Oral and Throat HPV: Risks, Symptoms, and Treatment

Oral and throat cauliflower (also known as oral and pharyngeal papillomatosis)?

1.
Hello Doctor, I would like to ask: 1.
Is the risk of oral and throat infections, such as HPV (human papillomavirus), higher after deep kissing and oral sex (cunnilingus)? Besides HPV, what other STIs (sexually transmitted infections) are more likely to be transmitted through oral sex? 2.
Two days after oral sex, I have experienced slight discomfort in my throat, dryness in my mouth, and a strange taste on my tongue, which has persisted for a week.
Could this be HPV? 3.
If HPV lesions develop in the throat or mouth, how can they be detected or diagnosed? How long does it take for HPV to be detectable? 4.
If there are HPV lesions in the mouth or throat, can sharing food lead to transmission? 5.
How should oral or throat HPV be treated, and which specialty should I consult? 6.
Besides HPV, what other STIs might not be detectable through blood or urine tests within three months?

Nìmíng, 20~29 year old female. Ask Date: 2017/02/25

Dr. Du Shixi reply Urology

1.
There is a possibility of contracting gonorrhea and other sexually transmitted infections (STIs), especially if there are open wounds; the main factor is if the partner has an STI.

2.
It could be an infection, but it is not necessarily genital warts.

3.
If it is located in the throat, genital warts require an oral examination.
Therefore, I have not seen it; if it develops, there will be raised lesions in the oral cavity that may appear red.
It typically takes a few weeks to manifest, so immediate examination is not possible.

4.
No, but genital warts are difficult to treat, and some may recur.

5.
A thorough examination is necessary, which may require a consultation with an otolaryngologist; however, it is advisable to inquire, as not all otolaryngologists may perform this type of examination.

6.
It is hard to say; it depends on the advancement of the equipment, but it should generally be possible to detect it within six months.
(Therefore, after the initial examination, I would recommend a follow-up if there are any issues and another check-up in six months.) Of course, it is important to avoid unprotected sexual intercourse.

Reply Date: 2017/02/25

More Info

Understanding Oral and Throat HPV: Risks, Symptoms, and Treatment
Human Papillomavirus (HPV) is a group of more than 200 related viruses, some of which can lead to oral and throat infections. The transmission of HPV can occur through intimate skin-to-skin contact, including oral sex. Given your questions, let’s break down the concerns regarding oral HPV infections, their symptoms, and treatment options.

1. Risk of Infection through Oral Sex: Engaging in deep kissing and oral sex (cunnilingus) does carry a risk of transmitting HPV. While the risk is generally lower compared to vaginal or anal sex, it is still significant, especially if the partner is infected with a high-risk HPV type. Other sexually transmitted infections (STIs) that can be transmitted through oral sex include herpes simplex virus (HSV), gonorrhea, chlamydia, and syphilis. It’s essential to practice safe sex, including the use of barriers like dental dams during oral sex, to reduce the risk of transmission.

2. Symptoms of Oral HPV: The symptoms of oral HPV can vary. Some individuals may remain asymptomatic, while others may develop lesions or warts in the mouth or throat, commonly referred to as "oral warts" or "throat warts." If you are experiencing discomfort in your throat, a dry mouth, and an unusual taste after engaging in oral sex, it could be a sign of an infection, but these symptoms are not definitive for HPV. They could also be related to other conditions, such as a viral infection or allergies. If symptoms persist, it is advisable to consult a healthcare professional for an accurate diagnosis.

3. Detection of Oral HPV: Detecting HPV in the oral cavity can be challenging. Typically, healthcare providers may perform a visual examination of the mouth and throat. If warts or lesions are present, a biopsy may be conducted to confirm the presence of HPV. HPV tests specifically for the oral cavity are not as common as those for cervical screening. If you suspect an HPV infection, it is best to consult a healthcare provider who can guide you through the appropriate diagnostic procedures.

4. Transmission through Shared Food: If an individual has oral HPV, sharing food or drinks does not typically transmit the virus. HPV is primarily transmitted through direct skin-to-skin contact. However, it is always wise to maintain good hygiene practices to minimize any risk of spreading infections.

5. Treatment for Oral HPV: If oral warts are diagnosed, treatment options may include topical medications, cryotherapy (freezing the warts), or surgical removal. It is crucial to consult an ear, nose, and throat (ENT) specialist or a dentist experienced in oral health for appropriate evaluation and treatment. They can provide guidance on the best course of action based on the severity and location of the lesions.

6. Other STIs Not Detected in Standard Tests: Besides HPV, other STIs that may not be detected through standard blood or urine tests include certain strains of herpes, trichomoniasis, and some types of hepatitis. Regular screenings and open communication with sexual partners about STI testing are essential for maintaining sexual health.

In conclusion, if you have concerns about potential HPV infection or other STIs, it is crucial to seek medical advice. A healthcare provider can offer personalized guidance, testing, and treatment options based on your specific situation. Remember, early detection and treatment can significantly improve outcomes and reduce the risk of complications associated with HPV and other STIs.

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