White Bump on Tongue Frenulum: Is It HPV and Can It Spread?

There is a white spot on the frenulum of the tongue?

I have small white spots on my frenulum, and I can feel something when my tongue is relaxed.
My boyfriend has genital warts, and I would like to know if I could have genital warts as well.
Is it possible to transmit them through kissing?

Ms. Chen, 20~29 year old female. Ask Date: 2016/05/08

Dr. Zheng Jueyi reply Otolaryngology

Hello! If you have concerns, it is advisable to seek medical examination.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/05/08

More Info

The presence of a white bump on your tongue frenulum can be concerning, especially given your partner's history of genital warts caused by the human papillomavirus (HPV). However, it's essential to understand that not all white bumps in the oral cavity are indicative of HPV or genital warts.
HPV is a virus that can cause various types of lesions, including genital warts (condylomata acuminata) and certain types of oral lesions. While HPV types 6 and 11 are commonly associated with genital warts, they can also be responsible for oral lesions. However, the majority of oral HPV infections do not lead to visible symptoms or lesions.
The white bump you are experiencing could be due to several reasons, including:
1. Frictional Keratosis: This is a benign condition that can occur due to irritation or friction in the oral cavity. It often appears as a white patch or bump and is not infectious.

2. Oral Candidiasis: Also known as thrush, this fungal infection can cause white patches in the mouth, including on the tongue and frenulum.

3. Fordyce Spots: These are small, painless, pale bumps that are actually sebaceous glands and are completely harmless.

4. Oral HPV: If the bump is indeed caused by HPV, it is essential to note that HPV can be transmitted through oral sex, and lesions can appear in the oral cavity.

Regarding your concern about transmission through kissing, while HPV is primarily transmitted through skin-to-skin contact, it is possible for the virus to be transmitted through oral contact, especially if there are visible lesions. However, the risk of transmission through kissing is generally considered lower compared to sexual intercourse.

If you are worried about the possibility of having HPV or any other oral condition, it is crucial to consult a healthcare professional for an accurate diagnosis. They may perform a physical examination and, if necessary, a biopsy to determine the nature of the bump.
In terms of prevention, vaccination against HPV can significantly reduce the risk of developing HPV-related diseases, including genital warts and certain cancers. If you have not been vaccinated, it may be worth discussing with your healthcare provider.

In summary, while there is a possibility that the white bump on your tongue frenulum could be related to HPV, it is essential to have it evaluated by a healthcare professional to determine the exact cause. Early diagnosis and appropriate management are key to addressing any potential health concerns.

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