HPV Transmission Risks: Oral Sex and Worrying About Warts - Urology

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Concerns about cauliflower?


Hello Dr.
Chen, I previously inquired about the risk of contracting HPV from unprotected oral sex and found the following information on Dr.
Luo's website: "The transmission of HPV through oral sex refers to the possibility of HPV being transferred from A's genital area to B's mouth.
Conversely, it is quite difficult for HPV to be transmitted from A's mouth to B's genital area, as the oral mucosa is not a conducive environment for HPV.
Therefore, it is unlikely for HPV to be transmitted orally to cause genital warts.
You may be overthinking this.
HPV rarely causes lesions in the oral cavity and is not easily transmitted from the mouth.
After sexual activity, there are no preventive or screening measures available; you can only monitor for symptoms of genital warts.
However, as mentioned earlier, the likelihood of transmitting genital warts through oral contact is very low, so there is no need to worry."
Additionally, I am concerned about the effectiveness of the HPV vaccine for males, which can prevent up to 90% of infections, but I still worry about contracting genital warts.
The other party mentioned that there were no cuts in the oral cavity (I was the insertive partner), and it has been 8 weeks since the encounter.
I have been feeling anxious, and I read on your website that the incubation period is 6 to 8 weeks up to three months.
Is this normal? Every time I check, I feel like it is different from my past experiences.

krj, 20~29 year old female. Ask Date: 2016/07/04

Dr. Chen Jiansheng reply Urology


Hello, sir: Thank you for your guidance.
Wishing you good health.
From the first image, I did not observe any obvious signs of illness.
The second image appears to be of the anus; please refer to a colorectal specialist, as they will have more experience.
Chen Chien-Sheng, Urology Department, Xinying Hospital.

Reply Date: 2016/07/04

More Info


Understanding the transmission risks of Human Papillomavirus (HPV), particularly in the context of oral sex, is crucial for managing concerns about potential infections and associated diseases. HPV is primarily known for its role in cervical cancer, but it can also affect other areas, including the oral cavity and throat.


HPV Transmission through Oral Sex
HPV is transmitted through direct skin-to-skin contact, and while it is most commonly associated with genital contact, it can also be transmitted through oral sex. The risk of transmission during oral sex is generally lower compared to vaginal or anal intercourse, but it is not negligible. Certain strains of HPV, particularly types 16 and 18, are more closely associated with oropharyngeal cancers, which can develop in the throat, base of the tongue, and tonsils.

In your case, you mentioned being concerned about the transmission of HPV types 51, 68, and 70 through oral sex. While these types are less commonly associated with cancers compared to HPV 16, they can still lead to other health issues, including genital warts (condylomata acuminata). The likelihood of transmitting these types through oral sex is present, especially if there are micro-abrasions or lesions in the oral cavity or genital area.


Potential Health Outcomes
If HPV is transmitted to the oral cavity, it can lead to the development of oral warts, which are similar to genital warts. In some cases, persistent infection with high-risk HPV types can lead to oropharyngeal cancers. However, it is important to note that not everyone who contracts HPV will develop these conditions. The immune system often clears the virus without causing any symptoms or health issues.


Prevention and Monitoring
To mitigate the risk of HPV transmission, several strategies can be employed:
1. Vaccination: The HPV vaccine is highly effective in preventing infections from the most common high-risk and low-risk HPV types. It is recommended for both males and females, ideally before they become sexually active. While the vaccine is most effective when administered before exposure, it can still provide benefits to those who are already sexually active.

2. Regular Screening: For sexually active individuals, regular screenings for HPV and related conditions (such as Pap smears for women) are essential. Men can also benefit from discussing HPV testing with their healthcare provider, especially if they have a history of high-risk sexual behavior.

3. Safe Sex Practices: Using condoms can significantly reduce the risk of HPV transmission, although they do not provide complete protection since HPV can infect areas not covered by the condom.

4. Monitoring Symptoms: Being vigilant about any changes in your body, such as the appearance of warts or unusual lesions, is important. If you notice any concerning symptoms, seek medical advice promptly.


Conclusion
In summary, while the risk of transmitting HPV through oral sex exists, it is generally lower than through other forms of sexual activity. The types of HPV you mentioned can potentially lead to health issues, but many individuals do not experience significant problems. Vaccination, safe sex practices, and regular health check-ups are key components in managing HPV risks. If you have ongoing concerns or symptoms, it is advisable to consult with a healthcare professional who can provide personalized guidance and support.

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