Can Women with Genital Warts Transmit Infection Through Oral Sex? - Urology

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Afraid of transmission?


If a woman has genital warts, can she transmit them to a man through oral sex?

Nìmíng, 10~19 year old female. Ask Date: 2020/06/02

Dr. Du Shixi reply Urology


Hello: You may refer to the following classifications of sexual behaviors:
● Safe sexual practices (non-harmful affectionate ways): This includes light kissing, masturbation, hugging, massage, mutual caressing, and touching areas other than the genitals.

● Low-risk sexual behaviors: This includes mutual masturbation, mutual rubbing, deep kissing, bondage, protected deep foreplay, oral sex with condoms or dental dams, anal intercourse, and vaginal intercourse.

● Moderate-risk sexual behaviors: This includes withdrawal (pulling out), sharing sex toys, unprotected deep foreplay, oral sex before ejaculation, and oral sex during menstruation.

● High-risk sexual behaviors: This includes unprotected anal intercourse, vaginal intercourse, oral sex during menstruation, retaining semen in the mouth, sharing needles, syringes, and bleeding during sexual activity.

Wishing you good health.

Reply Date: 2020/06/02

More Info


When it comes to the transmission of infections, particularly human papillomavirus (HPV) and genital warts, understanding the risks associated with oral sex is crucial. Genital warts are caused by certain strains of HPV, which can be transmitted through skin-to-skin contact, including during oral sex.

If a woman has genital warts and engages in oral sex with a male partner, there is a potential risk of transmitting the virus. While the primary mode of transmission for HPV is through direct genital contact, oral sex can also facilitate the spread of the virus. The risk is particularly heightened if there are any cuts, sores, or abrasions in the mouth or throat of the receiving partner, as these can serve as entry points for the virus.

In the case of oral sex, the male partner may not only be at risk of acquiring HPV but could also develop oral warts or even oropharyngeal cancer, which has been linked to certain high-risk strains of HPV. It's important to note that while the risk of transmission exists, it is not guaranteed that the male partner will contract the virus simply through oral sex with a female who has genital warts.

To mitigate the risk of transmission, several precautions can be taken:
1. Use Protection: Using a condom or dental dam during oral sex can significantly reduce the risk of transmitting HPV and other sexually transmitted infections (STIs). While condoms do not provide complete protection against HPV, they can lower the risk by covering the areas where the virus may be present.

2. Avoid Oral Sex During Outbreaks: If the woman has visible genital warts or any other symptoms of an active HPV infection, it is advisable to avoid oral sex until the warts are treated and cleared. This is to minimize the risk of transmission.

3. Regular Health Check-ups: Both partners should engage in regular STI screenings and health check-ups. This is especially important if either partner has had multiple sexual partners or if there is any suspicion of exposure to STIs.

4. Vaccination: The HPV vaccine is effective in preventing infection from the most common strains of HPV that cause genital warts and certain cancers. Vaccination is recommended for both males and females, ideally before they become sexually active.

5. Communication: Open communication between partners about sexual health, including any known infections or concerns, is essential for making informed decisions about sexual activities.

In summary, while a woman with genital warts can potentially transmit the infection through oral sex, the actual risk varies based on several factors, including the presence of visible warts, the use of protection, and the overall health of both partners. Taking preventive measures can significantly reduce the risk of transmission and promote safer sexual practices. If there are any concerns about STIs or symptoms, consulting a healthcare provider is recommended for appropriate testing and guidance.

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