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Some men can have problems reaching orgasm. These most often stem from psychological factors; for example, they are still affected by a traumatic event or a restrictive upbringing, or they have fallen into masturbation patterns that could have conditioned the body to take longer to orgasm. However, the problem also can be caused by certain medications or by a neurological or cardiovascular disease, or by having surgery where nerves are cut, says Beverly Whipple, PhD, RN, professor emerita at Rutgers University in Newark New Jersey, and past president of the American Association of Sex Educators, Counselors and Therapists (AASECT).
The chance an HIV-negative person will get HIV from oral sex with an HIV-positive partner is extremely low. However, it is hard to know the exact risk because a lot of people who have oral sex also have anal or vaginal sex. The type of oral sex that may be the riskiest is mouth-to-penis oral sex. But the risk is still very low, and much lower than with anal or vaginal sex.

Mare Simone, a certified Tantra educator, says that using your hot breath to stimulate nerve endings is an amazing way to ramp up foreplay before diving in. This works just as well with fellatio as it does with cunnilingus, too. Next time you’re going down on your partner, just take a step back to breathe on their sensitive parts before making contact. The suspense will turn them on in ways you didn’t know were possible.

Foreplay can mean the difference between a standard oral sex experience and the best. time. ever. To up the excitement, start by licking, blowing, stroking, and kissing everything but his penis. “Wait until he’s flushed, panting, and practically — or really! — begging for it. It’ll be more than worth the wait,” says Scalisi. You could also turn foreplay into a game with some Naughty Roll Play Dice ($18, babeland.com). They'll tell you exactly where to touch each other.
The dentist’s chair may seem like the last place you should be getting quizzed about your sex life, but some doctors think that should change. In an article published in January 2018 in the Journal of the American Dental Association, a group of physicians argued that dentists are in a unique position to screen for and speak with their patients about HPV-related cancers and the risks of unprotected oral sex.
Chlamydia, human papillomavirus (HPV), gonorrhea, herpes, hepatitis (multiple strains), and other sexually transmitted infections (STIs), can be transmitted through oral sex.[4][5][26] Any sexual exchange of bodily fluids with a person infected with HIV, the virus that causes AIDS, poses a risk of infection. Risk of STI infection, however, is generally considered significantly lower for oral sex than for vaginal or anal sex, with HIV transmission considered the lowest risk with regard to oral sex.[5][6][27][28]

There are several ways to reduce the risk of HIV transmission from oral sex. Naturally, some will be more acceptable than others to different individuals, so you must make your own decisions about the level of risk you find acceptable. If you would like to discuss these issues, ask to see a health adviser, or other health professional, at your HIV treatment centre or sexual health clinic. Many of the strategies below will also provide protection against other sexually transmitted infections:
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As with other types of sexual activity, oral sex carries the risk of STIs. It may be possible to get some STIs in the mouth or throat from giving oral sex to a partner with a genital or anal/rectal infection, particularly from giving fellatio. It also may be possible to get certain STIs on the penis, and possibly the vagina, anus or rectum, from receiving oral sex from a partner with a mouth or throat infection. It’s possible to have an STI in more than one area, for example in the throat and the genitals.
The surest way to not get a sexually transmitted infection from oral sex is to abstain from vaginal, anal, and oral sex or to be in a long-term mutually monogamous relationship with a partner who has been tested and is known to be uninfected. However, many infected persons may be unaware of their infection because STIs often have no symptoms and are unrecognized.
Really, this happens. In a recent BMJ case report, dentists detailed how a patient who regularly performed oral sex on men developed a strange lesion on the roof of his mouth, due to “blunt trauma” during fellatio. The sucking motion associated with fellatio may have also played a role, the authors wrote, causing blood to pool and clot in this area.
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