Oral Sex Risks: HPV and Safe Practices - Urology

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Oral sex issues?


Hello doctor, I would like to ask you a question.
Recently, I had sexual intercourse with someone who has a history of genital warts (commonly known as condyloma).
We used a condom throughout the intercourse.
Their friend had a small wart found in the anal area, which has been treated and healed for six months.
There are no warts on my partner's penis, but I performed oral sex and kissed them.
I have a sore in my mouth, and I am concerned about the potential risk of transmission.

hen dan xin, 20~29 year old female. Ask Date: 2011/04/21

Dr. Xu Weikai reply Urology


Hello, you can start by observing to see if any lesions develop.
If it has been more than a year, it is likely that you do not have any issues.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
This message is from Dr.
Hsu Wei-kai, Director of the Urology Department, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2011/04/21

More Info


When it comes to understanding the risks associated with oral sex, particularly in relation to Human Papillomavirus (HPV), it's important to consider several factors, including the nature of the sexual activities, the health status of both partners, and the presence of any visible lesions or symptoms.

Firstly, HPV is a common sexually transmitted infection that can be transmitted through skin-to-skin contact, including oral sex. While using condoms can significantly reduce the risk of transmission, they do not eliminate it entirely, especially in cases where there are lesions or warts present that may not be visible. In your situation, since your partner had a history of genital warts (condyloma), there is a potential risk of transmission, particularly if there were any micro-abrasions or cuts in your mouth during oral sex.

The fact that your partner's genital warts were treated and healed six months prior is a positive sign, as the risk of transmission is generally lower when there are no active lesions. However, HPV can remain dormant in the body, and individuals can still carry the virus without showing any symptoms. This means that even if your partner appears healthy and has no visible warts, there is still a possibility of transmission.

Regarding your concern about having a cut in your mouth, any open wound can increase the risk of infection. If the cut was minor and healed quickly, the risk may still be low, but it is not negligible. If you experience any symptoms such as sore throat, lesions in the mouth, or any unusual changes, it would be wise to consult a healthcare professional for evaluation.

In terms of prevention, vaccination against HPV is highly recommended. The HPV vaccine can protect against the most common strains of the virus that cause genital warts and certain types of cancers, including cervical and oropharyngeal cancers. It is most effective when administered before the onset of sexual activity, but it can still provide benefits even if you are already sexually active.

For individuals who are sexually active, regular health check-ups and screenings are important. While there is no routine HPV test for men, those who are concerned about potential exposure can discuss their risks with a healthcare provider, who may recommend monitoring for any symptoms or changes.

In summary, while there is a risk of HPV transmission through oral sex, especially with a partner who has a history of genital warts, the actual risk can vary based on several factors. If you have concerns about potential exposure or symptoms, seeking medical advice is the best course of action. Additionally, consider getting vaccinated against HPV to reduce your risk of future infections and associated complications.

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