Email 549: Oral Sex and Hepatitis

Posted by Pozziepinoy on 9:33 AM

good day sir ,,,tanong ko lang po kung pwede po ako mahawaan ng heap b tru oral sex ?kasi kinakabahan po kasi  ako ,,,,,kasi nagkaroon po ako ng oral sex exp at nagulat po ako ksi mataas po ang aking bilirubin ,,,,sana po maliwanagan niyo po ako ,,,,


Good day.

I would like to ask if I can get hepatitis thru oral sex? I am scared because I had an oral sex and I got scared because my bilirubin level is high. I hope you can enlighten me.


Hi there.

Thank you for your email. Thank you for sharing your concern.

I am no doctor so I made a research for you. 

One cause of an increase in bilirubin is an acute hepatitis. Now when it comes to oral sex, this is what I found out:

The risk of contracting viral hepatitis through oral sex is different for each viral strain:
  • Hepatitis A Risk – The Hepatitis A virus is highly concentrated in the feces. Unfortunately, it will almost inevitably be present on apparently clean anal skin of infected individuals. Thus, there is a substantial risk in acquiring Hepatitis A from analingus. Several epidemic outbreaks have been reported among gay men, but heterosexual couples practicing analingus are just as likely to be at risk.
  • Hepatitis B Risk – The Hepatitis B virus can cause chronic liver disease – and has the potential to be fatal. Considered to be 100 times more infectious than HIV, Hepatitis B viral particles are in semen, vaginal secretions, stool, tears, saliva, sweat and blood (including menstrual blood). There is clear evidence that Hepatitis B can be transmitted through vaginal and anal intercourse, but it is unproven whether it can be transmitted through oral sex. Since it is so contagious, there is a theoretical risk of transmitting Hepatitis B through cunnilingus, fellatio or analingus.
  • Hepatitis C Risk – The Hepatitis C virus can also cause chronic liver disease with a potential for being fatal. Transmitted via blood-to-blood contact, this illness is harder to acquire from sexual contact. While there is little evidence proving Hepatitis C acquisition through oral sex, a theoretical risk exists if there is any blood present in the giver or receiver. Thus, a risk of transmitting Hepatitis C via cunnilingus, fellatio or analingus exists if there is any menstrual blood, bleeding gums, a throat infection, cold sores, canker sores, genital warts, hemorrhoids or any other breaks in the skin in any involved body structure – vagina, clitoris, labia, penis, testicles, anus, perineum, lips, tongue or anywhere else on the genitalia or inside the mouth.

My advice now is for you to go to a gastro intestinal (GI) doctor, a liver doctor or an infectious disease doctor so they can fully assess your condition. Also refrain from any possible sexual contact for the mean time until you know what you have.

I hope I was able to answer your concerns. Feel free to email me again if you have other questions.

Stay healthy,

NO PLHIV is alone with his or her struggle with HIV!"


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