For all clients who practice oral sex, counselors can stress the importance of not taking semen into the mouth, regardless of whether it is swallowed. Counselors can strongly suggest that clients use condoms during oral sex. While many clients may resist using condoms, counselors may be able to lessen this hesitation by determining the reasons for resistance. The client may simply have never considered using a condom during oral sex. While condom use during oral sex is not yet widely popular and it still meets with resistance, counselors can suggest that many people have accepted condoms during oral sex after using them regularly.
Oral sex is definitely on there, but it's below unprotected anal sex and needle sharing.
Often times I ask the client where he or she would place behaviors on the staircas and we can discuss this. Counselors can also discuss the risk of ulcerations in the throat or gums from oral sex, and clients should be aware that blood from the mouth can enter a man's urethra, or ulcerated sites of the penis. In oral sex performed on women, blood from the mouth can enter the vagina. Discussion should also include an explanation of the danger of gum disease, which is an important concern that a client may have previously dismissed or not seriously considered. A counselor can stress the importance of regular examinations by a dentist to maintain and improve oral health.