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Question

I would like to know if it is possible for a woman to get an STD if a man carrying the disease squirts semen in her mouth? Can she get an STD by kissing the person who has an STD? Is it possible to pick one up through masturbation, like if you masturbate in the bath?

Answer

No wonder you have lots of questions about STDs (sexually transmitted diseases)-- it's a confusing topic. At present at least 50 agents have been identified as causing STDs. Their effects can range from some irritating itching to infertility and, as in the cases of the AIDS virus and syphilis bacterium, debilitation and death. The exact identification of which bacterium, parasite, or virus may be the cause of a particular problem usually requires the collection of blood or tissue samples by a medical professional.

Getting an STD means that there is an infecting agent and a way to get into the body. Some of these organisms are microscopic and the cut or sore that is the point of entry may not be visible to the human eye. So, although fellatio (oral sex on a penis) is less risky that anal or vaginal intercourse, infected semen can be the source of an STD. Kissing is usually not a high risk activity unless there are open cuts or sores on the body, mouth and lips where those kisses land. If you are bathing in a tub or shower that has been thoroughly cleaned and do not share washcloths and towels, there is very little likelihood of STD transmission. Mutual masturbation should be safe if vaginal fluids or semen only contact unbroken skin. Solitary masturbation or self arousal to orgasm should present the fewest problems of all.

03/18/98

Dr. Al Cooper, clinical director at the San Jose Marital and Sexuality Centre (408-248-9737), runs the training program for Counseling and Psychological Services at Stanford University. Dr. Cooper is internationally known for his work in sexuality and is freqently interviewed by the media. He currently writes a column in Men's Health Magazine.

Dr. Coralie Scherer coordinates online services for the Centre and specializes in sexual trauma, women's issues, and marital therapy.