Commonly, people do not think of oral sex as affecting the virginity of either partner, though opinions on the matter vary.
[7][8][9][10] People may also have negative feelings or sexual inhibitions about giving or receiving oral sex, or may flatly refuse to engage in the practice.
[13][14] Gay men who regard oral sex as a way of maintaining their virginities view penile-anal penetration as resulting in virginity loss, while other gay males may define oral sex as their main form of sexual activity.
[2][17][18] For conception to take place, sperm from the penis must enter the uterus and fallopian tubes and fertilize the female's egg.
[19][20][21] In the United States, no barrier methods for use during oral sex have been evaluated as effective by the Food and Drug Administration.
Plastic wrap may also be used as a barrier during oral sex, but there exists no conclusive scientific research regarding how effective it may or may not be at preventing disease transmission.
Certain kinds of plastic wrap are manufactured to be microwaveable and are designed to have pores that open when heated, but there also exists no scientific research on what effect, if any, this has on disease transmission when used during oral sex.
The report comes from the results of a computer-administered survey of over 12,000 Americans between the ages of 15 and 44, and states that over half the teenagers questioned have had oral sex.
While some headlines have interpreted this as evidence that oral sex among teenagers is "on the rise", this was the first comprehensive study of its kind to examine the matter.
[26] The Centers for Disease Control and Prevention (CDC) stated in 2009: "Studies indicate that oral sex is commonly practiced by sexually active male-female and same-gender couples of various ages, including adolescents.
[5][6][14] Brushing the teeth, flossing, undergoing dental work soon before or after performing oral sex can also increase the risk of transmission, because all of these activities can cause small scratches in the lining of the mouth.
[5][6] Such contact can also lead to more mundane infections from common bacteria and viruses found in, around and secreted from the genital regions.
Because of the aforementioned factors, medical sources advise the use of condoms or other effective barrier methods when performing or receiving oral sex with a partner whose STI status is unknown.
Another study in The New England Journal of Medicine suggests a correlation between oral sex and throat cancer.
[34][35][36] Recognizing that some of the studies potentially included the presence of confounding factors, such as the possibility that women who regularly perform fellatio and swallow semen also engage in more frequent intercourse, the researchers also noted that, either way, "the data still overwhelmingly supports the main theory" behind all their studies—that repeated exposure to semen establishes the maternal immunological tolerance necessary for a safe and successful pregnancy.
[40] In contrast to historical views on fellatio, cunnilingus is revered as a spiritually fulfilling practice in Chinese Taoism, which regards it as having the ability to enhance longevity.
[43] Opposite these views, people also believe that oral sex "is one of the most intimate behaviors that a couple can engage in because it requires total trust and vulnerability.
[50][51] It has been suggested that there is an evolutionary advantage due to the tendency of primates, non-primates and humans to have oral sex.