Can You Get HPV Infection from Saliva Splash in the Eyes?

Q: Can You Get HPV Infection from Saliva Splash in the Eyes?

Hello： 1) It is not possible; transmission occurs through skin-to-skin contact. <br>2) I have not seen it; the literature mentions a slight possibility of sharing towels. <br>3) Pay attention to your immune system. <br>4) It should not make a difference. <br>5) Warts may not grow

Is there a possibility of infection if saliva from a patient with warts (condyloma) gets into my eyes?

My brother was diagnosed with genital warts in early January this year and has undergone electrosurgery, as well as taking medication over the past few months.
When he was first diagnosed, our whole family underwent HPV testing, and everyone tested negative at that time.
However, I am still concerned, so I went for another test on May 5th (I am currently waiting for the results; my original plan was to get vaccinated once the results come out).
On the evening of May 8th, while chatting, he got a bit carried away, and saliva from him splashed onto my eyes.
I did some research online and saw that the incubation period for HPV is 2 weeks to 3 months.
Since I had already been tested on May 5th, going to the hospital again on May 10th would obviously not be very useful, but I am feeling anxious, so I am seeking help here:
1.
Based on the situation described, what is your medical opinion on the possibility of infection?
2.
Are there any similar cases in reality?
3.
Are there any recommended methods or actions I can take now?
4.
If I am on medication, does it reduce the likelihood of infection?
5.
Lastly, I personally want to ask, my brother keeps saying that the current doctors have told him that genital warts can be completely cured.
However, my understanding is that HPV only has its symptoms eliminated, but the virus can remain hidden in the body's cells.
I want to confirm if there is a misunderstanding regarding this point.
Thank you, doctor.

Niming, 20~29 year old female. Ask Date: 2021/05/09

Dr. Du Shixi reply Urology

Hello: 1) It is not possible; transmission occurs through skin-to-skin contact.
2) I have not seen it; the literature mentions a slight possibility of sharing towels.
3) Pay attention to your immune system.
4) It should not make a difference.
5) Warts may not grow back, but it is difficult to confirm or determine the absence of the virus.
In very rare cases, they may reappear after about a year (commonly around three months).
Additionally, in some cases, the virus may also be eradicated over time (which can take several years).
Therefore, the best approach is to avoid infection.
Wishing you good health.

Reply Date: 2021/05/09

More Info

When it comes to the transmission of Human Papillomavirus (HPV), particularly in the context of your concerns about saliva splashing into the eyes, it's important to understand the nature of HPV and its transmission routes.
1. Possibility of Infection: Based on the information provided, the likelihood of contracting HPV from saliva splashing into your eyes is extremely low. HPV is primarily transmitted through direct skin-to-skin contact, particularly during sexual activities. While HPV can be present in saliva, the concentration of the virus in saliva is generally much lower than in genital secretions. Furthermore, for an infection to occur, there needs to be sufficient viral load and a suitable entry point, such as a mucous membrane or an open wound. The eyes are not a typical entry point for HPV, and the risk of transmission through saliva in this manner is negligible.

2. Similar Cases: There are no well-documented cases in medical literature that indicate HPV transmission through saliva splashing into the eyes. Most HPV infections are linked to sexual contact, and while there are theoretical risks associated with oral HPV, the transmission through indirect contact like saliva is not commonly reported.

3. Recommendations: Given the situation, if you are feeling anxious, it is advisable to maintain good hygiene practices. If saliva does get into your eyes, rinsing them with clean water is a good immediate response. If you experience any irritation or unusual symptoms in your eyes, consult an eye care professional. Additionally, continue to monitor your health and follow up with your healthcare provider regarding your HPV testing and vaccination plans.

4. Effect of Medication on Infectivity: If your brother is undergoing treatment for HPV, such as topical medications, it may help reduce the viral load and the likelihood of transmission. However, it is important to note that while treatment can help manage symptoms and reduce the risk of spreading the virus, it does not eliminate the virus from the body entirely. HPV can remain dormant in the body, and individuals can still potentially transmit the virus even after treatment.

5. Understanding HPV and Its Treatment: Your brother's statement about HPV being "curable" may stem from a misunderstanding. While treatments can effectively remove warts and alleviate symptoms, HPV itself is a viral infection that can persist in the body. The immune system can sometimes clear the virus over time, but this process can take years, and there is no definitive test to confirm that the virus has been completely eradicated. It is crucial to have realistic expectations about HPV management and to understand that while symptoms can be treated, the virus may remain in a dormant state.

In conclusion, the risk of contracting HPV from saliva splashing into your eyes is very low, and maintaining good hygiene and following up with healthcare professionals for testing and vaccination are prudent steps. Understanding the nature of HPV and its treatment can help alleviate some of the anxiety surrounding this virus. If you have further concerns, discussing them with a healthcare provider can provide additional reassurance and guidance.

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