HPV Risks: Can You Get Infected Through Kissing or Oral Sex? - Urology

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Cauliflower infection issues?


Hello, doctor.
My female partner has been infected with high-risk HPV but has no lesions and is on medication for control.
I have completed three doses of the nine-valent HPV vaccine.
I would like to ask a few questions: 1.
Is there a risk of infection from kissing? 2.
Is there a risk of infection if she performs oral sex on me without a condom? 3.
Is there a risk of infection if we engage in safe sex? 4.
Is there a risk of infection if I touch her with my hands? I kindly request your answers, thank you, doctor.
This has been troubling me for a long time.

Wuming Shi, 30~39 year old female. Ask Date: 2022/03/03

Dr. Du Shixi reply Urology


Hello: Infection requires a sufficient amount of the virus and susceptible skin (around the genital and anal areas).
1.
Can kissing lead to infection? --> No.
2.
Is there a possibility of infection if the other person performs oral sex on me without a condom? --> Yes, there is a possibility.
3.
Is there a risk of infection if we engage in safe sex? --> The risk of infection is extremely low.
4.
Can I get infected if I touch the other person's genitals? --> If the other person has genital warts, there is a possibility if your hand then contacts the genital area.
Additionally, the HPV vaccine does not provide 100% protection.
Wishing you good health.

Reply Date: 2022/03/03

More Info


Understanding HPV Risks: Can You Get Infected Through Kissing or Oral Sex?
Human Papillomavirus (HPV) is a common sexually transmitted infection that can affect both men and women. It is important to understand the risks associated with HPV transmission, especially in the context of intimate behaviors such as kissing, oral sex, and other forms of sexual activity. Below, I will address your specific questions and provide additional context regarding HPV transmission and prevention.

1. Can kissing lead to HPV infection?
Kissing, particularly deep or French kissing, can theoretically transmit HPV if one partner has the virus present in their oral cavity. However, the risk of transmission through kissing is considered to be low. HPV is more commonly associated with genital contact, and while oral HPV infections can occur, they are less prevalent than genital infections. If your partner is undergoing treatment and has no visible lesions, the risk of transmission through kissing is further reduced.

2. Is there a risk of infection through oral sex without a condom?
Yes, there is a risk of HPV transmission through oral sex, especially if the partner has an active HPV infection. Oral sex can lead to the transmission of HPV to the throat, which has been linked to oropharyngeal cancers. While the risk is present, it is important to note that not all strains of HPV lead to cancer, and many infections are cleared by the immune system without causing any health issues. Since you have received the HPV vaccine, your risk of contracting high-risk HPV strains is significantly reduced, but it is not entirely eliminated.

3. Can engaging in protected vaginal or anal sex lead to HPV infection?
Engaging in sexual intercourse with a condom does reduce the risk of HPV transmission, but it does not eliminate it entirely. HPV can be present on areas of the skin not covered by a condom, and thus, transmission can still occur. The best way to minimize risk is to maintain open communication with your partner about sexual health and to consider regular screenings for sexually transmitted infections (STIs).

4. Is there a risk of infection through manual stimulation?
The risk of HPV transmission through manual stimulation (i.e., touching) is considered to be very low. HPV is primarily transmitted through direct skin-to-skin contact, particularly in genital areas. However, if there are any cuts or abrasions on the hands or genitals, there is a slight possibility of transmission, although this is not common.


Additional Considerations:
- Vaccination: You mentioned that you have completed the three-dose series of the HPV nine-valent vaccine. This vaccine is effective in protecting against the most common high-risk HPV types associated with cervical and other cancers. It is recommended for both males and females and is most effective when administered before the onset of sexual activity.

- Regular Health Check-ups: It is advisable to have regular health check-ups and screenings for STIs, especially if you are sexually active with multiple partners. This helps in early detection and management of any potential infections.

- Communication with Partners: Open communication with your partner about HPV status, vaccination, and sexual health is crucial. It helps in making informed decisions about sexual practices and reducing anxiety regarding transmission risks.

In conclusion, while there are risks associated with HPV transmission through kissing, oral sex, and other intimate activities, the likelihood of infection can be significantly reduced through vaccination, safe sexual practices, and regular health check-ups. If you have any further concerns or symptoms, it is always best to consult with a healthcare provider for personalized advice and testing.

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