Can Oral Sex Transmit HPV Even with a Tested Partner? - Dermatology

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Is there a chance of contracting HPV or genital warts through oral sex with a partner who does not have any sexually transmitted infections?


I engaged in oral sex out of curiosity, performing it about three times quickly without ejaculation in my mouth.
There was also kissing involved.
The next day, I noticed a few small bumps at the back of my tongue (near the throat), and I'm very worried that I might have contracted HPV during my first experience.
The other person insists they have been tested and do not have any STIs, and this was my first sexual encounter.
Is it possible for my oral cavity to contract an STI or genital warts? (I also have a tendency for my gums to bleed.) It is now the fourth day.

S, 20~29 year old female. Ask Date: 2017/06/18

Dr. Wu Yuxin reply Dermatology


Unable to determine.

Reply Date: 2017/06/18

More Info


Oral sex can indeed transmit HPV (human papillomavirus), even if your partner has tested negative for sexually transmitted infections (STIs). While HPV is often associated with genital warts and cervical cancer, it can also affect the oral cavity and throat. The risk of transmission during oral sex is present, particularly if there are micro-abrasions or cuts in the mouth, which can facilitate the entry of the virus.

In your case, the presence of small bumps on the back of your tongue near the throat could be concerning. While these bumps may not necessarily indicate HPV infection, they warrant further evaluation, especially given your history of bleeding gums, which could increase the risk of infection. It's important to note that not all bumps or lesions in the mouth are caused by HPV; they could be due to other conditions such as irritation, allergic reactions, or other infections.

HPV is a common virus, and many sexually active individuals will encounter it at some point in their lives. Most HPV infections are asymptomatic and are cleared by the immune system without causing any health issues. However, certain strains of HPV are associated with more serious conditions, including oropharyngeal cancers. The strains most commonly linked to these cancers are HPV types 16 and 18, but other types can also pose risks.

If you are concerned about the possibility of having contracted HPV or any other STI, it is advisable to consult a healthcare professional. They can perform an examination and may recommend testing for HPV and other STIs. Oral HPV testing is not as routine as cervical HPV testing, but it can be done in certain situations, especially if there are symptoms or risk factors present.

In terms of symptoms of oral HPV infection, many individuals may remain asymptomatic. However, if symptoms do occur, they can include persistent sore throat, difficulty swallowing, or the presence of lumps in the neck. If you experience any of these symptoms, it is crucial to seek medical attention.

Regarding your partner's claim of being tested and found negative for STIs, it is important to remember that testing for HPV is not always included in routine STI screenings, and many individuals may not know they are carriers of the virus. Therefore, relying solely on a partner's negative test result may not provide complete assurance.

In summary, while oral sex can transmit HPV, the risk varies based on several factors, including the presence of cuts or abrasions in the mouth and the specific HPV strains involved. If you have concerns about your health or the bumps on your tongue, it is best to consult a healthcare provider for a thorough evaluation and appropriate testing. Early detection and management are key to addressing any potential health issues related to HPV or other STIs.

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