Do I Need a Deep Investigation for Urological Concerns?

Do I need to conduct a thorough investigation?

Six months ago, I had oral sex, and I underwent tests for genital warts and HIV three months and six months later, both of which came back negative.
However, I have some bumps under my tongue and I'm not sure what they are.

1.
I would like to ask if genital warts can be detected if they are present in the mouth, considering that the sampling for the test is done from the genital area.

2.
Is it possible to contract HIV through genital rubbing without a condom?
3.
Even if both partners are HIV negative, can they still contract HIV through unprotected sexual intercourse? 🤔

Buding, 20~29 year old female. Ask Date: 2022/06/17

Dr. Chen Jiansheng reply Urology

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Reply Date: 2022/06/17

More Info

When it comes to urological concerns, especially after potential exposure to sexually transmitted infections (STIs), it's essential to approach the situation with caution and thoroughness. Based on your description, it seems you have undergone testing for common STIs, including HPV (which causes genital warts) and HIV, with negative results. However, the presence of bumps under your tongue raises valid concerns that warrant further investigation.

1. Testing for Oral HPV: You mentioned having undergone testing for HPV, but it's important to note that standard HPV tests typically focus on genital samples. Oral HPV can be more challenging to detect, as the tests are not as widely available or standardized for oral samples. If you suspect that you have oral warts or lesions, it would be advisable to consult a healthcare provider who can perform a thorough examination and possibly a biopsy if necessary. They may also refer you to an ENT specialist or a dermatologist who specializes in oral lesions.

2. Risk of HIV Transmission: Regarding your question about the risk of HIV transmission through genital rubbing without a condom, the risk is generally considered to be low. HIV is primarily transmitted through direct contact with bodily fluids such as blood, semen, vaginal fluids, and breast milk. While the risk of transmission through skin-to-skin contact is minimal, it is not entirely absent, especially if there are open cuts or sores. Engaging in sexual activities without protection does increase the risk of other STIs, so it's always best to practice safe sex.

3. Risk of HIV with No Known Infection: Even if both partners have tested negative for HIV, it is still possible to contract the virus if one partner has a recent infection that has not yet been detected by standard testing methods. The "window period" for HIV testing can vary, meaning that an individual may be infected but still test negative shortly after exposure. Therefore, regular testing and open communication with partners about sexual health are crucial.

Given your concerns about the bumps under your tongue, it is advisable to seek a healthcare professional's opinion. They may recommend further testing or a referral to a specialist for a more detailed evaluation. Additionally, if you have any symptoms such as pain, difficulty swallowing, or changes in your oral health, these should be addressed promptly.

In summary, while your previous tests for STIs were negative, the presence of new symptoms warrants further investigation. Oral HPV can be a concern, and while the risk of HIV transmission through non-penetrative sexual activities is low, it is not zero. Regular check-ups and open discussions about sexual health with your partners and healthcare providers are essential for maintaining your well-being.

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