Oral HPV: Questions and Concerns About Symptoms and Risks - Urology

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Oral HPV concerns?


In June, before my appointment, I underwent an oral HPV test, and the result was HPV type 6.
Since then, I have been visiting an ENT specialist and an oral specialist every two weeks for follow-up, and now nearly five months have passed without any signs of illness.
However, I have experienced mild pain in the area of the palatine tonsils for about three months, but the doctors have said that everything looks fine and have not found any signs of illness.

1.
I read from other doctors that if there are no lesions after three months, it is unlikely for new ones to develop.
Is that correct?
2.
Could my pain be related to the oral warts?
3.
Do oral warts present as papillomatous lesions?
4.
I have heard that even though the virus is present in the mouth, very few people show symptoms.
Is that true?
5.
If someone is infected with HPV type 6, will they definitely develop warts, or is it possible not to have any?
Thank you, doctor, for taking the time to answer my questions.
I appreciate it.

Ha Bai, 20~29 year old female. Ask Date: 2018/10/27

Dr. Chen Jiansheng reply Urology


1.
I have read from other doctors that if it doesn't grow after three months, it is unlikely to grow further, and the probability decreases over time.

2.
Could my pain be related to oral warts? It's uncertain and requires a physical examination.

3.
Is the presentation of oral warts papillomatous? Not necessarily.

4.
I heard that although there are viruses in the oral cavity, very few people show symptoms.

5.
If infected with HPV type 6, will warts definitely develop, or is it possible not to? In individuals with normal immunity, the virus can often be cleared by the body upon invasion.

Reply Date: 2018/10/27

More Info


Understanding Oral HPV: Questions and Concerns About Symptoms and Risks
Human Papillomavirus (HPV) is a group of more than 200 related viruses, some of which can lead to health issues, including genital warts and various cancers. Among these, HPV type 6 is known to cause benign lesions, such as warts, but it is not typically associated with cancer. Your concerns regarding oral HPV and its potential symptoms are valid, especially considering your previous diagnosis and ongoing symptoms.

1. Duration of Symptoms and Risk of Development: It is generally accepted that if no new lesions or symptoms have developed within three months of an HPV diagnosis, the likelihood of developing new lesions decreases significantly. This is particularly true for HPV types that are less aggressive, such as HPV 6. Continuous monitoring and follow-up with your healthcare provider are essential, especially if you experience persistent symptoms.

2. Pain and Oral Warts: The pain you are experiencing in the area of your tonsils could be related to various factors, including inflammation, infection, or even irritation from other sources. While HPV can cause lesions in the oral cavity, the presence of pain does not necessarily indicate the presence of warts. Oral warts typically appear as small, raised, and cauliflower-like lesions, which may not always be painful. If your healthcare provider has examined the area and found no visible lesions, it is less likely that your pain is directly related to HPV.

3. Appearance of Oral Warts: Oral warts, or papillomas, caused by HPV often present as soft, fleshy growths that can resemble cauliflower. They may vary in color from pink to white and can occur anywhere in the oral cavity, including the tongue, gums, and throat. If you have not observed any such growths, it is a good sign that you may not have developed oral warts.

4. Prevalence of Symptoms in Oral HPV: It is true that many individuals infected with oral HPV do not exhibit any symptoms. Studies suggest that a significant percentage of the population may carry HPV without ever developing warts or other health issues. This asymptomatic nature of the virus is one reason why regular check-ups and screenings are important, especially for those who are at higher risk.

5. Possibility of Developing Warts: Not everyone who is infected with HPV will develop warts. The immune system plays a crucial role in controlling HPV infections. In many cases, the body can clear the virus on its own without any intervention. Therefore, even if you have been diagnosed with HPV 6, it does not guarantee that you will develop warts or other symptoms.

In conclusion, while your concerns about oral HPV are understandable, the absence of visible lesions and the professional assessments you have received suggest that you may not be at significant risk for developing complications at this time. However, it is essential to maintain regular follow-ups with your healthcare providers, especially if you continue to experience discomfort or have any new symptoms. Additionally, consider discussing the HPV vaccine with your healthcare provider, as it can help protect against other high-risk HPV types and reduce the overall risk of HPV-related diseases. Remember, open communication with your healthcare team is vital for managing your health and addressing any concerns you may have.

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