Does Oral Sex Increase the Risk of Oral Cancer? - Otolaryngology

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Can oral sex cause cancer?


Hello doctor, I have seen reports suggesting that oral sex may lead to oral cancer, but there seems to be limited information on this topic.
If I only perform oral sex on my boyfriend and he ejaculates in my mouth, is this likely to increase the risk of oral cancer? Thank you.

Ai Er, 20~29 year old female. Ask Date: 2018/01/11

Dr. Zheng Jueyi reply Otolaryngology


Hello, oral cancer is primarily caused by long-term and chronic irritation, and oral sex may be associated with some cases of oropharyngeal cancer.
Wishing you safety and health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2018/01/11

More Info


Oral sex has been a topic of discussion regarding its potential link to oral cancer, particularly due to the association with human papillomavirus (HPV). HPV is a sexually transmitted infection that can lead to various cancers, including cervical, anal, and oropharyngeal cancers. The concern arises primarily from the fact that certain strains of HPV are known to be oncogenic, meaning they can lead to cancer development.

When it comes to oral sex, the risk of transmitting HPV can increase if one partner is infected with the virus. If a person engages in oral sex with an infected partner, there is a possibility of HPV transmission to the oral cavity, which could potentially lead to oral or oropharyngeal cancers over time. However, it is essential to note that not everyone who is exposed to HPV will develop cancer. The development of cancer is a complex process that typically requires multiple risk factors, including the presence of the virus, the individual's immune response, and other lifestyle factors such as smoking and alcohol consumption.

In your specific case, if you are engaging in oral sex with a partner who does not have any known sexually transmitted infections (STIs) and has not been diagnosed with HPV, the risk of developing oral cancer from that encounter is significantly lower. However, it is crucial to consider that HPV can be asymptomatic, meaning that an individual can carry the virus without showing any signs or symptoms. Therefore, while the risk may be lower with a single, monogamous partner who is STI-free, it is not entirely absent.

Regarding the concern about ejaculation in the mouth, while there is a theoretical risk of HPV transmission through bodily fluids, the actual risk of developing oral cancer from a single encounter is quite low. The development of cancer typically requires prolonged exposure to the virus, often over many years. Additionally, the HPV vaccine can significantly reduce the risk of HPV-related cancers, and if you have received the vaccine, it provides a layer of protection against the strains of HPV most commonly associated with cancer.

To summarize, while oral sex can potentially increase the risk of oral cancer due to HPV transmission, the actual risk depends on several factors, including the HPV status of both partners, the presence of other risk factors, and the duration of exposure. If you are concerned about your risk, it is advisable to discuss this with a healthcare provider who can provide personalized advice based on your health history and sexual practices.

In conclusion, while there is a theoretical risk associated with oral sex and oral cancer, particularly related to HPV, the actual risk for an individual engaging in oral sex with a monogamous partner who is STI-free is relatively low. Regular dental check-ups and being aware of any changes in your oral health can help in early detection of any potential issues. If you have further concerns or symptoms, seeking medical advice is always a prudent step.

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