Oral HPV Infection: Symptoms and Concerns for First-Time Partners

Is it an oral HPV infection?

Hello Doctor, I started experiencing pain in my tongue upon waking up on June 8th.
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 part 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 department, where the doctor was unsure of the cause, suggesting it could be an allergy or enterovirus.
However, since I had no rashes on my hands or feet, no diarrhea, and had not been in contact with children, I was given pain medication and sent home.
On June 11th, I visited a dentist who ruled out herpes virus and enterovirus, suggesting it might be allergy-related.
After returning home, I was quite worried and started researching.
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.
Given that neither of us has had sexual experience, is it possible for me to be infected with oral HPV? Here is a link to a picture of my tongue taken on June 11th: https://ibb.co/BcnH8t2

Chun, 20~29 year old female. Ask Date: 2024/06/12

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 whether there is an infection.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2024/06/12

More Info

Understanding oral HPV infection is crucial, especially for individuals who are new to sexual experiences. 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. Oral HPV can be transmitted through oral sex, and while it is less common than genital HPV, it is still a significant concern.

From your description, it seems you are experiencing discomfort in your mouth, specifically on your tongue. The symptoms you mentioned, such as pain and the appearance of what looks like ulcers, can be caused by various factors, including infections, allergies, or even trauma. It is important to note that while HPV can cause lesions in the oral cavity, many other conditions can present with similar symptoms.
1. Symptoms of Oral HPV: Oral HPV infections often do not cause symptoms, and many individuals may be unaware they are infected. When symptoms do occur, they can include:
- Painful sores or ulcers in the mouth or throat.

- White or gray lesions on the tongue or inside the cheeks.

- A persistent sore throat or difficulty swallowing.

- Changes in voice or hoarseness.

However, these symptoms are not exclusive to HPV and can be associated with other conditions such as viral infections (like herpes or Coxsackie virus), allergic reactions, or even irritations from dental appliances.

2. Transmission Risks: Since both you and your boyfriend are first-time partners, the risk of HPV transmission is generally lower if neither of you has had previous sexual partners. However, HPV can be asymptomatic, meaning that someone could carry the virus without showing any signs. If either of you had oral contact with an infected partner in the past, there could be a risk of transmission.

3. Diagnosis and Testing: If you are concerned about a possible HPV infection, it is advisable to consult a healthcare professional who can perform an examination and possibly recommend testing. HPV testing for oral infections is not as routine as for cervical infections, but certain specialists, such as those in otolaryngology (ear, nose, and throat specialists) or oral medicine, can provide guidance.

4. Treatment Options: Currently, there is no specific antiviral treatment for HPV itself. Most HPV infections are cleared by the immune system over time. If lesions or warts are present, treatments may include topical medications, cryotherapy, or surgical removal, depending on the severity and location.

5. Preventive Measures: Vaccination against HPV is an effective way to reduce the risk of infection. The HPV vaccine is recommended for preteens but can be given up to age 26 for those who did not receive it earlier. It protects against the most common cancer-causing strains of HPV.

6. Follow-Up: Given your symptoms and the lack of improvement, it is essential to follow up with a healthcare provider. They may recommend further evaluation or a referral to a specialist who can provide a more comprehensive assessment.

In conclusion, while your symptoms may be concerning, they do not definitively indicate an HPV infection. It is essential to seek medical advice for a proper diagnosis and to discuss any concerns about HPV and sexual health. Regular check-ups and open communication with partners about sexual health are vital for maintaining well-being.

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