Oral Warts: Concerns and Precautions After Oral Sex - Urology

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Oral warts


Hello, doctor.
I have some concerns regarding oral warts.
Recently, I performed oral sex on my boyfriend without a condom (his genital appearance was normal), but there was no ejaculation in my mouth.
After we broke up, I noticed a finger-like pink soft growth on the tissue behind my lower molars.
Could this possibly be warts? If it's uncertain at this point, should I closely monitor it, focusing on whether the growths around it are increasing or merging? If it is indeed oral warts, should I use separate utensils when eating with my family to avoid transmission? I'm unsure about the transmissibility of saliva if the warts are present in the mouth.
I apologize for the many questions; I'm quite worried.

Niming, 20~29 year old female. Ask Date: 2015/08/04

Dr. Fu Shizhang reply Urology


It is recommended to consult an otolaryngologist or an infectious disease specialist for examination.

Reply Date: 2015/08/04

More Info


Oral warts, commonly associated with human papillomavirus (HPV), can indeed be a concern following oral sexual activities. Your situation raises several important points regarding the potential for HPV transmission, the nature of the lesions you are observing, and the precautions you should take moving forward.

Firstly, it is essential to understand that HPV is a sexually transmitted infection that can be transmitted through skin-to-skin contact, including oral sex. While many strains of HPV are harmless and may not cause any symptoms, certain strains can lead to the development of warts, including those in the oral cavity. The lesions you describe as "finger-like pink soft protrusions" could potentially be oral warts, but it is crucial to have them evaluated by a healthcare professional for an accurate diagnosis.

In terms of monitoring the lesions, you are correct that observing any changes in size, number, or appearance is important. If the lesions begin to multiply, change in color, or exhibit any other changes, it would be prudent to seek medical advice sooner rather than later. A healthcare provider can perform a physical examination and may recommend a biopsy if there is any uncertainty about the nature of the growths.

Regarding your concerns about transmission, HPV is primarily spread through direct contact with infected skin or mucous membranes. While the risk of transmission through saliva is considered low, it is not entirely absent. Therefore, if you are diagnosed with oral warts, it would be wise to take precautions during meals, such as using separate utensils (public chopsticks and spoons) to minimize any potential risk of transmission to family members. This is particularly important if you have any lesions that could potentially come into contact with food or utensils.

In addition to these precautions, it is also advisable to discuss your situation with your healthcare provider, who may recommend HPV vaccination if you have not already received it. The HPV vaccine can protect against the most common and high-risk strains of the virus, reducing the likelihood of developing warts or other HPV-related complications in the future.

Finally, it is important to maintain open communication with any future sexual partners about your health status and any concerns regarding STIs. Engaging in safe sexual practices, including the use of barriers such as condoms or dental dams during oral sex, can significantly reduce the risk of transmitting HPV and other sexually transmitted infections.

In summary, while the presence of lesions in your mouth could be indicative of oral warts, a definitive diagnosis can only be made by a healthcare professional. Monitoring the lesions for changes, practicing good hygiene, and taking precautions during meals are all prudent steps. Additionally, consider discussing HPV vaccination and safe sexual practices with your healthcare provider to protect your health moving forward.

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