Can Oral Sex Transmit HPV After Partner's Treatment for Warts?

Can a person who has been infected with genital warts transmit the infection through oral sex?

Hello, I would like to ask if I could be infected after receiving oral sex without a condom.
During the act, my partner mentioned that he had previously been treated for genital warts, but we stopped.
He only used his mouth on me.
Am I at risk of infection?

Xuan Xuan, 30~39 year old female. Ask Date: 2021/02/20

Dr. Cai Zhuorong reply Urology

The likelihood of self-infection of the oral cavity with the cauliflower virus through contact is very low; rather, it is possible for the other person to transmit the cauliflower virus to you through other means.

Reply Date: 2021/02/20

More Info

Oral sex can indeed transmit HPV, even if your partner has undergone treatment for genital warts. The risk of transmission is particularly relevant if your partner had visible lesions or warts in the past, as the virus can still be present in the mucosal tissues even after treatment. Here are some key points to consider regarding your situation:
1. Transmission Risk: HPV is primarily transmitted through skin-to-skin contact, and oral sex is no exception. If your partner had HPV-related warts (such as genital warts) and performed oral sex on you, there is a possibility of transmitting the virus, especially if there were any micro-abrasions or cuts in the oral cavity. The risk is higher if your partner had active lesions at the time of contact, but even without visible warts, the virus can still be present and transmissible.

2. Post-Treatment Considerations: After treatment for warts, it is important to understand that while the visible lesions may be removed, the virus can remain dormant in the body. This means that your partner could still potentially transmit HPV even after successful treatment. Regular follow-ups and monitoring are essential for both partners to manage the risk of transmission.

3. Vaccination: If you have not been vaccinated against HPV, consider discussing the HPV vaccine with your healthcare provider. The vaccine can help protect against certain strains of HPV, including those that cause genital warts and some cancers. However, it is important to note that the vaccine is most effective when given before any exposure to the virus.

4. Symptoms and Monitoring: After potential exposure to HPV, it is advisable to monitor for any symptoms such as unusual growths or lesions in the genital or oral areas. If you notice any changes, consult a healthcare provider for evaluation and possible testing.

5. Testing: If you are concerned about HPV infection, you may want to discuss HPV testing with your healthcare provider. While there is no routine HPV test for men, women can undergo testing through Pap smears and HPV testing. If you have symptoms or concerns, your provider may recommend further evaluation.

6. Safe Practices: To reduce the risk of HPV transmission in the future, consider using barriers such as condoms or dental dams during oral sex. While these methods do not provide complete protection against HPV, they can significantly reduce the risk of transmission.

In summary, while the risk of HPV transmission through oral sex exists, especially if your partner has a history of HPV-related warts, the actual likelihood of infection can vary based on several factors, including the presence of lesions and individual immune response. It is always best to have open discussions with your partner about sexual health and to consult with a healthcare provider for personalized advice and management strategies.

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