Oral Warts: Transmission Risks and Prevention Tips - Dermatology

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Cauliflower (Condylomata Acuminata)


Hello doctor, my good friend's boyfriend recently developed oral warts.
They used to kiss and French kiss, and my friend is very worried about being infected and also about transmitting it to others around her.
I would like to ask if warts in the mouth can be transmitted through sharing food (where saliva may be exchanged)?

EE, 20~29 year old female. Ask Date: 2018/03/13

Dr. Li Yufen reply Dermatology


Hello: For an introduction to genital warts (condylomata acuminata), you can refer to the article on Dr.
Skincare's health website at http://www.drskincare.com.tw/Qa/Detail.aspx?ID=154 and the article by Dr.
Tsai Cheng-Fang from National Taiwan University Hospital's Dermatology Department at https://www.ntuh.gov.tw/derm/healthcareCenter/healthCenter/%E8%8F%9C%E8%8A%B1.aspx.
As for the likelihood of transmission through shared meals, it is very low; it is recommended that patients seek treatment as soon as possible for recovery.
Thank you!

Reply Date: 2018/03/13

More Info


Oral warts, often referred to as oral papillomas or oral warts, are benign growths caused by the human papillomavirus (HPV). They can appear in various forms, including the cauliflower-like appearance that you mentioned. Understanding the transmission risks associated with oral warts is crucial, especially in the context of close personal relationships, such as kissing and sharing food.


Transmission Risks
1. Direct Contact: Oral warts are primarily transmitted through direct contact with an infected area. This includes kissing, oral sex, and other forms of intimate contact where the virus can be transferred from one person to another. If your friend's boyfriend has visible oral warts, there is a risk that the virus could be transmitted to your friend through kissing.

2. Saliva Exchange: While HPV is not typically spread through saliva in the same way that viruses like the common cold or flu are, there is still a potential risk when sharing food or drinks. If the oral wart is present and there is direct contact with the wart or the surrounding tissue, there is a possibility of transmission through saliva.

3. Shared Utensils: Using the same utensils or sharing food can also pose a risk, especially if the food comes into contact with the infected area. However, the risk of transmission through shared utensils is generally considered lower compared to direct contact.


Prevention Tips
1. Avoid Kissing: To reduce the risk of transmission, it is advisable for your friend to avoid kissing her boyfriend until the warts have been treated and resolved. This is the most effective way to prevent the spread of the virus.

2. Consult a Healthcare Provider: It is important for your friend's boyfriend to see a healthcare provider for an evaluation and potential treatment of the oral warts. Treatment options may include topical therapies, cryotherapy, or surgical removal, depending on the severity and location of the warts.

3. Educate on HPV: Understanding that HPV is a common virus can help alleviate some of the anxiety surrounding transmission. Many people carry HPV without ever developing symptoms or warts. However, it is still important to take precautions to prevent spreading the virus.

4. Practice Safe Oral Sex: If your friend and her boyfriend engage in oral sex, using barriers such as dental dams can help reduce the risk of HPV transmission.

5. Regular Check-ups: Encourage your friend to have regular check-ups with her healthcare provider, especially if she has concerns about HPV or other sexually transmitted infections (STIs). Regular screenings can help catch any potential issues early.

6. Avoid Sharing Personal Items: It is advisable to avoid sharing personal items such as toothbrushes, lip balms, or towels that may come into contact with the mouth.


Conclusion
In summary, while the risk of transmitting oral warts through shared food or saliva is lower than through direct contact, it is still a possibility. Your friend should take precautions to avoid kissing and sharing utensils until her boyfriend's oral warts have been treated. Consulting a healthcare provider for proper diagnosis and treatment is essential for both her boyfriend's health and her peace of mind. By taking these preventive measures, they can help reduce the risk of transmission and maintain their health.

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