococcal urethritis)
Probably Easy to transmit
·
No studies have been done measuring the risk of oral transmission However, doctors at SF City Clinic frequently treat cases of orally transmitted NGU·
NGU can be passed from both sucking and getting suckedLow risk
·
Currently (June 1999) the number of reported NGU among men who have sex with men is low in San FranciscoChlamydia
Unknown transmission ease
·
No reliable studies have been done that measure the risk of oral transmission·
Chlamydia can be found in the throat·
It is becoming more common among gay menHigh risk
·
About 4% or 1 in 25 of men who have sex with men seen at SF City Clinic are infected.·
Most men have no symptomsGenital Warts
(Human Papilloma Virus)
Unknown transmission ease
·
It is unknown how easy it is to transmit the genital wart virus through oral sex·
Can be passed by all types of oral sex·
Warts usually appear on the penis or in the anus but may occur in or around the mouth or lipsHigh risk
·
Genital warts are one of the most common STDs·
Check for wart-like growths on the l)enis, anus or lips of a sex partner. NOTE: Genital warts are sometimes too small to be easily seen.Intestinal Parasites
(Cryptosporidium , Amoeba, Giardia, etc)
Easy transmission
·
Intestinal parasites are easily passed through rimming·
Sucking and getting sucked are low risk unless you swallow fecal matter (shit) when suckingLow risk
·
Rates for these diseases are currently low (July1999).·
However, most cases in San Francisco occur among men who have sex with men.Hepatitis A
Very Easy transmission
·
Hepatitis A is very easily passed through rimming·
Sucking is low risk unless you swallow fecal matter (shit) when sucking·
Get vaccinatedRisk moderately low
·
However rates for hepatitis A have been steadily increasing in San Francisco (June 1999) and most cases in San Francisco occur among men who have sex with men.Hepatitis B
Probably difficult to transmit
·
No studies have measured the risk of transmission through oral sex.·
Transmission primarily through unprotected anal sex·
Get vaccinatedProbably low risk
·
Cases of Hepatitis B among men who have sex with men have dropped significantly in San Francisco since 1985. This may be due to increased practice of safer sex techniques for anal sex and vaccination"
How can I reduce my risk?" - for sucking & getting suckedAny of these methods can reduce your risk for STDs and HIV. Some are more effective than others.
· For maximum protection, use non-lubricated latex condoms If you don't like the taste, try flavored condoms.IF YOU DON'T WANT TO USE CONDOMS:
·
Avoid taking cum in your mouth or cumming in someone's mouth. If you get cum in your mouth, spit it out.·
Avoid sucking or rimming if you have bleeding gums, sores, abscessed teeth, or have just gone to the dentist. These could make it easier for HIV and STDs to enter the body. Walt until they heal.·
Do not brush or floss your teeth right before or after having sex. For fresh breath, try chewing gum or rinsing with mouthwash.·
Look closely for sores or blisters on the genitals, mouth or lips. If sores or blisters are visible, avoid oral sex. Remember: It is not always possible to see sores or blisters.·
Avoid deep throating. This may irritate the lining of the throat, making it easier for HIV and STDs to enter the body
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