and Managing HPV: Concerns About Oral Warts and Transmission - Dermatology

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Cauliflower (Condylomata Acuminata)


About two months ago, my girlfriend suspected she had genital warts, but I have never had this condition.
She had only been with one previous boyfriend for six years, so we are both puzzled about how she contracted it.
She later went to a large hospital, where it was confirmed to be genital warts.
She underwent electrosurgery, but unfortunately, they reappeared and increased in number.
The doctor advised her to start using Aldara (imiquimod) cream.
During this time, my girlfriend performed oral sex on me, and a few days ago, she discovered what appeared to be warts in her mouth.
I went to a urologist for an examination, but the doctor said I had no lesions.
If the growths in my girlfriend's mouth are indeed warts, which specialist should she see for further evaluation? Should we separate our utensils and food, and is it advisable to avoid kissing?

Xiao Dian, 20~29 year old female. Ask Date: 2017/01/20

Dr. Wu Yuxin reply Dermatology


If there are indeed cauliflower-like growths in the mouth, it is advisable to consult an oral surgeon.
The risk of transmission through diet is low, but kissing poses a risk.

Reply Date: 2017/01/20

More Info


Understanding and managing HPV, particularly in the context of oral warts and transmission, is crucial for both your health and that of your partner. Human Papillomavirus (HPV) is a common sexually transmitted infection that can lead to various health issues, including genital warts and certain types of cancer. Given your situation, let’s break down the concerns and provide some guidance.


Transmission of HPV
HPV is primarily transmitted through direct skin-to-skin contact during sexual activities, which includes vaginal, anal, and oral sex. It is important to note that even if your partner does not have visible warts, they can still be a carrier of the virus. This means that HPV can be transmitted even in the absence of symptoms. In your case, since your girlfriend has been diagnosed with genital warts (also known as condylomata acuminata), there is a possibility that she could transmit the virus to you through oral sex, especially if she has lesions in her mouth.


Symptoms and Diagnosis
The symptoms of oral HPV can sometimes be subtle. In some cases, individuals may develop warts in the mouth or throat, which can appear as small, raised bumps. If your girlfriend has noticed suspicious growths in her mouth, it is essential for her to see a healthcare provider who specializes in oral health, such as an oral surgeon or an otolaryngologist (ear, nose, and throat specialist). They can perform a thorough examination and, if necessary, a biopsy to determine if the lesions are indeed caused by HPV.


Precautions to Take
While your girlfriend is undergoing treatment and monitoring for her oral lesions, it is advisable to take certain precautions to minimize the risk of transmission:
1. Avoid Oral Contact: Until her condition is fully evaluated and treated, it would be wise to avoid oral sex and kissing. This will help prevent any potential transmission of the virus.

2. Separate Personal Items: It is a good idea to avoid sharing utensils, cups, or other personal items that may come into contact with saliva. This is particularly important if there are active lesions.

3. Regular Check-ups: Both you and your girlfriend should have regular check-ups with your healthcare providers. For you, this may involve visits to a urologist or a primary care physician who can monitor for any signs of HPV-related issues.


Vaccination and Future Prevention
Given the context of HPV and its potential health implications, consider discussing the HPV vaccine with your healthcare provider. The vaccine is effective in preventing the most common types of HPV that cause genital warts and certain cancers. It is recommended for both males and females, ideally before they become sexually active, but it can still provide benefits even after exposure to the virus.


Conclusion
In summary, while the situation may seem concerning, understanding HPV and its transmission can help you manage your health effectively. Encourage your girlfriend to seek specialized care for her oral lesions, and take necessary precautions to reduce the risk of transmission. Regular medical check-ups and considering vaccination can also play a significant role in managing HPV-related health risks. Communication with your partner about health concerns and preventive measures is essential for both of your well-being.

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