Can Oral Sex Transmit STDs Like HPV? the Risks - Urology

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Can oral sex transmit sexually transmitted infections (STIs)?


Hello doctor, I recently performed oral sex with an online friend, where he performed oral on my penis and anus.
If his mouth had warts, would I contract warts?

Shijie, 20~29 year old female. Ask Date: 2022/06/26

Dr. Chen Jiansheng reply Urology


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Reply Date: 2022/06/26

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Oral sex can indeed transmit sexually transmitted diseases (STDs), including human papillomavirus (HPV). HPV is a common virus that can infect the genital area, mouth, and throat. While many people with HPV do not show symptoms and may clear the virus on their own, certain strains can lead to serious health issues, including genital warts (also known as "cauliflower" warts) and various cancers, such as oropharyngeal cancer.

When engaging in oral sex, the risk of transmitting HPV and other STDs increases, especially if there are visible lesions or warts present in the oral cavity of the partner performing oral sex. If your partner has genital warts (cauliflower-like growths) and performs oral sex on you, there is a possibility that you could contract HPV through direct contact with those warts. The virus can enter through micro-abrasions or cuts in the mucous membranes of the mouth or throat.

In your specific case, if your partner has warts in their mouth or throat, and you engaged in oral sex, there is a risk of transmission. However, the likelihood of contracting HPV through oral sex varies based on several factors, including the presence of visible lesions, the immune status of both partners, and the specific strain of HPV involved. Strains such as HPV 16 and 18 are more closely associated with cancer, while others may lead to benign conditions like genital warts.

To mitigate the risk of HPV transmission through oral sex, consider the following preventive measures:
1. Vaccination: The HPV vaccine is effective in preventing the most common cancer-causing strains of HPV. It is recommended for preteens but can be given up to age 26 (and in some cases, up to age 45). Vaccination can significantly reduce the risk of HPV-related diseases.

2. Barrier Methods: Using condoms or dental dams during oral sex can reduce the risk of transmitting HPV and other STDs. While these methods do not provide complete protection, they can lower the likelihood of direct contact with infected areas.

3. Regular Screening: Regular health check-ups and screenings for STDs can help in early detection and treatment. Women should continue to have Pap smears and HPV tests as recommended by their healthcare provider.

4. Avoiding Sexual Activity with Infected Partners: If you or your partner has visible signs of HPV or any other STD, it is advisable to avoid sexual activity until a healthcare provider has evaluated the situation and provided guidance.

5. Open Communication: Discussing sexual health openly with partners can help both parties make informed decisions about their sexual practices and health.

If you are concerned about potential exposure to HPV or any other STDs, it is advisable to consult a healthcare provider for appropriate testing and guidance. They can provide personalized recommendations based on your health history and current situation. Remember that while HPV is common, not everyone who is exposed will develop symptoms or health issues, but being proactive about your sexual health is crucial.

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