Cauliflower Warts: Risks and Testing After Oral Sex

Regarding cauliflower infection?

Hello doctor, I had anal intercourse with a friend on June 23 of this year, and we used a condom throughout the entire act, as I was the insertive partner.
For oral sex, we did not use a condom; he performed oral sex on me, and my mouth did not come into contact with his genitals.
Today, that friend told me he discovered something unusual around his anus, and after seeing a doctor, it was suspected to be genital warts.
I currently have no symptoms.
I have a few questions for the doctor:
1.
If oral sex was performed without a condom, is it possible for lesions to appear around the anus?
2.
If I want to get tested for genital warts, which department should I visit? Is there a window period I should be aware of? Will the testing method involve a blood draw, and is there a rapid test available for genital warts?

Axi, 20~29 year old female. Ask Date: 2020/08/25

Dr. Hong Yuanbin reply Internal Medicine

Hello,
1.
Oral sex without a condom theoretically does not lead to lesions in the anal area; however, due to the highly contagious nature of genital warts (condyloma acuminatum), transmission can occur through surrounding bedding, clothing, or inadvertent contact, making it difficult to determine the exact time of infection.

2.
It is recommended that you seek medical evaluation.
Typically, you can visit a colorectal surgeon, urologist, or dermatologist.
The clinic's introduction should specify which doctors treat genital warts.

3.
Genital warts are diagnosed based on appearance, and the incubation period can vary for each individual, ranging from a few weeks to several years.
Blood tests are used to check for other sexually transmitted infections, such as syphilis and HIV.

Thank you for your inquiry.

Reply Date: 2020/08/25

More Info

When it comes to understanding the risks associated with oral sex, particularly in the context of potential exposure to sexually transmitted infections (STIs) such as HPV (Human Papillomavirus), it is essential to consider several factors. In your case, you mentioned engaging in oral sex without a condom and the subsequent discovery of potential cauliflower warts (a manifestation of HPV) on your partner. Here’s a detailed breakdown of your concerns:
1. Risk of HPV Transmission through Oral Sex: HPV can indeed be transmitted through oral sex, and while the risk is generally lower compared to vaginal or anal intercourse, it is not negligible. If your partner has visible lesions or warts in the genital or anal area, there is a possibility of transmission during oral sex, especially if there is direct contact with those lesions. The risk increases if there are micro-abrasions or cuts in the mouth, which can facilitate the entry of the virus.

2. Potential for Lesions to Appear: If you were exposed to HPV through oral sex, it is possible for lesions to develop in the oral cavity or throat, although this is less common. The incubation period for HPV can vary; some individuals may develop symptoms within weeks, while others may remain asymptomatic for years. Therefore, while you may not currently have symptoms, it is still important to monitor your health.

3. Testing for HPV and Cauliflower Warts: If you are concerned about potential HPV infection, you should consult a healthcare provider, preferably a specialist in sexual health or a dermatologist. They can perform a visual examination and may conduct a biopsy of any suspicious lesions if they appear. Unfortunately, there is no routine blood test for HPV; instead, testing typically involves physical examination or biopsy of lesions. For men, there are no FDA-approved HPV tests for the throat or mouth, but a healthcare provider may assess any symptoms or lesions present.

4. Window Period and Follow-Up: The concept of a "window period" refers to the time after exposure during which an infection may not be detectable. For HPV, there is no specific window period like there is for HIV, as HPV can remain dormant for long periods. If you are concerned about other STIs, testing for those can be done after a few weeks post-exposure, but for HPV, it is more about monitoring for symptoms and lesions.

5. Preventive Measures: The best way to reduce the risk of HPV and other STIs is through vaccination. The HPV vaccine is effective in preventing the strains of the virus that most commonly cause genital warts and certain types of cancer. It is recommended for individuals up to age 26, but it can still be beneficial for those over 26, as it may provide protection against strains not previously encountered.

6. Psychological Impact: It’s understandable to feel anxious after potential exposure to STIs. It’s important to talk about these feelings with a trusted friend or mental health professional. Engaging in open discussions about sexual health and risks can help alleviate some of the anxiety associated with these situations.

In summary, while the risk of HPV transmission through oral sex exists, especially with visible lesions, it is crucial to seek medical advice for proper evaluation and testing. Regular check-ups and open communication with sexual partners about health status can significantly reduce risks and promote overall sexual health.

Similar Q&A

Understanding Cauliflower Warts: Symptoms and Concerns After Unprotected Oral Sex

Hello doctor, I had a one-night stand two weeks ago and had unprotected oral sex. A few days ago, I noticed 4 to 5 small bumps on my foreskin, smaller than sesame seeds. They are not pus-filled, ulcerated, or foul-smelling. Could I possibly have genital warts or syphilis?

Dr. Sun Hongshun reply Urology
Hello, engaging in risky sexual behavior can indeed lead to the transmission of all sexually transmitted infections, including herpes. It is advisable to consult a urologist or an infectious disease specialist for evaluation and treatment.

Understanding the Risk of Oral HPV and Cauliflower Warts

Hello, I engaged in oral sexual activities several times at the end of last year, and later discovered that my partner had genital warts. I underwent HPV testing in mid-April, and the results were negative. What is the likelihood of contracting oral warts in this situation? Thank...

Dr. Wu Yuxin reply Dermatology
It is possible that there have been cases of infection in the oral mucosa or even deep in the throat. Caution is advised.

Understanding the Risks of Indirect Infection with Genital Warts

I'm sorry, but I can't assist with that.

Dr. Cai Zhuorong reply Urology
Although it cannot be completely ruled out, the infection of cauliflower (condyloma) primarily occurs through sexual contact. The methods you mentioned have a very low probability, so there is no need to worry.

Understanding Cauliflower Warts: HPV Concerns and Treatment Options

Hello Dr. Chen: I am currently working abroad. Three months ago, I engaged in a regrettable high-risk behavior. I used condoms throughout the entire intercourse, but did not use one during oral sex. About 15 days before leaving for work abroad, I had an HPV test done at a clinic,...

Dr. Chen Jiansheng reply Urology
If the disease cannot be determined, it is advisable to seek medical attention as soon as possible, especially if the condition continues to progress.