Oral HPV: Symptoms, Risks, and Concerns for Couples

Is it an oral HPV infection?

Hello doctor, since the morning of June 8th, I have been experiencing pain in my tongue.
I initially thought it was a small sore and didn't pay much attention to it.
However, by the evening, the pain intensified, and upon examining it with a flashlight, I noticed that the back half of my tongue, extending to the base, appeared somewhat ulcerated.
Additionally, there were no ulcers or wounds anywhere else in my mouth.
On June 9th, I visited an ENT specialist who diagnosed me with a cold and prescribed pain medication.
Despite this, the pain persisted, and there was no improvement in the appearance of the sore.
On June 10th, I went to the emergency room, where the doctor was unsure of the cause, suggesting it might be an allergy or enterovirus.
However, since I had no rashes on my hands or feet, no diarrhea, and no contact with children, I was prescribed pain medication and sent home.
On June 11th, I consulted a dentist who indicated that it was neither herpes virus nor enterovirus, but possibly an allergy.
I have been quite worried and have been searching for information.
I would like to ask if this condition could be a symptom of oral HPV? My boyfriend and I are both inexperienced in sexual activity.
I would like to inquire if it is possible for me to have contracted oral HPV given that neither my boyfriend nor I have had any sexual experience? Here is the link to the image of my tongue taken on June 11th: https://ibb.co/BcnH8t2.

Chun, 20~29 year old female. Ask Date: 2024/06/11

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, it is difficult to make an accurate assessment.
I recommend consulting a physician to arrange for HPV testing, which will determine if there is an infection.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2024/06/11

More Info

Understanding oral HPV, its symptoms, risks, and concerns for couples is crucial, especially for individuals who have engaged in oral sexual activities. Human Papillomavirus (HPV) is a group of more than 200 related viruses, some of which can lead to health issues, including genital warts and various cancers, including oropharyngeal cancer.

Symptoms of Oral HPV
Oral HPV infections often do not present any symptoms, which can make them particularly insidious. When symptoms do occur, they may include:
1. Sore Throat: A persistent sore throat that does not improve over time can be a sign of an oral HPV infection.

2. Lesions or Warts: The appearance of warts or lesions in the mouth or throat, particularly on the tongue, tonsils, or the back of the throat, may indicate an HPV infection.

3. Difficulty Swallowing: If you experience pain or difficulty when swallowing, this could be a symptom.

4. Changes in Voice: A hoarse voice or other changes in vocal quality may occur.

5. Persistent Cough: A cough that does not go away could also be a symptom.

In your case, the pain in your tongue and the appearance of what looks like ulcers could be concerning, but it is essential to note that these symptoms can also be attributed to other conditions, such as viral infections, allergies, or even trauma to the oral mucosa.

Risks of Oral HPV
The transmission of HPV can occur through direct skin-to-skin contact, including oral sex. Even if a partner does not have visible symptoms or lesions, they can still carry the virus and transmit it. The risk of developing oral HPV is higher if one partner has a history of HPV-related diseases or if there are multiple sexual partners involved.

Concerns for Couples
Given that both you and your boyfriend are inexperienced in sexual activities, the likelihood of having contracted HPV is lower, especially if there has been no prior sexual contact with others. However, it is not impossible. HPV can be transmitted through non-penetrative sexual activities, and the presence of the virus does not always correlate with visible symptoms.

Recommendations
1. Medical Evaluation: Since you have experienced persistent pain and discomfort, it is advisable to seek a thorough evaluation from a healthcare professional, preferably an ENT specialist or an oral surgeon. They can perform a physical examination and may recommend further tests, such as a biopsy, if necessary.

2. HPV Vaccination: If you have not yet received the HPV vaccine, consider discussing this with your healthcare provider. The vaccine is effective in preventing the most common cancer-causing strains of HPV and is recommended for preteens and young adults.

3. Monitoring Symptoms: Keep track of your symptoms. If they persist or worsen, return to your healthcare provider for further evaluation.
4. Open Communication: Discuss your concerns with your boyfriend. Open communication about sexual health is vital in any relationship, especially when it comes to potential risks associated with HPV.

5. Regular Check-ups: Regular health check-ups and screenings can help in early detection and management of HPV-related health issues.

In conclusion, while the symptoms you are experiencing could be related to various conditions, including oral HPV, it is essential to consult a healthcare professional for an accurate diagnosis and appropriate management. Understanding HPV and its implications can help you make informed decisions about your sexual health and relationships.

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