Is This Oral Lesion Caused by HPV? Seeking Medical Advice - Otolaryngology

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It’s understandable to feel anxious after experiencing unusual symptoms in your mouth, especially following unprotected oral sex. Human Papillomavirus (HPV) is indeed a concern in such scenarios, as it can be transmitted through skin-to-skin contact, including oral sex. However, not all oral lesions are caused by HPV, and many can be benign or related to other conditions.

Based on your description, you have noticed unusual lesions on your tongue and under your tongue, along with a sensation of something being stuck in your throat. While HPV can lead to oral lesions, particularly in the form of warts (often referred to as oral papillomas), other conditions can also cause similar symptoms. These include oral thrush (a fungal infection), canker sores, or even allergic reactions to certain foods or medications.

The fact that you have already consulted an Ear, Nose, and Throat (ENT) specialist is a positive step. They are well-equipped to evaluate oral lesions and can perform necessary diagnostic tests, such as a biopsy if needed, to determine the exact nature of the lesions. It’s important to follow up with the specialist you have an appointment with, as they can provide a more thorough examination and appropriate treatment options.

Regarding your concerns about HPV and its potential to cause cancer, it’s important to note that while certain strains of HPV are associated with oropharyngeal cancers, the development of cancer typically takes many years and is influenced by various factors, including the immune response and other risk factors such as smoking and alcohol use. Most HPV infections are transient and resolve on their own without causing any long-term health issues.

In terms of treatment, if the lesions are indeed caused by HPV, there are various options available, including observation, topical treatments, or surgical removal if necessary. If the lesions are benign, they may not require any treatment at all.
Your feelings of distress and regret are completely valid, but it’s crucial to focus on your health and well-being moving forward. Engaging in safe sex practices, such as using condoms or dental dams during oral sex, can significantly reduce the risk of transmitting HPV and other sexually transmitted infections (STIs). Additionally, consider discussing HPV vaccination with your healthcare provider, as it can protect against the most common cancer-causing strains of the virus.

In summary, while your symptoms warrant attention, it’s essential to wait for a professional evaluation to determine the cause of your oral lesions. Remember that many oral conditions are treatable, and taking proactive steps towards your health is the best way to move forward. If you continue to feel overwhelmed, consider speaking with a mental health professional who can help you process your feelings and develop coping strategies. Your health is paramount, and seeking help is a strong and positive step.