Oral Warts: Symptoms and Concerns After Oral Sex - Dermatology

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Oral cauliflower?


I'm not a doctor, but if you have noticed red spots and a larger bump under your tongue after having unprotected oral sex, it could be a sign of a sexually transmitted infection (STI) or another condition.
It's important to consult a healthcare professional for an accurate diagnosis and appropriate treatment.
They can perform an examination and may recommend tests to determine the cause of your symptoms.

Niming, 20~29 year old female. Ask Date: 2016/08/17

Dr. Wu Yuxin reply Dermatology


The Medical Act stipulates that "a physician may not administer treatment or prescribe medication without personally examining the patient," and therefore, online diagnosis is also not permissible.
If you are experiencing significant distress, it is advisable to seek medical attention promptly.

Reply Date: 2016/08/17

More Info


Oral warts, commonly associated with the human papillomavirus (HPV), can indeed develop in the oral cavity following unprotected oral sex. The symptoms you describe, such as the presence of red spots and a larger bump under the tongue, could potentially be indicative of oral warts, but they could also represent other conditions, such as irritation, infections, or other benign lesions.

HPV is a sexually transmitted infection that can lead to the development of warts in various parts of the body, including the oral cavity. Oral warts may appear as small, flesh-colored or red bumps, and they can sometimes be mistaken for other types of lesions. The fact that you engaged in unprotected oral sex increases the risk of HPV transmission, especially if your partner is infected.

It's important to note that not all bumps or lesions in the mouth are warts. Other conditions, such as canker sores, oral thrush, or even allergic reactions, can cause similar symptoms. The presence of a larger bump could also suggest a different type of lesion that may require further evaluation.

Given your symptoms and the recent history of unprotected oral sex, it is advisable to seek medical attention. A healthcare provider, preferably one specializing in dermatology or otolaryngology (ear, nose, and throat), can perform a thorough examination of your oral cavity. They may use visual inspection and, if necessary, a biopsy to determine the nature of the lesions.
In addition to a physical examination, your healthcare provider may also recommend testing for sexually transmitted infections (STIs), including HPV, to assess your overall sexual health. Regular screening is crucial, especially after engaging in high-risk behaviors.
If the lesions are confirmed to be warts, treatment options may include topical medications, cryotherapy (freezing the warts), or surgical removal, depending on the size and number of warts present. It's also important to discuss preventive measures, such as the HPV vaccine, which can significantly reduce the risk of HPV-related diseases, including oral warts and cervical cancer.

In summary, while the symptoms you describe could potentially be oral warts, it is essential to have them evaluated by a healthcare professional to obtain an accurate diagnosis and appropriate treatment. Early intervention can help manage any potential complications and provide peace of mind regarding your sexual health.

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