HomeAnswersDentistryanugWhat is the chance of getting trench mouth or ANUG in oral sex?

What is the likelihood of ANUG in my partner due to oral sex?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Beryl F

Medically reviewed by

iCliniq medical review team

Published At December 18, 2019
Reviewed AtDecember 18, 2019

Patient's Query

Hello doctor,

I would like to ask what is the likelihood that my partner who performs oral sex on me has trench mouth or acute necrotizing ulcerative gingivitis? He has no bad breath and he was able to have normal food. Can people with trench mouth have no bad breath and is able to eat normal food?

Answered by Dr. Beryl F

Hello,

Welcome to icliniq.com.

I understand your concern. Trench mouth or acute necrotizing ulcerative gingivitis (ANUG) is a bacterial infection and is uncommon nowadays but it is highly associated with HIV infection and in kids with nutritional deficiencies. To be diagnosed with trench mouth or ANUG, symptoms like gum necrosis and ulceration, pain and bleeding (on just touching the gums) should be present. The main characteristic feature is fetid or the putrid odor which is caused due to the rotting gum tissue. And people diagnosed with ANUG has this odor, unless if they are under treatment in a very initial stage.

It is certainly difficult for people with ANUG to eat a portion of normal or even less spicy food if they are not under treatment. It is treatable within a week by the usual antibiotic regimen and medicated mouth rinses. Gum infection such as this cannot occur only by fellatio. If your partner is diagnosed with immunocompromised diseases, respiratory infection, poor nutrition or has the habit of smoking, practice caution during the act. Proper protection and oral hygiene practices will prevent such infections.

I hope this helps.

Patient's Query

Thank you doctor,

Actually my concern is whether it is possible for him to bleed spontaneously while performing oral sex on me? I have checked my penis, but no sign of blood or stain. In your opinion, what causes the gum to bleed spontaneously without any cuts or touching?

Answered by Dr. Beryl F

Hello,

Welcome back to icliniq.com.

Yes, it is absolutely possible for the gums to bleed during the act on certain systemic and dental conditions which cause gum infection and weakness.

1. Hemophilia (bleeding disorder).

2. Gingivitis - Inflammation of the gums due to deposits. Gums may appear normal but when negative pressure is given inside our mouth, gums start to bleed spontaneously. Negative pressure as in the pressure which we use to rinse our mouth or when sucking. Sometimes, the deposits may not be visible to our eyes. It could be deep inside and covered by gums. Hence bleeding comes out only on negative pressure. Deep scaling and polishing procedure will be required to remove the deposits which stop the bleeding. Bad breath is not always associated with this gingivitis.

3. ANUG - The most common reason for spontaneous bleeding and is usually accompanied by bad breath. You will also notice white dead and rotting tissues on the gums and the gums will have reddish ulcerated areas.

These are the most common reasons to notice bleeding on the gums. If it is not hemophilia, it should certainly come from gum weakness.

I hope this helps.

Patient's Query

Thank you doctor,

But I also read that the hemophilia, gingivitis, and ANUG that you have mentioned come with heavy bleeding and for people with hemophilia will have excessive and prolong bleeding. Is it right? Should I be concerned if my penis has no blood stain from him and tasted no blood during makeout?

Answered by Dr. Beryl F

Hello,

Welcome back to icliniq.com.

Gingivitis and ANUG bleeds but not heavy. If there is no bloodstain, then the bleeding might be minimal. Sometimes little quantity of blood mixes with our saliva (during spitting out the blood) and appears as if it bled heavily.

You should be concerned only if your partner is diagnosed with an STD (sexually transmitted disease). And STD does not spread through saliva but will surely spread through blood products. And yes, people with blood disorders like hemophilia and leukemia might bleed heavily.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Beryl F
Dr. Beryl F

Dentistry

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