The Other Oral Hygiene

Oral sex is not often talked about thus have led many to believe that it poses less risks of transmitting HIV than intercourse. HealthAnswers gives us the low down on safer oral sex.

 



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By Vincent Leong


[eastciti.com, January 20, 2001]
Although oral sex, by itself, is considered less likely to transmit viruses that cause sexually-transmitted diseases, as compared to direct sexual intercourse, many health-care experts still consider it a high-risk activity for HIV (human immunodeficiency virus) transmission.

 



How HIV Is Most Commonly Transmitted
  • Through semen, vaginal fluids or blood during unprotected sexual intercourse with an infected person.

  • Sharing needles and syringes from intravenous drug use with an infected person.

  • From infected mother to baby during pregnancy, childbirth or breastfeeding.

According to Professor Wong Mee Lian, a researcher at the Department of Community, Occupational and Family Medicine, National University of Singapore (NUS), for example, some studies on homosexuals have put their increased risk of HIV-transmission from receiving oral penile intercourse (receiving fellatio) at 1.05 to 3.0 times from those who have not received penile intercourse orally.

 



Safer Oral Sex

The possibility of transmitting HIV during oral sex is believed to be lower than through unprotected vaginal or anal intercourse. However, it is still possible to get HIV through oral sex.

To be better protected, you may want to use:

  • Condoms when having oral sex with a man.

  • Cling-wrap for oral sex with a woman.

This is because if one of the parties involved in oral sex is HIV-infected, the virus from this person can be transmitted to the other person via the semen or blood - either in the mouth or the sexual organ.

HIV can enter the uninfected person through open wounds, sores, or even openings at the genitalia - the urethra (the opening at the tip of the penis), the vagina, or the anus.

 



The following may increase the risk of HIV transmission during oral sex:
  • Sores, cuts, abrasions, gum disease and blood in the mouth can allow HIV to more easily enter the body.

  • Similarly, the presence of white blood cells at the site of STD infections may provide an easy entry point for HIV.

  • Deep insertion of the penis into the throat for a long period of time may cause tears in the throat's lining, making it easier for HIV to enter the body.

 

Prof Wong, who recently headed a programme on promoting the use of condoms for oral sex among female sex workers in Singapore, said the risk of unprotected oral sex in transmitting viral and bacterial sexually transmitted diseases (STDs) is more pronounced, and STDs have been recognised to be an important co-factor for HIV infection.

For example, her report states that a recent study has revealed that unprotected oral sex is 3.66 times more likely to transmit papillomavirus - the virus responsible for most STDs, including genital warts.

 

 

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