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What could cause persistent sore throat after oral sex?

Asked by on January 15, 2017

After engaging in oral sex with another man, I developed a sever sore throat the following night which, though severe for only a brief period has persisted for 6 weeks, with redness on the sides of the throat flanking the uvula. I was treated with rocephin and zpak 10 days post event with no improvement, then again with doxycilin 3 weeks post event with no improvement. At about the 5th week, I noticed a tiny sore, dark red spot inside my cheek surrounded by pale redness in a circle. Same thing in another location a couple of days later. These lesions faded away within a day. Then this morning I experienced soreness in the hard palate which was about a centimeter in diameter of light redness. I thought there was what appeared to be thrush on the back of my tongue for a brief time, which followed the course of doxycilin. Small itchy bumps appeared on the abdomen in the last days of doxycilin also. Two throat swabs have been negative for gonorrhea at 7 days and 3 weeks. Negative for HIV using the HIV 1/2 antigen antibody, 4th generation w/rfl, which the counselor said was definitively negative at 30 days post event with no need for further testing. So, what could be happening? Thank you!!!





January 30, 2017 at 8:29 am

It’s possible. On one hand, you could have caught a cold or strep throat from your partner through kissing or other intimate contact. On the other hand, some STDs can be transmitted through oral sex, particularly herpes and gonorrhea. Yeast infections can also be transferred from the genitals to the mouth. A yeast infection in the mouth or throat is known as thrush and can manifest similar symptoms to STDs or the common cold.

Oral sex includes any contact between the mouth and genitals or anal area. Common oral symptoms of STDs include

  • Cold sores
  • Fever
  • Sore throat
  • Swollen glands
  • Tonsillitis

While the transmission of some STDs, such as HIV, is low during oral sex, practicing safe oral sex further diminishes the risk. Some ways to practice safer oral sex include

  • Using a latex barrier, such as a condom or dental dam
  • Avoiding oral sex if one partner has cuts or open sores or if they have visited the dentist recently (dental procedures can leave cuts and scrapes that go unnoticed)
  • Having only one sexual partner

If your symptoms persist for more than a few days, visit a healthcare professional to determine the cause of your condition.

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