STD Awareness: Can I Get Gonorrhea from Kissing?

Not all types of kissing feature the exchange of saliva.

Some pretty depressing news hit a couple of months ago, when headlines proclaimed kissing could allow gonorrhea to jump from one person to another.

We already knew gonorrhea could be transmitted during oral sex — a terrible fact, given that most people don’t use condoms or dental dams during oral sex. And we knew that oral gonorrhea is more likely to develop drug resistance, which could be helping to drive the possibly untreatable gonorrhea of the near future.


Mouth-to-mouth kissing could be transmitting gonorrhea right under our noses — literally.


Gonorrhea is most famous as an infection of the cervix or the urethra. But the bacteria that cause gonorrhea can thrive in other warm, moist areas of your body — not just the reproductive tract, but also in the mouth, throat, eyes, and anus. Unprotected oral sex can allow those bacteria to travel in either direction between one person’s genitals and another person’s throat.

But what about mouth-to-mouth kissing, like French kissing? Is that enough to allow these bacteria to hitch a ride from one mouth to another? Previous research, using a mathematical model, estimated that mouth-to-mouth contact might be a significant — and underappreciated — mode of gonorrhea transmission. But that was a mathematical model, a sophisticated equation using what we know about a population’s gonorrhea prevalence and sexual behavior to estimate how frequently the infection is transmitted from one mouth to another. Continue reading

Teen Talk: What Is Kissing Disease?

kissing diseaseIf you’re a total dork like me, you might have some plush microbes hanging out on your desk or in your bedroom. The one that represents Epstein-Barr virus is especially adorable (look to your right and try not to coo in delight!). I just want to grab it, cuddle up to it, and fall asleep in its pillowy purple-pink embrace.

In reality, Epstein-Barr virus, or EBV for short, is not the most warm-and-fuzzy microbe of the bunch. I’d way rather have a cold. Why? Because EBV causes mono, which is more whimsically known as the kissing disease. And, despite that cute moniker, kissing disease can be most unpleasant.


Take it from one mono survivor: “Mono stinks!”


First, an explanation of why mono is also called the kissing disease. Merely being in the presence of someone with mono won’t put you at risk, even if you’re both in the same room — you need to be actively swapping spit with them to be exposed to the virus. Kissing is probably the most famous way for two people to exchange saliva, but sharing cups, eating utensils, or toothbrushes can do it, too. After exposure to the virus, symptoms could show up in 4 to 6 weeks.

Second, an explanation of why mono can be so terrible. While not all teenagers and young adults who are infected with EBV will develop symptoms, those who do probably won’t enjoy the experience. Symptoms include extreme fatigue, head and body aches, sore throat, and fever. It’s bad enough to have those symptoms for a few days, but mono might seem to go on and on with no end in sight. Most people are better in 2 to 4 weeks, but even then it could take another few weeks to get back to 100 percent. And some unlucky people can experience these symptoms for six months or even longer! In addition to these nasty symptoms, serious complications are possible. Continue reading