Cunnilingus sites

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Brad W. Neville DDS, Angela C. Oral trauma also may be caused by cunnilingus oral stimulation of the female genitalia. The lingual frenum can develop a horizontal ulceration due to repetitive scraping against the incisal edges of the mandibular central incisors as the tongue is thrust forward. The ulceration typically heals in about a week, but recurrence is possible with repetitive injury. Smoothing the incisal edges of the mandibular incisors may reduce the risk for further ulceration. Over the long-term, this sexual practice may result in a linear band of fibrous hyperplasia on the lingual frenum.

Matthew R. Golden, H. Pharyngeal gonococcal infection from orogenital exposure. Asymptomatic infection is the rule, although rare cases may exhibit exudative pharyngitis and cervical lymphadenopathy. Isolated pharyngeal infection is common is MSM and may also be common in at least some populations of heterosexuals.

Complications are infrequent, and most cases resolve spontaneously or in response to therapy for genital or rectal infection. Although the modest morbidity associated with pharyngeal infections probably does not justify extensive screening efforts, the oropharynx may be an important reservoir for infection in some populations, particularly MSM. Trichomoniasis is sexually transmitted by penile—vaginal coitus. The organism is not acquired by fellatio, cunnilingus , or insertive or receptive anal intercourse.

Because it is sexually transmitted, it is common in populations at higher risk for other sexually transmitted infections STIs. Its presence in an individual is a marker for high-risk behaviors, and coincident STIs should be sought.

Sexual partners, even if asymptomatic, should be treated simultaneously. The presence of trichomoniasis increases the risk of acquisition of HIV infection [2]. Women who deliver while infected rarely transmit the infection to the neonate, in whom it may present vaginally or, rarely, in the respiratory tract. The incidence and prevalence appear higher among African-American women and, not surprisingly, among commercial sex-workers.

Infection is detected in about three-quarters of the male sexual partners of infected women [4] , and re-infection is common [5]. Nonvenereal acquisition by adults is very rare. Cure rates are demonstrably improved if sexual partners are treated simultaneously.

Some estimates suggest that the incidence of trichomoniasis in the US may have gradually decreased over the last 40 years. This may be due to the large amount of metronidazole and other imidazoles used in the same population for the treatment of bacterial vaginosis. Although usually carried asymptomatically by men, T. Some studies suggest that male circumcision may reduce the likelihood of transmission [7]. Jeanne M.

Marrazzo, Michael A. Pharyngeal gonococcal infection is acquired by receptive oral sex but probably rarely, if ever, by kissing. Almost all pharyngeal infections are asymptomatic, but rare cases may cause overt pharyngitis. The importance of documenting pharyngeal gonorrhea is debated, and several factors argue against routine screening or diagnostic testing in the general sexually active adult population.

Most cases are asymptomatic and resolve spontaneously, pharyngeal infection is probably less transmissible than rectal or genital gonorrhea, and the pharynx is rarely the only infected site. Furthermore, pharyngeal non—culture-based diagnostic assays for identification of N. Food and Drug Administration FDA , although they have been validated by numerous health department and several commercial laboratories.

On the other hand, pharyngeal infection can be symptomatic and is sometimes the source of transmission to sex partners, especially among MSM, or of systemic dissemination of N. Current recommendations are to routinely test for pharyngeal infection in HIV-infected people who report receptive oral sex, and many experts recommend routine pharyngeal screening in MSM given the continued high incidence of disease in this group. Oral, pharyngeal and tonsil involvement is being reported with increasing frequency particularly among homosexuals and heterosexuals practising oral sex.

Infection of these sites is acquired primarily by fellatio and infrequently by cunnilingus. Lesions in other parts of the mouth are described as showing fiery erythema and sometimes oedematous, perhaps with painful superficial ulceration of the tongue, gingiva, buccal mucosa, hard or soft palate. The inflamed mucosa may also be covered with a yellowish or greyish exudate, which when detached may leave a bleeding surface. A throat swab should be taken for Gram staining to show polymorphs containing Gram-negative diplococci.

Confirmation is by culture and sugar fermentation to aid differentiation of species. Rapid identification of gonococci by fluorescent antibody techniques is possible. Patients hypersensitive to penicillin can be treated with co-trimoxazole. Many strains are resistant to penicillin in parts of Africa and the Far East. Tetracycline or cefazolin—probenecid and streptomycin or spectinomycin may be used. Lindsay Montague, Condyloma is usually diagnosed in teenagers and young adults, but all ages are susceptible. Oral lesions occur most frequently on the lip mucosa, the lingual frenum, and the soft palate, all points of potential trauma during cunnilingus and fellatio.

Many lesions have a mild semitransparency to the surface nodules. Condylomata tend to be larger than papillomas and are characteristically multiple and clustered. The average lesional size is 1. Even large oral condylomata are seldom elevated more than a few millimeters above the surface.

The relevance of oral sex as a component of premarital sex was considered earlier in the chapter, with evidence that it has increased to some extent as a substitute for vaginal intercourse in teenagers see p. What part does oral sex play in married and co-habiting relationships? For fellatio oral stimulation of the penis the percentages were very similar for no experience The higher prevalence in the younger age and single groups is consistent with there being an increase in this behaviour in recent years. The higher frequency in co-habiting than in married couples is consistent with co-habiters having less traditional sexual attitudes.

John E. Cervicitis accompanied by demonstrable EBV-infected epithelial cells in cytological preparations was documented in some 5 of 28 women studied Sixbey et al. In this latter case, and several of the former group, cunnilingus apparently occurred, although its causative contribution to the infection is not known. Recently, a of EBV-associated lymphoepitheliomas of the uterine cervix in Asian women were reported Tseng et al. Pancreatitis and abrupt-onset insulin-requiring diabetes mellitus have been reported in individual cases of IM, and a causative association has been suggested Craighead, Reports of cases of this type are exceedingly rare.

Horn et al. This observation supports the concept of viral mimicry of key human proteins in the pathogenesis of this disease. Download as PDF. Set alert. About this . Physical and Chemical Injuries Brad W. View chapter Purchase book. Neisseria Gonorrhoeae Infections Matthew R. Neisseria gonorrhoeae Gonorrhea Jeanne M. Apicella, in Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases Eighth Edition , Pharyngeal Infection Pharyngeal gonococcal infection is acquired by receptive oral sex but probably rarely, if ever, by kissing.

Tropical Oral Health Raman Bedi, Crispian Scully, in Manson's Tropical Infectious Diseases Twenty-third Edition , Gonorrhoea Oral, pharyngeal and tonsil involvement is being reported with increasing frequency particularly among homosexuals and heterosexuals practising oral sex. Lesions of the Oral Cavity Lindsay Montague,

Cunnilingus sites

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