Oral STDs: Pictures, types, symptoms, treatment, and prevention - Medical News Today

Posted: 30 May 2019 12:00 AM PDT

Anyone who engages in oral sex with somebody who has a sexually transmitted disease can contract the disease themselves.

Oral sex refers to when a person puts their mouth, tongue, or lips on the genitals or anus of another person.

Sexually transmitted diseases (STDs) that people can pass on through oral sex can infect multiple parts of the body, including the:

mouth
throat
genitals
rectum

In this article, we take a look at STDs that people can spread through oral sex and their signs and symptoms.

We also cover how people can transmit these STDs, along with their treatment options.

Pictures

Gonorrhea

Image credit: CDC/ Dr. N. J. Flumara, Dr. Gavin Hart,1976.

Gonorrhea

Image credit: CDC/ Robert E. Sumpter, 1967.

Syphilis

Image credit: CDC/ Robert E. Sumpter, 1967.

Syphilis

Image credit: CDC/ Robert E. Sumpter, 1967.

Syphilis

Image credit: CDC/ Robert E. Sumpter, 1967.

Syphilis

Image credit: CDC/ Robert E. Sumpter, 1967.

HPV

Herpes

Image credit: CDC/ Dr. Hermann, 1964

Herpes

Image credit: CDC/ Robert E. Sumpter, 1967.

Herpes

Image credit: CDC/ Robert E. Sumpter, 1967.

Gonorrhea

Gonorrhea is an STD that Neisseria gonorrhoeae bacteria cause.

Symptoms

Gonorrhea does not always cause symptoms. If people do notice symptoms, they may include:

a burning sensation when urinating
a sore throat
unusual discharge from the vagina, penis, or rectum
swelling or pain in the testicles
pain in the rectum

Transmission

People can get gonorrhea as a result of having oral sex with someone who has a gonorrhea infection in the throat, vagina, penis, urinary tract, or rectum.

Diagnosis and treatment

A doctor can take a urine sample to test for gonorrhea. They may also take a swab from the:

throat
rectum
urethra in males
cervix in females

Gonorrhea is treatable with antibiotics, though some strains have now become resistant to antibiotics.

If people continue to experience symptoms after receiving treatment for gonorrhoea, they should see their doctor again.

Outlook

If a person does not seek treatment for gonorrhea, it can cause serious health complications, including:

Chlamydia

Chlamydia is a common bacterial infection that Chlamydia trachomatis bacteria can cause.

Symptoms

Chlamydia infections often have no symptoms.

However, if a person has a chlamydia infection in their throat, they may have a sore throat.

If they have an infection of the rectum, genitals, or urinary tract, symptoms may include the following:

unusual discharge, such as blood, from the vagina, penis, or rectum
a burning sensation when urinating
pain in the rectum
swelling or pain in the testicles

Transmission

People can get chlamydia as a result of having oral sex with someone who has a chlamydia infection. People with a chlamydia infection in the throat, vagina, penis, or rectum can pass on the infection.

Diagnosis and treatment

Doctors can diagnose chlamydia by taking a urine sample or a vaginal swab for females.

People can treat chlamydia by taking antibiotics. They should avoid having sex until they have completed the course of treatment.

Outlook

Chlamydia is treatable with antibiotics. It is important that people seek treatment for chlamydia, as it can spread to a sexual partner if they do not treat it.

It can also cause serious health problems, including:

Syphilis

Syphilis is a bacterial infection that Treponema pallidum cause.

Symptoms

Syphilis can cause swollen lymph nodes and a sore throat.

People may not notice any symptoms from syphilis, and the first signs are usually mild. There are four stages of a syphilis infection, and each stage has different symptoms:

Primary

firm, round sores at the site of infection, which may be painless

Sores can last for 3–6 weeks and are self-healing. When the sore heals, the infection is still present. For this reason, it is important that a person continues to receive treatment.

Secondary

Even if these symptoms pass without treatment, it is essential that people still get treatment to remove the infection and prevent it from progressing to further stages.

Latent

The latent stage of syphilis has no symptoms. Without treatment, people may have a syphilis infection for many years without noticing any symptoms.

Tertiary

People do not usually develop tertiary syphilis, but it can happen 10–30 years after first getting the infection if they do not seek testing and treatment at the time.

People may notice severe complications if they have tertiary syphilis, which may include:

damage to internal organs
changes in vision

Neurosyphilis occurs when syphilis spreads to the brain or nervous system. Symptoms of neurosyphilis can include:

headaches
difficulty moving parts of the body
numbness
dementia

Tertiary syphilis can be fatal if a person does not receive treatment.

Transmission

People can get syphilis by engaging in oral sex with a person who has syphilis, specifically by coming into direct contact with a syphilis sore or rash.

Diagnosis and treatment

A doctor will take a blood test to check whether a person has syphilis. If people have sores, a doctor may test fluid from the sore.

The earlier people receive treatment for syphilis, the easier it is to cure. Doctors can use a penicillin injection to treat type of this infection.

Outlook

Syphilis can cause severe complications and can even be fatal if a person does not receive treatment. If left untreated, syphilis can cause:

stillbirth
increased risk of HIV
damage to organs
blindness

If someone has a syphilis infection while pregnant, they can also pass the infection to their baby.

Human papillomavirus

Human papillomavirus (HPV) is the most common STD in the United States, according to the Centers for Disease Control and Prevention (CDC).

Symptoms

People with HPV may have no symptoms. However, HPV can cause:

warts on or around the genitals or anus
warts in the throat

If people have warts in the throat, they may feel breathless or have difficulty speaking.

Transmission

People can get HPV through giving oral sex to anyone who has an HPV infection in the genital area, anus, or rectum.

People with an HPV infection in the throat can also pass on the infection by giving oral sex to a partner.

Diagnosis and treatment

There is no specific test that healthcare providers use to detect HPV, especially in the mouth or throat. Some people may find out that they have HPV if they get an abnormal test result from cervical cancer screening, or a Pap smear.

Others may find out that they have it if they develop genital warts or other complications.

People can treat warts from an HPV infection but not the virus itself. A person can remove warts by taking certain medicines or undergoing surgery. Sometimes, the warts disappear by themselves.

Outlook

HPV often goes away without treatment.

Even if people treat the warts, they can still spread the HPV infection to sexual partners.

Some types of HPV can cause cancer, including cervical cancer. Many females do not develop cervical cancer if they receive the correct treatment for HPV.

People can get an HPV vaccine to help protect against the diseases that HPV can cause.

Herpes

Herpes is an infection that the herpes simplex virus can cause.

Symptoms

Herpes often produces no symptoms, or very mild ones. The main symptoms following initial infection may include:

painful or itchy sores around the genital area, rectum, or mouth
headache
fever
aching body
swollen glands

Transmission

People can get herpes as a result of having oral sex if a partner has a herpes infection in the mouth, genital area, rectum, or anus.

Diagnosis and treatment

A doctor may take a skin sample from a sore for testing, or they may perform a blood test to help diagnose herpes.

Although there is no cure for herpes, people can take antiviral medicine to reduce or prevent the symptoms.

Outlook

With or without treatment, people can spread herpes infections to sexual partners. Taking daily medicine can help reduce the chance of passing on the infection, however.

Having herpes can increase the risk of getting an HIV infection, and pregnant women can pass on herpes to their infant.

Trichomoniasis

Trichomoniasis, or trich, is a common infection that a parasite causes.

Symptoms

Symptoms can include:

unusual discharge from the vagina or penis
redness or itching around the vagina
a burning sensation when urinating

Transmission

If people give oral sex to a partner who has a trichomoniasis infection in the vagina or penis, they may get a trichomoniasis infection in the throat.

Diagnosis and treatment

Treatment for trichomoniasis may involve taking a course of antibiotics.

People will need to see their healthcare provider for laboratory tests to check for trichomoniasis, as a doctor cannot diagnose it just from the symptoms.

People can treat trichomoniasis by taking a single dosage of antibiotic medicine that can also destroy parasites.

To prevent getting another infection, people should make sure that their sexual partners also receive treatment.

Outlook

People can easily treat trichomoniasis by taking oral medication.

Hepatitis A

Hepatitis A is a virus that causes inflammation of the liver.

Symptoms

The symptoms of hepatitis A tend to develop after an average of 28 days from exposure to the virus. These symptoms can include:

Transmission

Hepatitis A transmission mainly occurs through oral-fecal contact. As a result, a person could contract hepatitis A by performing oral-anal sex with someone who has the virus.

Diagnosis and treatment

Blood tests can detect the hepatitis A virus if someone has it.

There is no cure for the virus, so doctors will often recommend that a person with the infection rests for 1–4 weeks and avoids intimate contact with other people.

Outlook

Although hepatitis A can make people feel very unwell, it rarely causes any complications.

Hepatitis B

Hepatitis B is another virus that causes inflammation of the liver.

Symptoms

In many cases, hepatitis B causes few or no symptoms. When symptoms do appear, they can include:

a rash
joint pain and stiffness
fever
tiredness
nausea
loss of appetite
yellowing of the skin and eyes
dark urine
pain or discomfort in the abdomen

Transmission

People with a hepatitis B infection can pass on the virus in their semen or vaginal secretions during oral sex.

Diagnosis and treatment

Doctors can diagnose hepatitis B by performing a blood test. It can take anywhere between 3 weeks and 2 months for the virus to appear in a person's blood. The test will determine if the infection is acute or chronic.

There is no specific treatment for an acute hepatitis B infection, and most people will fully recover after a short amount of time.

Doctors will treat a chronic hepatitis B infection with medication to slow the progression of the virus and support the immune system. People with an acute infection will typically make a full recovery once the virus has run its course.

Outlook

In severe cases, hepatitis B can lead to chronic infection, scarring of the liver, liver cancer, and even death. A vaccine is available to help protect people from this virus, however.

HIV

HIV is a virus that affects the immune system, making people with it more prone to other illnesses.

Symptoms

Early symptoms of HIV can include fever and fatigue.

A person will need to undergo a test to receive a diagnosis of HIV, as it does not always cause symptoms.

The symptoms that a person experiences depend on the stage of the HIV virus.

Early stage

People may experience symptoms similar to the flu, which can include:

fever
aching muscles
a sore throat
chills
fatigue
swollen lymph glands
night sweats

Clinical latency stage

People may experience mild symptoms or none at all during this stage.

Transmission

The risk of passing on HIV through oral sex is very low, and the person giving oral sex would need to have an open wound in their mouth in order to catch it.

With the correct treatment, a person with HIV cannot transmit the virus to another person.

Diagnosis and treatment

A healthcare provider can perform a blood or saliva test to determine whether a person has HIV.

Although there is currently no cure for HIV, it is possible to manage the condition effectively with the correct treatment. Treatment for HIV consists of a regimen of antiretroviral drugs called antiretroviral therapy.

Outlook

If people with HIV take medications as prescribed, they can reduce the amount of the virus in their bloodstream to an undetectable level.

They can live a long and healthy life and avoid passing it on to sexual partners.

Prevention

If people are having sexual intercourse or oral sex, they can take the following steps to help prevent STDs:

use a condom every time they have sex
use a dental dam every time they have oral sex
be in a mutually monogamous relationship where both partners have had STD tests
get regular tests for STDs

If a person does not have access to a dental dam, they can make one at home using a condom. To make a dental dam, follow these steps:

Cut off the tip of the condom.
Cut off the elastic ring at the base of the condom.
Make one cut down the length of the condom.
Open the condom up into a square.
Place the dental dam across the vaginal or anal area.

Summary

There are many types of STD that people can transmit or contract as a result of having oral sex.

People can use a condom or a dental dam to help protect themselves and their sexual partners from STDs.

If a person has an STD, it is important that they and their sexual partners receive the correct treatment to prevent any complications arising.

By using appropriate prevention methods and receiving treatment when necessary, people should be able to enjoy oral sex without the risk of STDs.

STDs are off the charts in Long Beach; city officials have a plan - Long Beach Post

Posted: 06 May 2019 12:00 AM PDT

In 2017, Long Beach saw 4,321 cases of chlamydia and 1,690 cases of gonorrhea, marking the second highest rates in California. For syphilis, the city saw 499 cases—the third highest rate in the state.

Over the past five years, Long Beach has seen a dramatic increase in rates of sexually transmitted diseases, mirroring a nationwide trend of record jumps in cases of syphilis, gonorrhea and chlamydia.

In an effort to reverse those trends, the city on Monday announced a comprehensive health strategy aimed at reducing HIV and STD infections by the year 2022 through education, increased testing and expansion of healthcare programs.

In a news conference at St. Mary Medical Center on Monday, Mayor Robert Garcia noted that while the number of new HIV cases has plateaued, Long Beach still has higher rates than both the state and county. It's an issue that's alarming to him not only as a mayor, but as a gay man, he said.

"We know that this is unacceptable and we can do something about it," he said.

In addition to details of the new plan, the city also released a report providing a snapshot of STD rates and demographics.

Key takeaways include:

Gonorrhea increased by 267% from 2013 through 2017. Of the cases, 67% were male and 38% were African American. The plan includes targeted community outreach to address the disparities in STD rates by race, ethnicity and socioeconomic status.
Chlamydia is a larger problem among females. The disease increased by 88%, and of those cases, 60% were female.
Syphilis has increased by 143%. Men who have sex with men comprised 67% of those cases, but the city in the past three years has seen an increase in women who are infected. This is especially concerning because pregnant women can pass the disease to their unborn child.
As of 2017, 4,520 Long Beach residents were diagnosed and living with HIV, and an estimated 730 people are undiagnosed. Although the number of new HIV diagnoses dropped by 33% overall, the rate of new infections in Long Beach (26 per 100,000) remains higher than the county (19 per 100,000) and state (13 per 100,000).

While it's tough to pinpoint an exact cause of the increase, City Health Officer Dr. Anissa Davis said Long Beach sees higher rates in part because it is a dense, urban city with a large gay population. Gay men have historically seen higher STD rates compared to other groups.

Michael Buitron, a coordinator with the CARE Clinic HIV program at St. Mary, said he saw STD rates increase after many STD-testing clinics closed following the rollout of Obamacare. While more people now have health insurance, some might be reluctant to visit their family doctor for an STD test, he said.

Buitron said the new plan includes expanded access and educational outreach for "PrEP and PEP," which has been shown to be effective in reducing HIV rates. PrEP, short for pre-exposure prophylaxis, is taken before exposure to reduce HIV risk, while in PEP, short for post-exposure prophylaxis, is taken within 72 hours after exposure and has been show to prevent HIV infection.

"Trying to change people's behavior hasn't been effective, but biomedical intervention is effective," said Buitron, a PrEP and PEP coordinator.

The city has identified five main goals:

Reduce HIV and STD infections through strategies including mobile testing units and targeted outreach.
Strengthen capacity to address HIV and STDs through more training for health care workers and identifying an additional $2 million in funding through federal, state and county partnerships.
Education through community partnerships and campaigns.
Increase access for care including improved reporting and better coordination among health care providers.
Expand PrEP and PEP access.

"Our STD and HIV infection rates need to be taken seriously and approached with care and support from our Long Beach community," Garcia said. "Our goals to reduce HIV infections by 50% and STD infections by 20% are possible, and we will ensure that we have the resources in place to support these efforts."

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