If you are living with HIV, there is a higher risk of passing on HIV through someone performing oral sex on you, if you are not taking treatment and if you also have an untreated sexually transmitted infection. If you don't have HIV and you are performing oral sex on someone who does have HIV, you are at more risk of acquiring HIV if you have cuts, sores or abrasions in your mouth or on your gums. There is also more risk if you have an infection in your throat or mouth which is causing inflammation.
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^ Jump up to: a b Tan, Min; Gareth Jones; Guangjian Zhu; Jianping Ye; Tiyu Hong; Shanyi Zhou; Shuyi Zhang; Libiao Zhang (October 28, 2009). Hosken, David, ed. "Fellatio by Fruit Bats Prolongs Copulation Time". PLoS ONE. 4 (10): e7595. Bibcode:2009PLoSO...4.7595T. doi:10.1371/journal.pone.0007595. PMC 2762080. PMID 19862320. Retrieved October 28, 2009.
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Clinical research has tentatively linked fellatio with immune modulation, indicating it may reduce the chance of complications during pregnancy. The potentially fatal complication pre-eclampsia was observed to occur less in women who regularly engaged in fellatio, with those who also ingested their partner's semen being at the least risk. The results were consistent with the fact that semen contains TGF-β1, the exchange of which between partners having a causal reduction in risk of pre-eclampsia caused by an immunological reaction. It is worth noting that fellatio is not the only viable mechanism for the transmission of TGF-β1.
Despite what you may have seen in porn, you shouldn’t feel like you have to immediately jam his entire penis down your throat (or even at all). "Gagging takes you both out of the moment, and you and he will enjoy oral sex much more when you're both having fun," says Marsh. You can achieve a similar sensation by gripping the base of his shaft, and moving your hand and mouth in a rhythmic motion. (Flavored lube will make this a lot easier.)
Trust and communication are essential here. The man must exercise enough self-control to keep the thrusting comfortable and pleasurable for his lover, while the receiver must stay relaxed and receptive enough to receive the thrusts. If you want to try irrumatio, we recommend having a hand signal in place to communicate if the thrusts ever get too deep or too fast. This oral sex position can be wildly thrilling for both partners if done with respect and awareness.
A: Thanks for your question! I love talking about the nitty-gritty, but I welcome the opportunity to talk about larger topics, too. I’m all about creating a more sex-positive world, and it’s important to talk about how we can all contribute to that. Of course, I have to give the caveat that not all men approach sex the same way. That being said, there are some broad patterns I have noticed in my work with men and straight couples.