ORAL LESION SECONDARY TO ORAL SEX

Fellatio is modality of oral sex in which the penis is placed into the mouth of another person contacting the soft palate, and, sometimes, oral lesions in the contact area can be observed. Usually these lesions appear in the context of sexual abuse, but they are also seen after consensual sex, frequently in young women or homosexual men. A 24-year-old woman came to our clinic complaining of asymptomatic red petechiae on the palate. There was cervical lymphadenopathy. Oral examination revealed small red spots on the soft palate, and patient confirmed the practice of fellatio. The differential diagnosis included syphilis and blood dyscrasias. The anamnesis was noncontributory. Seven days after cessation of fellatio the oral lesions resolved. The laboratory tests were within normal values. It is important that dentists know the oral manifestations of oral sex to include this clinical hypothesis in the diagnosis of palatal lesions.