Oral sex or fellatio can cause palatal petechiae, typically causing asymptomatic lesions on the soft palate.
However, diagnosis may be challenging since many people may be unaware of what is causing the petechiae or reluctant to disclose information regarding their sexual history.
What is palatal petechiae?
Palatal petechiae are small, pinpoint spots of hemorrhage that can be caused by negative pressure, the activation of the gag reflex, and/or physical force from the fellatio. The petechiae typically affect the soft palate or the junction of the hard and soft palate, often dispersed bilaterally.
Typically, fellatio-related palatal petechiae resolve in 1-2 weeks without causing more damage.
How common is fellatio-related palatal petechiae?
Palatal lesions associated with fellatio have mostly been documented in women.
However, these lesions can develop in men or children who have experienced sexual abuse. In the U.S., more than 80% of people ages 15-44 have engaged in oral intercourse with a partner of the opposite sex. Only 5% of men in this age group have engaged in oral intercourse with other men.
Despite the prevalence of oral sex, there are not many reports of fellatio-related palatal petechiae in scientific literature. Along with petechiae, palatal lesions, such as ecchymosis, nonhemorrhagic erythema (with or without candidiasis), ulcers, vesicles, and papules have been linked to fellatio.
How does palatal petechiae develop?
Palatal petechiae and purpura associated with fellatio are likely the results of multiple factors. Direct and vigorous contact between the penis and the palate may cause mucosal damage, submucosal vascular rupture, and bleeding.
One case report highlighted that petechial hemorrhages were secondary to an acute reflex palatopharyngeal spasm brought on during fellatio. However, the report asserted that the simultaneous “negative pressure induced during irrumation” plays a part in the mechanism of injury, leading to soft palate mucosal petechiae.
Additional clinical data are consistent with the hypothesis that negative pressure is a substantial factor in the etiology of palatal petechiae. Researchers had previously observed petechiae and erythema on the lips and palates of children who frequently sucked drinking glasses.
Infectious disorders may be linked to fellatio. A person who experiences irrumation-induced submucosal bleeding could be dealing with a sexually transmitted disease at the same time.
How is palatal petechiae diagnosed?
A biopsy is not required to confirm a diagnosis of palatal petechiae unless there is a suspicion of other causes. Other conditions that can cause palatal petechiae may include:
- Blood disorders
- Antithrombotic drug therapy
- Viral or streptococcal infections
- Severe vomiting and coughing
If the diagnosis of fellatio-associated trauma cannot be made, more testing may be required:
- Complete blood counts with platelets and other coagulation studies to look for blood dyscrasias
- Serologic studies and cultures for Epstein-Barr virus and beta-hemolytic streptococcus infection
- Radiologic studies (such as roentgenograms, computerized axial tomography, and/or MRI) to look for nasopharyngeal carcinoma
How is patatal petechiae treated?
Submucosal bleeding caused by irrumation of the palate heals in less than 7-14 days. Therefore, there is no need to treat the palatal lesion. The lesions could come back after new instances of receptive oral sex.
To avoid the future development of petechiae and purpura associated with fellatio, the person must understand the cause of the oral lesions.
SEXUAL OFFENSES, ADULT | Injuries and Findings after Sexual Contact. https://doi.org/10.1016/B0-12-369399-3/00327-X
8 - Physical and Chemical Injuries. https://doi.org/10.1016/B978-0-323-55225-7.00008-7
Fellatio-associated petechiae of the palate: report of purpuric palatal lesions developing after oral sex. https://escholarship.org/uc/item/5w0346ch
Top Does Oral Sex Cause Palatal Petechiae Related Articles
Does Sex Speed Aging?There is no scientific evidence to suggest that engaging in sexual activity can speed up the aging process. In fact, some research has suggested that regular sexual activity may have a number of health benefits, such as improving cardiovascular health, boosting the immune system, and reducing stress. Still, it is important to practice safe sex in order to reduce the risk of sexually transmitted infections and unintended pregnancies.
How Do You Cure Petechiae?Petechiae spots typically go away on their own or with simple home remedies; however, sometimes, medical treatment is necessary. Check out the center below for more medical references on skin conditions, including multimedia (slideshows, images, and quizzes), related disease conditions, treatment and diagnosis, medications, and prevention or wellness.
Mouth LesionsMouth lesions are the abnormal patches, sores, or altered texture of the mouth lining. The various mouth lesions include cuts, lumps, bumps, or ulcers (firm white patches over the mouth, lips, gums, and throat).
Sexual HealthSexual health information including birth control, impotence, herpes, sexually transmitted diseases, staying healthy, women's sexual health concerns, and men's sexual health concerns. Learn about the most common sexual conditions affecting men and women.
Sexual Health: Safe Sex Mistakes to AvoidEveryone makes mistakes. But when it comes to sex, they can be costly. WebMD explores common safe sex slip-ups.
Sexual Health: Common Sex Injuries and Other HazardsSex is supposed to be pleasurable, but make the wrong moves in the bedroom, and it can hurt.
Skin Problems and Treatments: Causes of Skin LesionsStrange spots on your skin? Find out some of the common causes of skin lesions.
What Are Mouth Lesions?Mouth lesions are the abnormal patches, sores, or altered texture of the mouth lining. The various mouth lesions include cuts, lumps, bumps, or ulcers (firm white patches over the mouth, lips, gums, and throat).
What Deficiency Causes Petechiae?Vitamin C and K deficiencies can lead to petechiae. Learn about causes of petechiae and when to see a doctor about your symptoms.