HPV and Oral Warts: Risks and Symptoms Explained - Urology

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Hello Doctor: My current girlfriend has developed genital warts near her anus.
On December 14th, I performed manual stimulation on her, and my mouth later came into contact with her secretions.
What is the likelihood of me contracting genital warts orally? What does early-stage genital warts look like in the mouth? I have read a lot of information online about genital warts; do I need to wait for visible lesions to seek treatment, or can I go for an evaluation now? Which specialty should I consult for oral genital warts? Since my girlfriend and I did not have sexual intercourse, is there a chance that I could contract it on my penis? On December 17th, I examined my glans and found what appears to be pearly penile papules, which I believe I have had before.
Is it possible for genital warts to appear that quickly? I apologize for asking so many questions, and I appreciate your time in answering them.

lin, 20~29 year old female. Ask Date: 2016/12/23

Dr. Du Shixi reply Urology


Hello: The incubation period for genital warts is typically three months, but it can extend up to a year.
Condoms do not provide complete protection (they only reduce the risk).
If your hands have the virus in sufficient quantity and you touch your genital area without washing your hands, transmission can occur.
As for any abnormal growths in the oral cavity, a biopsy may be necessary for a definitive diagnosis (it's difficult to specify which specialty to consult, so I recommend visiting a larger hospital; if there are no abnormalities, the doctor may not be able to assist you).
Regarding your glans, it's better not to self-diagnose; instead, consult a urologist for a proper evaluation (also, if your girlfriend has genital warts, make sure to inform the doctor).
Thank you for your inquiry.

Reply Date: 2016/12/23

More Info


Understanding HPV and Oral Warts: Risks and Symptoms Explained
Human Papillomavirus (HPV) is a group of more than 200 related viruses, some of which can lead to the development of warts, including genital warts (also known as condylomata acuminata or "菜花" in Chinese). The risk of transmission and the potential for developing symptoms can be concerning, especially after engaging in intimate activities with a partner who has visible HPV-related conditions.

1. Risk of Transmission: In your case, since your girlfriend has genital warts, there is a possibility of HPV transmission through direct contact with her secretions, especially if your mouth came into contact with those areas. HPV can be transmitted through skin-to-skin contact, and while the risk of oral infection from such contact is lower compared to genital contact, it is still significant. The likelihood of developing oral warts (oral condylomata) depends on several factors, including the strain of HPV involved, the immune response of your body, and the nature of the contact.

2. Initial Symptoms of Oral Warts: If HPV were to infect your oral cavity, the initial symptoms might not be immediately apparent. Oral warts can appear as small, soft, flesh-colored or white bumps that may resemble cauliflower, hence the name "cauliflower warts." They can be painless or cause discomfort, particularly if they interfere with eating or speaking. However, it is important to note that not all HPV infections lead to visible warts, and many individuals may carry the virus without showing any symptoms.

3. When to Seek Treatment: If you are concerned about potential HPV infection, it is advisable to consult a healthcare professional even if you do not currently see any symptoms. Early evaluation can help determine if any lesions are present and whether they require treatment. You do not necessarily need to wait for visible symptoms to seek medical advice. A healthcare provider can perform an examination and may recommend further testing if necessary.

4. Which Specialist to See: For concerns regarding oral HPV and potential warts, you should consider visiting an Ear, Nose, and Throat (ENT) specialist or an oral surgeon. They can conduct a thorough examination of your oral cavity and provide appropriate guidance. If you have concerns about genital warts or HPV in general, a visit to a urologist or a gynecologist (for females) may also be beneficial.

5. Concerns About Other Areas: Regarding your question about whether your penis could also be affected, it is possible for HPV to infect multiple areas if there is contact with infected secretions. The presence of pearly penile papules, which you mentioned, is a common and benign condition and is not related to HPV. However, if you notice any changes or new growths, it is wise to have them evaluated by a healthcare professional.

6. Timing of Symptoms: The time it takes for HPV-related symptoms to appear can vary. Some individuals may develop warts weeks or even months after exposure, while others may never develop visible symptoms. Therefore, it is not unusual for there to be a delay in the appearance of any lesions.

In summary, while the risk of oral HPV transmission exists, especially in the context of intimate contact with an infected partner, the actual development of symptoms can vary widely. It is prudent to seek medical advice for evaluation and potential testing, regardless of whether you currently see any symptoms. Early intervention can help manage any potential issues and provide peace of mind. Additionally, discussing vaccination against HPV with your healthcare provider may be beneficial, as it can help prevent future infections with certain high-risk strains of the virus.

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