HPV Oral Symptoms and Risks: What You Need to Know

HPV oral sex oral warts symptoms

(1) I would like to ask the doctor if I have warts in my genital area, should I be concerned about having them in my mouth as well? Which department should I visit for a check-up at the hospital, dermatology or otolaryngology?
(2) What are the early symptoms of oral warts? Is it possible to experience a sore throat, a sensation of something stuck in the throat, and phlegm?
(3) Is it safe to kiss my boyfriend? Is there a risk of transmission to him?
(4) Before I knew I had this condition, I had an incident where the condom broke during intercourse, and I performed oral sex on him.
What is the likelihood of transmitting the infection to my mouth?
(5) Does oral sex with ejaculation in the mouth increase the risk of throat inflammation? I was fine before, but in the past few days, I have been experiencing a sore throat.
Thank you, doctor.

Hei, 20~29 year old female. Ask Date: 2023/08/30

Dr. Zheng Jueyi reply Otolaryngology

1.
It is recommended to consult an otolaryngologist or oral surgeon for examination.

2.
Symptoms may not be present in the early stages.

3.
If the oral mucosa is intact and immune function is normal, kissing may not necessarily result in transmission.

4.
It is difficult to determine; medical evaluation is advised for confirmation.

5.
If there is pain, it may indicate inflammation; if there is no improvement, medical evaluation is recommended.

Reply Date: 2023/08/30

More Info

Understanding HPV Oral Symptoms and Risks: What You Need to Know
Human Papillomavirus (HPV) is a common sexually transmitted infection that can affect various parts of the body, including the genital area and the oral cavity. Your concerns about the potential transmission of HPV through oral sex and the symptoms associated with oral HPV infection are valid and important to address.

1. Which Specialist to Consult: If you suspect you have HPV-related lesions (such as warts) in your genital area and are concerned about potential oral infection, it is advisable to consult an Ear, Nose, and Throat (ENT) specialist or an Oral and Maxillofacial surgeon. These specialists are well-equipped to examine the oral cavity and throat for any signs of HPV-related changes. Dermatologists can also be consulted for skin-related issues, but for oral symptoms, ENT is the preferred choice.

2. Initial Symptoms of Oral HPV: Oral HPV infections can sometimes be asymptomatic, meaning you may not notice any symptoms. However, if symptoms do occur, they may include:
- A sore throat or a feeling of something being stuck in the throat (foreign body sensation).

- Painful lesions or bumps in the mouth or throat, which may resemble warts.

- Difficulty swallowing or persistent cough.

- Changes in voice or hoarseness.

While a sore throat can be caused by various factors, including viral infections (like the common cold), allergies, or irritants, persistent symptoms that do not improve with standard treatment should prompt further evaluation for potential HPV infection.

3. Kissing and Transmission Risks: If you have been diagnosed with HPV and are experiencing symptoms, it is wise to discuss your situation with your partner. HPV can be transmitted through skin-to-skin contact, including kissing, especially if there are visible lesions. However, the risk of transmission through kissing is generally lower compared to sexual intercourse. Open communication with your partner about your health status is crucial for both of your well-being.

4. Risk of Self-Transmission: If you performed oral sex on a partner who has HPV, there is a possibility of transmitting the virus to your own oral cavity, especially if there are lesions present. The risk of transmission is higher if there are visible warts or lesions. However, if you are both new to sexual activity and have not had prior exposure to HPV, the likelihood of transmission through oral sex is variable and depends on several factors, including the presence of lesions and the immune response of both partners.

5. Oral Sex and Throat Inflammation: Engaging in oral sex, especially if ejaculation occurs in the mouth, can lead to throat irritation or inflammation. This can manifest as a sore throat, discomfort, or a feeling of tightness in the throat. It is essential to differentiate between irritation caused by sexual activity and symptoms indicative of an infection. If you experience persistent throat pain following oral sex, it is advisable to seek medical evaluation to rule out infections, including HPV or other sexually transmitted infections.

In summary, if you suspect you have HPV or are experiencing concerning symptoms, it is essential to seek medical advice promptly. An ENT specialist can provide a thorough examination and guide you on the appropriate tests and treatments. Additionally, discussing your health status with your partner and practicing safe sex can help mitigate the risks associated with HPV transmission. Vaccination against HPV is also recommended for both males and females to reduce the risk of HPV-related diseases.

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