Cauliflower (Condylomata Acuminata)
Dear Dr.
Tsai,
Due to my current work abroad, I am still unable to return to Taiwan for an in-person consultation.
I apologize for this.
Following up on your response from July 16 regarding my current condition, I would like to ask you a few more questions:
1.
What is the likelihood of contracting genital warts from receiving oral sex from a partner of the opposite sex?
2.
It has been a month since I discovered an unknown raised lesion, and fortunately, it does not appear to have increased in number or size.
If I were to have genital warts, would the increase in number and size occur simultaneously, or could it happen independently?
3.
If I want to rule out the possibility of viral warts, how long should I continue to observe? If there is no increase or enlargement, can I consider the possibility of warts to be excluded?
Thank you for taking the time to answer my questions.
I appreciate your help.
(Attached are the comparative images recorded from June 16 to July 16)
6/16: https://drive.google.com/file/d/1x89wdLyJjcgqqqP9BJwc198nO9iHxuS0/view?usp=drivesdk
7/16: https://drive.google.com/file/d/1x_X_CkS7LdYcIgscxtD6ORB4BDqkj0SD/view?usp=drivesdk
Mr. Chen, 20~29 year old female. Ask Date: 2019/07/17
Dr. Cai Zhuorong reply Urology
1.
Is the likelihood of contracting genital warts through oral sex from a partner of the opposite sex high? While oral sex can be a potential route of transmission, clinical cases are not very common, and there is currently no clear medical report indicating the probability of transmission.
2.
It has been a full month since the discovery of an unknown raised lesion, and fortunately, it does not appear to have increased in number or size.
If one were to have genital warts, could both an increase in number and size occur simultaneously, or could they occur independently? An increase in number and size refers to the expansion of the viral wart area, rather than a clear definition of increase and enlargement.
3.
If one wishes to rule out the possibility of viral warts, how long should one continue to observe? If there are no increases or enlargements, when can it be considered excluded? The longer the observation period, the lower the probability, but it still cannot be completely ruled out.
Reply Date: 2019/07/17
More Info
Genital warts, caused by the human papillomavirus (HPV), are a common sexually transmitted infection that can affect anyone who is sexually active. Understanding the transmission, symptoms, and management of genital warts is crucial for patients who may be concerned about their health. Here are some insights based on your questions:
1. Risk of Infection through Oral Sex: The risk of contracting genital warts through oral sex exists, although it is generally lower compared to vaginal or anal intercourse. HPV can be transmitted through skin-to-skin contact, and if the virus is present in the genital area of an infected partner, it can potentially be passed to the mouth or throat of the receiving partner. However, the likelihood of developing visible warts in the oral cavity is less common. It's important to note that many people who are infected with HPV do not show any symptoms, which can make it difficult to assess risk accurately.
2. Observation of Symptoms: If you have noticed a bump or growth that you suspect may be genital warts, it is reassuring that there has been no increase in size or number over the past month. Genital warts can vary in appearance and may not always grow or multiply. In some cases, they may remain stable for an extended period. If you do have genital warts, they can indeed increase in size or number, but this does not always happen. It is also possible for some warts to remain unchanged while others may grow or multiply. Regular monitoring is key, and if you notice any changes, it is advisable to seek medical evaluation.
3. Duration of Observation: The duration for which you should observe the bumps before concluding they are not genital warts can vary. Generally, if there are no changes in size or number over a period of several months (typically 2-3 months), it may be reasonable to consider the possibility of them being benign rather than warts. However, it is essential to consult a healthcare provider for a definitive diagnosis. They may recommend a biopsy or other diagnostic tests if there is any uncertainty.
In addition to these points, here are some general recommendations for managing concerns related to genital warts:
- Regular Check-ups: Even if you are currently unable to return to Taiwan for an in-person consultation, consider scheduling a telehealth appointment with a healthcare provider who specializes in sexually transmitted infections. They can provide guidance based on your specific situation and may offer treatment options if necessary.
- Safe Practices: To reduce the risk of HPV transmission, consider using barrier methods such as condoms or dental dams during sexual activity. While these methods do not provide complete protection against HPV, they can significantly lower the risk of transmission.
- Vaccination: The HPV vaccine is effective in preventing the types of HPV that most commonly cause genital warts and cervical cancer. If you have not been vaccinated, consider discussing this option with your healthcare provider.
- Monitoring Symptoms: Keep a record of any changes in your symptoms, including the size and number of bumps, and any new symptoms that may arise. This information can be valuable for your healthcare provider in making a diagnosis.
In conclusion, while the risk of contracting genital warts through oral sex exists, the likelihood of developing visible symptoms can vary. Regular monitoring and consultation with a healthcare provider are essential for managing your health and addressing any concerns. If you have any further questions or need clarification, do not hesitate to reach out for professional medical advice.
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