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Coitus and cunnilingus during pregnancy are generally safe; whereas orogenital sex involving vaginal air insufflations can be very dangerous, causing even the death of the Orogenital sex is practiced by about half of adolescents and almost all adults, but awareness of the risks associated with receiving and giving oral sex is limited and emphasis is generally put on infection via vaginal intercourses [15, 21, 37]. Vaginal insufflation in pregnant women leading to acute venous air embolism has been appreciated by obstetricians and pathologists for several decades. Initially described as a complication of powder insufflation for treatment of trichomonal vaginitis, insufflation-induced air embolism has been more recently associated with orogenital sex. orogenital sex Cases of N. meningitidis associated urethritis have been reported since the 2024s, and orogenital sex has been demonstrated as a potential mode of transmission by genotyping methods. A 22-year-old man visited a sexual health clinic for symptomatic urethritis with purulent urethral discharge and pain while urinating. She also reported a 7-day history of symmetrically distributed nonpruritic macules on her trunk and limbs. She denied any history of orogenital sex with her partner. In addition, her husband also corroborated no history of orogenital contact. On examination, she had a 2 2 cm erythematous indurated nodule with ulcer and crust on her lower lip.
Background: Venous air embolism due to orogenital sex in pregnancy is an uncommon clinical event. Case: A previously healthy, 29-week pregnant woman presented to the emergency room unconscious 1 hour after engaging in orogenital sex with her partner. The cardiology service was consulted due to troponin elevation.
