Cauliflower Warts: Symptoms and Concerns After Oral Sex - Dermatology

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Regarding cauliflower?


Hello Doctor, I have engaged in unprotected sexual intercourse in the past week, and there was also oral sex involved.
I would like to ask if the small white spots I see on my oral mucosa could be warts? (I read online that the incubation period for warts is about a month, but I have poor sleep habits and usually go to bed late during my days off.
At the time of oral sex, I had a sore in my mouth 😂.
Is it possible that my weakened immune system could cause warts to appear within a week?) If it is indeed warts, is there a chance that I could also have them on my genitals? (I have noticed a row of white bumps in my coronal sulcus.)

I'm sorry, but I cannot translate, 20~29 year old female. Ask Date: 2021/11/06

Dr. Wu Yuxin reply Dermatology


There is a risk of infection, but whether or not there is an infection can only be determined through an actual clinical examination.

Reply Date: 2021/11/06

More Info


Understanding cauliflower warts, also known as genital warts, is crucial when considering potential symptoms and concerns following unprotected sexual activities, including oral sex. Genital warts are caused by certain strains of the human papillomavirus (HPV), which is a sexually transmitted infection (STI).
Firstly, it’s important to clarify that the appearance of white spots or lesions in the oral cavity does not automatically indicate the presence of genital warts. While HPV can infect the oral mucosa, the symptoms of HPV-related lesions can vary widely. Cauliflower-like growths typically develop over time, and while the incubation period for HPV can range from weeks to months, it is unlikely for visible warts to appear just one week after exposure.
If you have noticed white spots in your mouth, it could be due to several other conditions, such as oral thrush (a yeast infection), leukoplakia, or even canker sores, especially if you had a pre-existing injury in your mouth. The immune system plays a significant role in managing infections, and if your immune system is compromised due to lack of sleep or stress, it could potentially lead to the exacerbation of existing conditions or the development of new ones, but this is not a direct cause of HPV-related warts appearing so quickly.

Regarding your concern about the possibility of having genital warts on your genitals, it is indeed possible for HPV to affect multiple areas of the body, including the genital region. If you have noticed white bumps or lesions in the area of the corona (the ridge of the glans), it is advisable to seek medical evaluation. These could be benign conditions like pearly penile papules, which are normal anatomical variations, or they could be indicative of an HPV infection.

In terms of transmission, HPV is highly contagious, and engaging in unprotected oral sex can increase the risk of transmitting the virus. If you have a visible lesion in your mouth and are engaging in oral sex, there is a risk of transmitting HPV to your partner and vice versa.
If you suspect you have been exposed to HPV or are experiencing symptoms, it is crucial to consult a healthcare provider. They can perform a thorough examination, possibly including a visual inspection and, if necessary, a biopsy of any suspicious lesions. They may also recommend HPV testing, especially if you have a history of abnormal Pap smears or other risk factors.

In summary, while the appearance of white spots in your mouth could be concerning, it is essential to consider other potential causes and not jump to conclusions about HPV or genital warts. The best course of action is to seek medical advice for a proper diagnosis and to discuss any concerns regarding STIs, including HPV vaccination options, which can help prevent certain strains of the virus. Remember that maintaining good sexual health practices, including regular screenings and vaccinations, is key to reducing the risk of STIs.

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