the Risks of HPV and Genital Warts After Oral Sex - Urology

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About genital warts?


Hello Doctor: I had sexual intercourse with a woman ten days ago, using a condom, but she performed oral sex on me without a condom.
I noticed that she has unusual protrusions around her anus, and I'm unsure if they are hemorrhoids or genital warts; they appear quite large and have folds.
I also performed oral sex on her previously, although my mouth did not come into contact with her anus.
I've been feeling quite anxious these past few days and would like to know how high the risk of infection is in this situation.
Am I just passively waiting to see if any lesions develop before seeking medical attention?

Xiao Lin, 30~39 year old female. Ask Date: 2017/10/02

Dr. Du Shixi reply Urology


Hello: It is also difficult to determine if the other person has genital warts, but your actions carry risks.
Genital warts can be troublesome, and the incubation period can vary significantly.
It is important to address any abnormalities.
Please pay attention to safe sexual practices in the future.

Reply Date: 2017/10/02

More Info


Understanding the risks associated with HPV (human papillomavirus) and genital warts after engaging in oral sex is crucial for maintaining sexual health. HPV is a common sexually transmitted infection that can affect both men and women, and it is known to be transmitted through skin-to-skin contact, including oral, vaginal, and anal sex.
In your situation, you mentioned that you used a condom during vaginal intercourse, which significantly reduces the risk of transmitting HPV and other sexually transmitted infections (STIs). However, since the female partner performed oral sex on you without a condom, there is a potential risk of HPV transmission, especially if she is a carrier of the virus. It's important to note that HPV can be present even in the absence of visible symptoms or lesions, which makes it challenging to assess risk based solely on physical examination.

The presence of unusual growths around the anal area raises concerns, as these could potentially be genital warts (caused by certain strains of HPV) or other conditions such as hemorrhoids. If these growths are indeed genital warts, there is a risk of transmission during oral sex, particularly if there is any contact with the area. While the risk of transmission through oral sex is generally lower compared to vaginal or anal sex, it is not negligible.

Regarding your anxiety about potential infection, it is understandable to feel concerned after such encounters. The best course of action is to monitor your health for any symptoms that may arise. Common early symptoms of HPV infection can include the appearance of warts in the genital or oral area, but many individuals remain asymptomatic. If you notice any unusual symptoms, such as sores, warts, or persistent throat discomfort, it would be advisable to seek medical attention.

In terms of medical evaluation, it is not solely dependent on the presence of visible lesions to seek care. If you have concerns about potential HPV exposure, you can consult a healthcare provider for advice on testing and preventive measures. Regular screenings, such as Pap smears for women and HPV testing, are essential for early detection of any abnormalities. For men, there are no routine HPV tests, but if symptoms arise, a healthcare provider can perform an examination and discuss potential testing options.

Additionally, vaccination against HPV is an effective preventive measure. The HPV vaccine is recommended for both males and females and can protect against the most common strains of the virus that cause genital warts and cervical cancer. If you have not yet been vaccinated, consider discussing this with your healthcare provider.

In summary, while the risk of HPV transmission through oral sex exists, especially with the presence of lesions, the use of condoms during vaginal intercourse significantly reduces overall risk. Monitor your health for any symptoms, and do not hesitate to seek medical advice if you have concerns. Engaging in open communication with your partner about sexual health and considering vaccination can further enhance your protection against HPV.

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