Can Oral Sex with Warts Increase HIV Infection Risk? - Urology

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Engaging in oral sex with an unfamiliar woman while having cauliflower lesions (likely referring to genital warts or HPV-related lesions) can potentially increase the risk of HIV transmission. It is important to practice safe sex, including the use of barriers such as condoms or dental dams, to reduce the risk of sexually transmitted infections (STIs), including HIV?


Hello doctor, I engaged in sexual activity with a stranger two days ago, during which I received unprotected oral sex.
Halfway through, I noticed something resembling warts on my penis, and the next day I was diagnosed with genital warts.
I would like to ask the doctor: 1.
Are the lesions of genital warts considered open wounds? 2.
If the partner is not bleeding, does that mean that even if I have wounds on my penis, it does not pose a risk for transmission? 3.
Can genital warts lead to HIV infection? 4.
Am I in a situation where I could be at risk of infection?

KXZ, 10~19 year old female. Ask Date: 2024/08/02

Dr. Du Shixi reply Urology


Hello: 1.
Are cauliflower lesions considered open wounds? --> They should not be.
2.
If oral sex is performed and the partner is not bleeding, will my penile wounds pose a risk of transmission? --> If you have wounds, there is a possibility of transmission to the partner.
3.
Can cauliflower lesions lead to HIV infection? --> Oral sex can potentially transmit HIV.
4.
Am I in a situation that poses a risk of infection? --> Yes, you are at risk.
Wishing you good health.

Reply Date: 2024/08/02

More Info


When it comes to the risk of HIV transmission during oral sex, especially in the context of having warts (commonly caused by the human papillomavirus, or HPV), there are several important factors to consider.
1. Understanding Warts as Open Wounds: Warts, particularly those caused by HPV, are not typically classified as open wounds in the same way that cuts or abrasions are. However, they can still present a risk factor for the transmission of sexually transmitted infections (STIs), including HIV. The presence of warts may indicate a compromised skin barrier, which could theoretically increase susceptibility to infections, but the risk of HIV transmission through oral sex is generally considered low.

2. Oral Sex and Blood Exposure: In oral sex, the risk of HIV transmission is significantly lower compared to anal or vaginal intercourse. If there is no blood present (from either partner), the risk remains minimal. However, if there are any cuts or sores on the penis or in the mouth, this could potentially increase the risk of transmission, especially if the partner performing oral sex has any oral lesions or bleeding gums.
3. HIV Transmission and Warts: While warts themselves do not cause HIV, they can be indicative of a higher risk sexual behavior, which may include exposure to other STIs. The presence of HPV does not directly increase the risk of HIV transmission, but it does suggest that the individual may have been exposed to other pathogens.
4. Your Situation: Given that you engaged in unprotected oral sex and later discovered warts, it is important to consider the overall context. If the person you were with is HIV positive, there is a risk, albeit low, of transmission through oral sex, especially if there are any open sores or bleeding involved. The best course of action is to get tested for HIV and other STIs as soon as possible.
5. Testing and Follow-Up: Since you have already been diagnosed with warts, it is crucial to follow up with a healthcare provider for comprehensive STI testing, including HIV. Early detection and treatment are key in managing any potential infections.
6. Preventive Measures: To reduce the risk of HIV and other STIs in the future, consider using protection during all sexual activities, including oral sex. Condoms and dental dams can significantly lower the risk of transmission. Additionally, getting vaccinated against HPV can help prevent the types of HPV that cause warts and certain cancers.

In conclusion, while the risk of HIV transmission through oral sex is generally low, it is not zero, particularly in the presence of other STIs like HPV. It is essential to engage in safe sex practices and to seek medical advice for testing and treatment. If you have any concerns or symptoms, do not hesitate to consult a healthcare professional for personalized guidance.

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