Oral Sex Risks: Can HPV Be Transmitted? - Urology

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Oral sex, cauliflower, anus?


Hello, doctor.

1.
Is it possible for the receiving partner (male) to contract HPV (human papillomavirus) through unprotected oral sex?
2.
If so, what is the likelihood of this happening?
3.
If unprotected oral sex occurred two weeks ago followed by protected vaginal intercourse, and now there is a raised bump at the anal area that is painful when wiping, could this be HPV?
4.
I experience pain when wiping, but there is no blood in my stool, and there is no bleeding when wiping.
The bump is singular and not clustered; could this still be HPV?
5.
Is it possible to transmit HPV to family members through sharing a washing machine?
6.
If transmission through a shared washing machine is possible, is it sufficient to wash only intimate clothing (underwear) separately, or should all clothing be washed separately?
Thank you, doctor.
I am really worried and do not want my family to know.
My infection is a minor issue, but I hope I do not transmit it to them as an ungrateful child...

Wang Xiaoming, 20~29 year old female. Ask Date: 2022/05/28

Dr. Cai Zhuorong reply Urology


1.
Possible
2.
Unlikely
3.
Possible
4.
Possible
5.
Possible, but the probability is low
6.
The transmission probability through the various methods you mentioned is low, but it cannot be completely avoided.

Reply Date: 2022/05/28

More Info


Understanding the risks associated with oral sex and the transmission of Human Papillomavirus (HPV) is crucial for maintaining sexual health. HPV is a common sexually transmitted infection (STI) that can be transmitted through various forms of sexual activity, including oral sex. Let's address your questions one by one.

1. Can HPV be transmitted through unprotected oral sex?
Yes, HPV can be transmitted through unprotected oral sex. If the person performing oral sex has HPV, there is a risk that the virus can be transmitted to the receiving partner. The risk is higher if there are any cuts or abrasions in the mouth or throat of the person receiving oral sex, as these can serve as entry points for the virus.

2. What is the likelihood of transmission?
The likelihood of transmission can vary based on several factors, including the specific HPV type, the viral load, and the presence of any oral or genital lesions. While some strains of HPV are more likely to cause oral or throat cancers (like HPV 16), others may lead to genital warts (like HPV 6 and 11). Generally, the risk of transmission through oral sex is lower compared to vaginal or anal sex, but it is still significant.

3. Could a painful bump near the anus be HPV-related?
If you have developed a painful bump near the anus two weeks after engaging in unprotected oral sex, it is possible that it could be related to HPV, particularly if it resembles a wart. However, other conditions, such as hemorrhoids, anal fissures, or other infections, could also cause similar symptoms. It is essential to consult a healthcare provider for an accurate diagnosis.

4. Is it possible to have HPV without visible symptoms?
Yes, many individuals with HPV do not show any symptoms and may not even know they are infected. HPV can remain dormant in the body for years before causing any visible signs, such as warts or lesions. Regular screenings and check-ups are important for early detection and management.

5. Can HPV be transmitted through shared laundry?
HPV is primarily transmitted through direct skin-to-skin contact during sexual activity. The virus does not survive long outside the human body, so the risk of transmission through shared laundry, such as using a washing machine, is extremely low. However, it is always a good practice to wash personal items, especially underwear, separately to minimize any risk of transmission of other infections.

6. What precautions should be taken?
To reduce the risk of HPV transmission, consider the following precautions:
- Use condoms or dental dams during oral sex to provide a barrier against HPV and other STIs.

- Get vaccinated against HPV, which can significantly reduce the risk of infection from the most common and harmful strains.

- Regularly visit a healthcare provider for screenings and check-ups, especially if you are sexually active with multiple partners or have concerns about STIs.

In conclusion, while the risk of HPV transmission through oral sex exists, it can be mitigated through safe sex practices, vaccination, and regular health check-ups. If you have concerns about potential symptoms or infections, it is important to seek medical advice promptly to ensure appropriate evaluation and treatment. Remember, open communication with sexual partners and healthcare providers is key to managing sexual health effectively.

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