Can Oral Sex Transmit HPV? Risks and Prevention - Urology

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The likelihood of cauliflower ear infection from oral sex?


My girlfriend performed oral sex on me without a condom, but she has genital warts.
I'm unsure if I could also be infected with the warts since we only engaged in mutual masturbation and oral sex without a condom, and we kissed deeply while she was wearing pants.

Lele, 10~19 year old female. Ask Date: 2022/07/23

Dr. Chen Jiansheng reply Urology


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Reply Date: 2022/07/23

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Oral sex can indeed transmit Human Papillomavirus (HPV), which is a common sexually transmitted infection. The risk of transmission during oral sex is influenced by several factors, including the presence of HPV lesions (such as warts) in the genital area, the type of HPV involved, and the overall health of both partners.

HPV is primarily transmitted through direct skin-to-skin contact, which includes oral-genital contact. If your girlfriend has visible genital warts (often referred to as "cauliflower-like" growths), there is a possibility that the virus could be transmitted to you during oral sex. Even if there is no penetration, the virus can still be present in the genital area and can infect the mouth or throat of the receiving partner.

Regarding the specific types of HPV, certain strains are more closely associated with cancers, such as HPV type 16, which is linked to oropharyngeal cancers. However, the strains that cause genital warts (like HPV types 6 and 11) are generally not associated with cancer but can still cause discomfort and require treatment. The types you mentioned (51, 68, and 70) are less commonly discussed but can still pose risks.

In terms of symptoms, many people with HPV do not exhibit any signs or symptoms, which is why regular screenings and check-ups are essential. If you were to contract HPV, you might not notice any immediate symptoms, but over time, some individuals may develop warts or other complications. It's important to be aware that HPV can remain dormant in the body for years, and the immune system may eventually clear the virus without any treatment.

To minimize the risk of HPV transmission, consider the following preventive measures:
1. Vaccination: The HPV vaccine is highly effective in preventing the most common cancer-causing strains of HPV. It is recommended for both males and females, ideally before they become sexually active.

2. Regular Screenings: For sexually active individuals, regular screenings (such as Pap smears for women) can help detect any abnormalities early on. Men can also consider HPV testing, especially if they have had multiple partners or are at higher risk.

3. Barrier Methods: While condoms do not provide complete protection against HPV, they can significantly reduce the risk of transmission. Using dental dams during oral sex can also help protect against HPV.

4. Communication: Open discussions with sexual partners about sexual health, including HPV status and any visible symptoms, can help manage risks.

5. Avoiding Sexual Activity During Outbreaks: If either partner has visible warts or any signs of an HPV outbreak, it is advisable to avoid sexual activity until the condition is treated and resolved.

If you are concerned about potential HPV transmission or have noticed any symptoms, it is advisable to consult a healthcare provider. They can offer testing, guidance on treatment options, and advice on how to protect yourself and your partner moving forward. Remember, early detection and treatment are key to managing HPV effectively.

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