HPV and Its Risks: Concerns About Oral Warts in Gay Men - Urology

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Cauliflower


Hello, Dr.
Hsu.
I am a gay man.
I previously had genital warts around my anus, and after more than six months of follow-up treatment, I underwent four laser surgeries.
After the last surgery, I applied medication at the anal opening to prevent the recurrence of warts.
During follow-up examinations, there was no recurrence inside or outside the anus for two months.
Now, more than five months have passed, and there have been no changes in my anus.
I recently started dating a boyfriend, and after having sexual relations with him, I performed oral sex multiple times.
I have been very worried about developing warts in my mouth.
About three to four weeks later, I noticed that my lips were chapped (this issue was present before oral sex but seemed to worsen).
There are white, raised areas on the tip of my tongue that are not very noticeable among the tongue coating (they hurt when pressed), and my tongue is covered with small red spots.
I also checked my boyfriend's tongue, and he has similar small red bumps (we kissed).
Could this be warts on my tongue?

Wúzhù de rén, 10~19 year old female. Ask Date: 2006/04/16

Dr. Xu Weikai reply Urology


Helpless person: Hello, it's rare to hear about cauliflower-like growths on the tongue.
If you're worried, it's best to get a biopsy for confirmation.
Note: Generally, cauliflower-like lesions appear black.
Response from Dr.
Hsu Wei-kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2006/04/16

More Info


Understanding HPV and Its Risks: Concerns About Oral Warts in Gay Men
Human Papillomavirus (HPV) is a common sexually transmitted infection that can affect both men and women. It is important to understand the risks associated with HPV, especially in the context of oral sex and the potential for developing oral warts or other related conditions. Given your concerns about HPV transmission through oral sex and the symptoms you are experiencing, let’s delve into the details.

Firstly, HPV is known to be transmitted through skin-to-skin contact, which includes oral sex. While the risk of transmission through oral sex is generally lower than through vaginal or anal intercourse, it is still significant. Certain high-risk types of HPV, particularly HPV-16 and HPV-18, are associated with cancers of the throat and mouth, while low-risk types can lead to conditions such as genital warts (also known as "cauliflower warts"). The types of HPV that cause warts in the genital area can also cause similar lesions in the oral cavity.

In your case, you mentioned having a history of anal warts and undergoing multiple laser treatments. It is crucial to maintain regular follow-ups with your healthcare provider to monitor for any recurrence of warts. The fact that you have not experienced any recurrence in the past five months is a positive sign, but it does not eliminate the risk of HPV transmission to your partner or the potential for developing oral lesions.

Regarding your symptoms, the presence of white patches on your tongue and red spots could be indicative of several conditions. While it is possible that these could be related to HPV, they could also be due to other factors such as irritation, infection, or even oral thrush. It is essential to have these symptoms evaluated by a healthcare professional who can perform a thorough examination and possibly conduct tests to determine the exact cause.

As for your concerns about your boyfriend, it is important to note that HPV can be asymptomatic, meaning that individuals can carry the virus without showing any signs. This is why regular screenings and open communication with sexual partners are vital. If your boyfriend has visible symptoms, it would be advisable for him to seek medical evaluation as well.

In terms of prevention, the HPV vaccine is highly effective in reducing the risk of contracting the virus, particularly the high-risk types associated with cancer. Since you mentioned that you have already undergone treatment for HPV, getting vaccinated can provide additional protection against other strains of the virus.

Lastly, it is understandable to feel anxious about the possibility of transmitting HPV or developing oral warts. However, it is essential to remember that many HPV infections are cleared by the immune system without causing any health issues. Maintaining a healthy lifestyle, managing stress, and following up with your healthcare provider can help support your immune system in clearing the virus.

In conclusion, while there is a risk of HPV transmission through oral sex, the presence of symptoms such as white patches or red spots on the tongue should be evaluated by a healthcare professional. Regular check-ups, open communication with partners, and vaccination are crucial steps in managing HPV risks. If you have further concerns, do not hesitate to reach out to a healthcare provider for personalized advice and treatment options.

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