Can Oral Warts Be Transmitted Through Shared Meals or Drinks? - Urology

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Is oral warts contagious?


Hello, I recently discovered that I have genital warts at the vaginal opening and have started treatment with medication.
However, I later noticed that it seems to be present in my oral cavity as well.
I have made an appointment with a traditional Chinese medicine clinic for treatment, but the appointment has not yet arrived.
I would like to ask:
1) Can oral warts be transmitted to family members through shared eating? Is it possible to transmit them while dining at the same table? What about sharing a straw?
2) I have read that oral warts are mostly treated with electrosurgery.
However, I have a keloid tendency; are there other treatment options available? Is traditional Chinese medicine a viable treatment option?
3) I would like to understand if, since I contracted the warts through contact (friction between the vaginal opening and penis, as well as oral sex), I am at risk of contracting other sexually transmitted infections? For example, am I at risk for syphilis or gonorrhea? Thank you very much for your answers, and I appreciate your time.

Li, 30~39 year old female. Ask Date: 2021/11/09

Dr. Chen Jiansheng reply Urology


It is recommended to consult a urologist and a gynecologist.

Reply Date: 2021/11/09

More Info


Oral warts, commonly caused by the human papillomavirus (HPV), can indeed raise concerns regarding transmission, particularly in social settings where meals and drinks are shared. Let’s address your questions one by one.

1. Transmission Through Shared Meals or Drinks: Oral warts are primarily transmitted through direct skin-to-skin contact, particularly through intimate contact. While HPV can be present in saliva, the risk of transmission through shared meals or drinks is considered low. Sharing utensils or drinking from the same straw may pose a minimal risk, but it is not the primary mode of transmission. The virus is more effectively transmitted through direct contact with infected areas, such as during oral sex or intimate physical contact. Therefore, while it’s prudent to be cautious, the likelihood of transmitting oral warts through shared meals is relatively low.

2. Treatment Options for Oral Warts: The common treatment for oral warts includes procedures like cryotherapy (freezing), laser therapy, or electrosurgery (electrocautery). However, given your concern about keloid formation (as you mentioned having a keloid-prone condition), it is essential to discuss alternative treatment options with your healthcare provider. Some individuals may benefit from topical treatments or immune-modulating therapies, which can be less invasive. Traditional Chinese medicine (TCM) may offer alternative approaches, but it is crucial to consult with a qualified practitioner who can tailor the treatment to your specific condition and needs. Always ensure that any treatment plan is discussed with your healthcare provider to avoid complications.

3. Risk of Other Sexually Transmitted Infections (STIs): Engaging in sexual activities, particularly those involving skin-to-skin contact, can increase the risk of contracting other STIs, including syphilis and gonorrhea. HPV is a common STI, and while it does not directly cause other STIs, the presence of one STI can increase susceptibility to others due to potential disruptions in the mucosal barriers. It is advisable to get tested for other STIs if you have concerns about exposure, especially if you have been diagnosed with HPV. Regular screenings and open communication with sexual partners about STI status are essential components of sexual health.

In summary, while the risk of transmitting oral warts through shared meals or drinks is low, it is still wise to practice caution. For treatment, consider discussing your options with a healthcare provider who understands your keloid-prone condition. Lastly, be proactive about your sexual health by getting tested for other STIs, as this can help you manage your health more effectively. Always consult with healthcare professionals for personalized advice and treatment plans tailored to your specific situation.

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