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Was wondering if it’s possible for STDs from oral sex using…

Customer Question
Was wondering if it’s...

Was wondering if it’s possible for STDs from oral sex using flavored condoms and me having a cold sore

Doctor's Assistant: When did cold sore begin? Have you used any medication for it?

Monday and yes I have

Doctor's Assistant: Have you seen a doctor about cold sore?

No

Submitted: 4 months ago.Category: Medical
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Answered in 1 minute by:
3/15/2018
Doctor: Dr. David, Board Certified Physician replied 4 months ago
Dr. David
Dr. David, Board Certified Physician
Category: Medical
Satisfied Customers: 49,910
Experience: Experienced Physician trained in New York City. I'm ready to help.
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Hello, this is Dr. David. I am reviewing your question now and will be with you momentarily.

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Doctor: Dr. David, Board Certified Physician replied 4 months ago

are you male or female?

what type of sex did you have?

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Customer reply replied 4 months ago
Male and just oral sex with condom
Customer reply replied 4 months ago
It was just oral no semen just use of a condom but I have cold sore and worried I can get an STD
Customer reply replied 4 months ago
Hello?
Doctor: Dr. D. Love, Doctor replied 4 months ago
Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 19,748
Experience: Family Physician for 10 years; Hospital Medical Director for 10 years.
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Hello. This is Dr. Love, a different expert.

Was oral sex only provided to you by your partner?

Or did you also provide oral sex to your partner?

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Customer reply replied 4 months ago
Both
Customer reply replied 4 months ago
Also both with condom
Customer reply replied 4 months ago
Flavored one
Doctor: Dr. D. Love, Doctor replied 4 months ago

Yes, there is some risk of STDs from oral sex, in either direction, but there are several comments that are pertinent, so it will take a while to type a complete answer. I will post again once the answer is complete.

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Customer reply replied 4 months ago
Is the risk high even with condom or is it very low?
Doctor: Dr. D. Love, Doctor replied 4 months ago

Oral sex can transmit STDs. Oral sex has far less risk than either penile-vaginal sex or anal sex, but there is a small risk. Condoms will significantly lower the risk even further. Condoms are not perfect at preventing transmission, but they are clearly the most effective method for reducing the risk of STDs. Condoms are much better at preventing STDs that are transmitted by body fluids, such as HIV, gonorrhea, chlamydia, and hepatitis, but they are less effective at preventing STDs that are transmitted by skin-to-skin contact, such as herpes or HPV. Condoms do not cover the entire genital skin, so do not work as well in preventing transmission of germs transmitted by skin-to-skin contact.

The risk for all of these germs is low, even without a condom, but with a condom, the risk is even lower.

The presence of a cold sore adds two additional issues.

An open sore is an issue for transmission of germs that need to access the blood stream, such as HIV and hepatitis, because the open sore is a potential site of entry. However, if the cold sore has started to crust over, then it is no longer an open sore and is not an issue. However, even if the cold sore is still open, the risk would still be low because this is from oral sex with a condom.

In addition, an oral cold sore can pose a risk of transmission of that virus to your partner when you provided oral sex to your partner. Oral cold sores are typically caused by herpes simplex virus type 1 (HSV1). While genital herpes is typically caused by HSV2, it is possible to transmit HSV1 to the genitals when someone with an oral cold sore provides oral sex to a partner. If your partner already has an oral infection with HSV1 (and most people do), then there is no risk of transmission. But if your partner has never been infected with HSV1, then oral sex provided by someone with a cold sore can lead to a genital infection from HSV1.

At this point, since the risk for all germs is very low, there is no need for testing. But since you ask whether transmission is possible, the answer is yes, although at a very low risk.

If I can provide any additional information, please let me know.

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Customer reply replied 4 months ago
Does it look closed?
Doctor: Dr. D. Love, Doctor replied 4 months ago

It does not look like it is still open. It does not really "close"; it crusts over and then heals, and this looks to be well along the healing process.

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Customer reply replied 4 months ago
you don’t recommend testing for STI’s or HIV from this incident?
Doctor: Dr. D. Love, Doctor replied 4 months ago

No. There is no need to be tested for any STI (including HIV) after this encounter.

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