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Clueless on STDs, Throat Cancer, and Oral Sex
US News & World Report ^ | February 19, 2008 | Bernadine Healy M.D.

Posted on 03/04/2008 9:09:25 AM PST by Mrs. Don-o

There's an argument out there that oral sex is not sex. For some grown-ups, it's a way to deny that they're cheating. To some young people, oral sex preserves virginity—technically speaking—and allows for what is perceived as risk-free sexual intimacy.

From a medical perspective, however, this is sex—and generally, as practiced, it's unsafe. People seem clueless that sexually transmitted diseases such as herpes, gonorrhea, chlamydia, and human papillomavirus can take hold in parts of the oral cavity during sex with infected partners and that the oral contact can infect the genitals, too. HPV is a particularly scurrilous threat, since it incubates silently in the back of the mouth and is now linked to a dangerous form of throat cancer in both men and women similar to the one that arises in the cervix.

Head and neck cancers, which can attack the mouth, nose, sinuses, and throat, have been diseases of people over 50 with a history of heavy smoking and drinking. Thanks to the decrease in smoking and use of chewing tobacco, these disfiguring cancers are in steady decline.

However, this triumph of prevention is clouded by an unexpected increase in oropharyngeal cancer, which develops in the tonsils and the base of the tongue and is apt to show up in those who don't smoke or drink heavily, and in younger people. Earlier this month, researchers from Johns Hopkins reported in the Journal of Clinical Oncology that between 1973 and 2004 there had been a near doubling of the incidence of these HPV-related oral cancers among people in their 40s.

It doesn't take Sherlock Holmes to figure out that this rise in oropharyngeal cancer is linked to changing sexual practices and, in particular, ones that involve bathing the throat with HPV-infected fluid. Increasingly, scientists are implicating HPV-16, and in some cases 18, the same ones that causes cervical cancer.

In 2006, a Swedish study of preserved surgical specimens from excised oropharyngeal cancers going back over 30 years identified HPV-16 in less than a quarter of specimens removed in the 1970s. By the 1990s, the proportion was 57 percent. After 2000, it was 68 percent. In 2007, a study published in the New England Journal of Medicine found HPV-16 in 72 percent of oropharyngeal cancers in the United States. Not proof, but based on correlations with sexual behavior, and an abundance of similar findings both here and around the world over the past few years, there is credible if not alarming medical concern that the infection is being acquired through unprotected oral sex.

That our children might be at growing risk for this deadly cancer is particularly unnerving. Health surveys indicate that well over half of American teens now engage in oral sex, with about 10 to 20 percent claiming "technical virginity." Pediatricians will tell you that this behavior is fueled by the adolescents' belief that oral sex is risk-free play, making it more common and acceptable. But few practice it safely. Some of this is anecdotal. But British researchers determined that more than 80 percent of university students ages 16 to 21 failed to protect themselves with condoms during oral sex. This is an age group well known for diligently using them during vaginal sex.

Granted, the major risk for STDs comes with vaginal sex, but the relative ease and growing frequency of oral sex among those engaging in casual "hookups" is a virtual epidemic in the making. Providing our young people with graphic medical information and stern parental and medical guidance is long overdue. As with all sex education, the abstinence message should be foremost and explicit. But it's not enough. They must also know that safe sex applies to sex by mouth, too. And, that's a message for all ages, unless one has a single faithful partner.

Concern about the growing risk of oropharyngeal cancer also bears on the use of the new HPV vaccine, Gardasil, which protects against HPV-16 and 18. Currently it's approved for young women only. Yet men contract, carry, and transmit HPV and develop HPV-related genital cancers, though far less commonly than do women. But, when it comes to HPV-related tonsil and tongue cancer, men are at greater risk than women. This should provide strong impetus for an HPV vaccine that works for men, too—an effort that's taking an inexplicably long time. Before anyone thinks, however, that a cancer vaccine will deliver a free pass on risky behavior, just imagine for a moment what a rip roaring case of pharyngeal gonorrhea might look like. It's not pretty.


TOPICS: Culture/Society; News/Current Events
KEYWORDS: bernadinehealy; cancer; clintonlegacy; death; homosexualagenda; infection; moralabsolutes; oralsex; promiscuity; safesex; sex; sexeducation; std
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To: Sirloin; Moleman; NEBO
Yeah, depositing your semen down somebody's throat, or up their butt, is perverted. Dude! That's not the way you're spozed to do it! It's --- not to put too fine a point on it --- so gay.

The semen is supposed to go in your wife's genital tract. You didn't know his? What are you, 8? Do I need to draw a picture?

41 posted on 03/04/2008 10:37:04 AM PST by Mrs. Don-o (Make love. Accept no substitutes.)
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To: LADY J
I watched a program where young teen girls where using Lewinsky's’s to keep their boyfriends happy and it seemed like a race to keep them happy as everyone was into this “accepted” behavior.
42 posted on 03/04/2008 10:38:51 AM PST by mcshot (Missing my grade school desk which protected from nuclear blasts.)
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To: Dumb_Ox

Re: unnatural practice

Ever hear of the Kama Sutra?


43 posted on 03/04/2008 10:39:36 AM PST by Red in Blue PA (Truth : Liberals :: Kryptonite : Superman)
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To: Dumb_Ox
Well of course it IS sodomy, whether they're married or single, male/male or male/female, gay or straight.

The impeachment was not, of course, about this sort of sexual imbecility. It was about perjury and obstruction of justice. The one realy refrettable thing about it was that the House didn't convict, and therefore Clinton survived politically. He should have been submerged in the stink of ignominy, permanently.

44 posted on 03/04/2008 10:43:07 AM PST by Mrs. Don-o (Make love. Accept no substitutes.)
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To: Mrs. Don-o

Yowser!


45 posted on 03/04/2008 10:56:13 AM PST by stevio (Crunchy Con - God, guns, guts, and organically grown crunchy nuts.)
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To: Mrs. Don-o
Brilliantly stated.

Sad that it's necessary.

46 posted on 03/04/2008 11:02:50 AM PST by ArrogantBustard (Western Civilization is Aborting, Buggering, and Contracepting itself out of existence.)
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To: SupplySider

You’ll need to substantiate that assertion reagrding Newt, with a documented source please. I’m calling BS on this one you’re trying to peddle, re Newt.


47 posted on 03/04/2008 11:06:41 AM PST by MHGinTN (Believing they cannot be deceived, they cannot be convinced when they are deceived.)
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To: Moleman
Oral is perverted? What are you 100?

If you want to live to be 100, oral and esophogeal cancers aren't a good way to get there.
48 posted on 03/04/2008 11:16:18 AM PST by Antoninus (Tell us how you came to Barack?)
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To: Red in Blue PA; Dumb_Ox

Kama Sutra? Oh yeah! It’s got such neat information on courtship and sexual pleasure, and also -— pay attention -— on polygamy, concubinage, prostitution, the process of seducing others’ wives, the acquisition of desirable girls as slaves, and the tactical and strategic infliction of pain to control women’s behavior (as I remember from my college paper on the subject.)

If this is the owner’s manual, I wouldn’t want myself or my female kin to be the property.


49 posted on 03/04/2008 11:22:25 AM PST by Mrs. Don-o (Make love. Accept no substitutes.)
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To: Resolute Conservative

Pray for her future husband and his parents.


50 posted on 03/04/2008 11:23:42 AM PST by MrB (You can't reason people out of a position that they didn't use reason to get into in the first place)
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To: uncbob
You have to be down right brainless not to consider the results

Most of these poor kids have been liberally indoctrinated into the idea that there aren't, or shouldn't be, any consequences for behavior, especially sexual behavior.

51 posted on 03/04/2008 11:24:48 AM PST by MrB (You can't reason people out of a position that they didn't use reason to get into in the first place)
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To: ArrogantBustard

Check the tagline.


52 posted on 03/04/2008 11:24:56 AM PST by Mrs. Don-o ("The act of defending any of the cardinal virtues has today all the exhilaration of a vice. " GKC)
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To: Red in Blue PA

Heck, forget the Kama Sutra, read the Song of Solomon.

It’s there if you can read the imagery.


53 posted on 03/04/2008 11:26:51 AM PST by MrB (You can't reason people out of a position that they didn't use reason to get into in the first place)
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To: MrB

Um, are you actually claiming that sodomy is to be found extolled in The Song Of Solomon in the Bible?


54 posted on 03/04/2008 11:28:04 AM PST by MHGinTN (Believing they cannot be deceived, they cannot be convinced when they are deceived.)
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To: Mrs. Don-o
I wonder how many people have ever read it. I know I haven’t, and I’d be willing to bet that not very many others have, either. Yet it’s brought up surprisingly often in some conversations, as though it legitimizes certain behaviours.
55 posted on 03/04/2008 11:30:15 AM PST by trisham (Zen is not easy. It takes effort to attain nothingness. And then what do you have? Bupkis.)
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To: mcshot

I saw a documentary where they also were having contests on who could give the best ones and they would service each others’ boyfriends to judge.


56 posted on 03/04/2008 11:31:15 AM PST by Resolute Conservative
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To: MHGinTN

4:16 Awake, O north wind; and come, thou south; blow upon my garden, that the spices thereof may flow out. Let my beloved come into his garden, and eat his pleasant fruits.

There is another for the reciprocal, but I didn’t find it right off.


57 posted on 03/04/2008 11:34:11 AM PST by MrB (You can't reason people out of a position that they didn't use reason to get into in the first place)
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To: Resolute Conservative

Unbelievable!


58 posted on 03/04/2008 11:37:23 AM PST by mcshot (Missing my grade school desk which protected from nuclear blasts.)
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To: Dumb_Ox
is this another gay disease we will have to pretend threatens everybody?

Not entirely, of course. The fact that HPV is the primary cause of cervical cancer demonstrates that it's being transmitted to women, presumably in the usual fashion by men. However, the incidence of HPV-related throat cancers in men can be assumed to be largely the result of homosexual behavior.

59 posted on 03/04/2008 11:38:46 AM PST by Tax-chick (I am snide and not intellectual today. How are you doing?)
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To: MrB

Somehow, I think you must be ‘gay’ to believe that extolls sodomy, oral or anal.


60 posted on 03/04/2008 11:45:11 AM PST by MHGinTN (Believing they cannot be deceived, they cannot be convinced when they are deceived.)
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