Genital Warts: Risks, Treatments, and Expert Advice - Dermatology

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Hello Dr.
Wu, I would like to ask a few questions.
I previously discovered warts in my genital area and treated them with a topical ointment (gynecology) and also received the cervical cancer vaccine.
However, my boyfriend has been pinching my nipples and ejaculating on them.
Is there a risk of infection from this? (I take a shower immediately afterward, but my nipples feel sore.) Additionally, before I discovered the warts, I performed oral sex on him.
Can warts also appear on the glans and testicles? Which specialist should I see to check for any lesions in my oral cavity? Do you know any doctors in Kaohsiung? I'm very worried and hope you can help clarify my concerns.

Olivia, 20~29 year old female. Ask Date: 2015/09/07

Dr. Wu Yuxin reply Dermatology


It is possible.
It is recommended to consult an oral surgeon.

Reply Date: 2015/09/07

More Info


Genital warts, caused by certain strains of the human papillomavirus (HPV), are a common sexually transmitted infection (STI). Understanding the risks, treatment options, and preventive measures is crucial for managing this condition effectively.


Risks of Genital Warts
Genital warts are primarily transmitted through direct skin-to-skin contact during sexual activities, including vaginal, anal, and oral sex. The HPV strains that cause genital warts can also be present in areas not covered by condoms, which means that even with condom use, there is still a risk of transmission. In your case, the contact with your boyfriend's hands and the exposure to his semen could potentially pose a risk, especially if there were any micro-abrasions or cuts on your skin. Washing immediately after contact may help reduce the risk of infection, but it is not a foolproof method.


Treatment Options
Treatment for genital warts typically involves topical medications, such as imiquimod or podofilox, which are applied directly to the warts. In some cases, healthcare providers may recommend cryotherapy (freezing the warts), laser treatment, or surgical removal. Since you have already used a topical treatment prescribed by your gynecologist and received the HPV vaccine, you are taking proactive steps toward managing your condition. The vaccine is effective in preventing certain strains of HPV that cause genital warts and cervical cancer, but it does not treat existing infections.


Concerns About Oral Contact
Regarding your concern about oral sex, it is indeed possible for HPV to be transmitted to the mouth and throat, leading to oral warts or even oropharyngeal cancer in rare cases. If you have performed oral sex on your boyfriend before noticing the genital warts, there is a possibility that HPV could have been transmitted to your mouth. Symptoms of oral HPV infection may include lesions or warts in the mouth or throat, but many individuals remain asymptomatic.


Seeking Medical Advice
To address your concerns about potential oral HPV infection, it is advisable to consult with a healthcare provider who specializes in STIs or a dentist familiar with oral health issues related to HPV. An oral examination can help identify any lesions or abnormalities. If you are in Kaohsiung and looking for a healthcare provider, consider reaching out to local clinics or hospitals that specialize in infectious diseases or sexual health. You can also inquire about specialists who have experience with HPV-related conditions.


Conclusion
In summary, while there is a risk of HPV transmission through various forms of contact, including the scenarios you described, taking preventive measures and seeking appropriate medical care are essential. Continue to monitor your health and communicate openly with your healthcare provider about any new symptoms or concerns. Regular check-ups and screenings can help manage your health effectively and provide peace of mind. Remember, you are not alone in this, and many resources are available to support you.

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