Oral HPV and Its Connection to Genital Warts: Key Insights

Q: Oral HPV and Its Connection to Genital Warts: Key Insights

Hello： <br>1. <br>Based on the above, will oral sex without a condom definitely lead to an infection in the mouth like it does in the genital area, or is it not certain? --> If there are viruses present, the transmission after sexual activity is not 100% guaranteed; there is just

Oral condyloma acuminatum

Two years ago, I had an infection in the vulva that led to genital warts, for which I underwent electrosurgery.
Since then, I have had regular follow-up visits with my gynecologist and have not experienced any recurrence.
Before the infection was discovered, I had performed unprotected oral sex on my ex-boyfriend, and after finding out about the infection, I did not engage in any sexual activity.
After the electrosurgical treatment for the vulva, I also arranged to see an ENT specialist and received the HPV vaccine.
When I looked in the mirror and pulled my tongue back, I noticed a row of bumps at the back of my tongue.
The doctor examined it with an endoscope and said it was not concerning, but rather the papillae on my tongue.
However, I still feel anxious about it.
1.
Based on the above, does unprotected oral sex necessarily lead to an infection in the oral cavity like it does in the vulva, or is it not guaranteed?
2.
If a woman wants to check for oral HPV infection, which specialty should she see: dentistry, ENT, gynecology, or urology?
3.
What is the incubation period for oral genital warts? What are the symptoms and sensations associated with it?
4.
Is it possible for symptoms to appear in the mouth two years later, or could there be growths that I am unaware of?
5.
How long after having no symptoms should one not worry about oral genital warts?
6.
Is there a specific test for oral HPV?
7.
Are gynecological HPV tests and oral HPV tests separate? Does a gynecological exam indicate whether there is a virus in the mouth, or do they need to be tested separately?

Wu, 30~39 year old female. Ask Date: 2022/10/19

Dr. Du Shixi reply Urology

Hello:
1.
Based on the above, will oral sex without a condom definitely lead to an infection in the mouth like it does in the genital area, or is it not certain? --> If there are viruses present, the transmission after sexual activity is not 100% guaranteed; there is just a chance.
You can refer to the risk levels of sexual behaviors: low-risk activities include masturbation, hugging, and touching areas other than the genitals; low-risk activities include mutual masturbation, light kissing, mutual rubbing, and condom-protected sex; moderate-risk activities include deep kissing, oral sex, and external ejaculation; high-risk activities include unprotected intercourse or intercourse that causes wounds or bleeding.
2.
If a woman wants to check for oral warts, which department should she consult: dentistry, otolaryngology, gynecology, or urology? --> She should consult dentistry and otolaryngology, but it also depends on whether the physician has expertise in this area.
3.
What is the incubation period for oral warts? What are the symptoms and sensations? --> It can be several months before symptoms appear as raised lesions.
If they are deep, it may be difficult to notice symptoms right away.
You can refer to https://www.shutien.org.tw/dr_doc_detail.aspx?bookid=1334.
Is it possible for them to appear in the mouth two years later, or is it possible for them to grow without my knowledge? --> If infected, there is a chance, but it is uncommon.
5.
After how long without symptoms should one not worry about oral warts? Personally, I recommend waiting at least six months.
6.
Is there an HPV test for the mouth? You need to inquire, as the testing methods differ and have limitations.
7.
Is the gynecological HPV test separate from the oral HPV test? Does a gynecological exam indicate whether there is a virus in the mouth, or must they be tested separately? They are different; gynecological exams often involve internal examinations.

Reply Date: 2022/10/19

More Info

Understanding Oral HPV and Its Connection to Genital Warts: Key Insights
Human Papillomavirus (HPV) is a common sexually transmitted infection that can affect both the genital area and the oral cavity. Your concerns regarding the potential transmission of HPV through oral sex and the implications for your health are valid and warrant a thorough understanding.

1. Transmission of HPV through Oral Sex: Engaging in unprotected oral sex can indeed lead to the transmission of HPV. However, it is important to note that not everyone who has oral sex with an infected partner will contract the virus. The likelihood of transmission depends on several factors, including the viral load present, the immune response of the individual, and the presence of any oral lesions or abrasions that could facilitate entry of the virus. Therefore, while there is a risk, it is not guaranteed that your oral cavity would be infected in the same way as the genital area.

2. Specialty for Oral HPV Examination: If you are concerned about potential HPV infection in the oral cavity, the appropriate specialists to consult would be an Ear, Nose, and Throat (ENT) doctor or a dentist with experience in oral pathology. These professionals can perform a thorough examination of your oral cavity and throat to identify any abnormal lesions or signs of HPV-related conditions, such as warts or precancerous changes.

3. Symptoms and Latency of Oral HPV: The incubation period for oral HPV can vary widely, and symptoms may not appear for months or even years after infection. In many cases, individuals may remain asymptomatic. If symptoms do occur, they may include the appearance of warts or lesions in the mouth or throat, which can be painless or cause discomfort. If you notice any unusual growths or changes in your oral cavity, it is crucial to seek medical evaluation promptly.

4. Risk of Late-Onset Symptoms: It is possible for HPV to remain dormant in the body for an extended period before manifesting as symptoms. However, if you have not experienced any symptoms for two years following your last sexual encounter, the likelihood of developing oral warts or lesions from that specific exposure diminishes. Regular check-ups and monitoring are advisable, especially if you have a history of HPV-related conditions.

5. Duration of Monitoring: If you have not exhibited any symptoms for two years, it is generally considered low risk for developing oral HPV-related conditions. However, maintaining regular dental and medical check-ups is essential for early detection and peace of mind.

6. Oral HPV Testing: Currently, there is no standardized test specifically for detecting oral HPV in the same way that cervical HPV testing is performed. However, if there are visible lesions or abnormalities, a biopsy may be conducted to determine the presence of HPV.

7. Separation of HPV Testing: HPV testing for cervical health is distinct from oral HPV assessments. A gynecological HPV test primarily screens for high-risk types of HPV that can lead to cervical cancer and does not provide information about oral HPV status. Therefore, if you are concerned about oral HPV, it is advisable to seek evaluation from an ENT specialist or an oral health professional.

In conclusion, while there is a risk of HPV transmission through oral sex, the actual likelihood of developing oral HPV-related conditions varies. Regular check-ups with appropriate specialists, awareness of symptoms, and maintaining good oral hygiene are key components in managing your health. If you have any concerns or notice any changes in your oral cavity, do not hesitate to seek medical advice.

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