[Question #10697] oral hpv
20 months ago
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Hello,
my question:
1. last year I was diagnosed with geographic tongue and I had 2 enlarged lymph nodes in my neck that ENT said are nothing serious but couldn't say why they became large. I also removed a large sebaceous (Epidermoid) cyst on my cheek with surgery last year, I also recently got another sebaceous (Epidermoid) cyst on my face. Are these symptoms of Oral HPV infections?
I'm 34 years old female. 8 years ago I had unprotected sex and oral with someone who had multiple partners and visible warts on his penis (a Derm confirmed that what I saw on him was warts). before the sex I had recently waxed and my wisdom teeth were bleeding and painful
6 months passed and I was diagnosed with genital Molluscum contagiosum. been inactive sexually since then, I had my last pap and HPV test last year both negative. I never had any oral tests just regular cancer screening at my dentist.
my question:
1. last year I was diagnosed with geographic tongue and I had 2 enlarged lymph nodes in my neck that ENT said are nothing serious but couldn't say why they became large. I also removed a large sebaceous (Epidermoid) cyst on my cheek with surgery last year, I also recently got another sebaceous (Epidermoid) cyst on my face. Are these symptoms of Oral HPV infections?
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Edward W. Hook M.D.
20 months ago
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Welcome to the Forum. Thanks for your questions. I'll be glad to comment.
The encounter you describe was relatively low risk for oral HPV. Most single exposures do not lead to infection and the strains of HPV which cause 90% of visible genital warts are not strains that typically infect the throat. Further, even if you happened to get infected, most oral HPV infections, like nearly all genital infections, are self limited and become non-detectable within two years of initial infection. My advice is not worry about this exposure and move forward. without concern.
As for your symptoms, geographic tongue is a normal variation and HPV infection does not typically cause swollen lymph nodes. If your lymph nodes are still swollen and are tender (most people have lymph nodes which can be felt, on the other hand, tenderness may be a sign of active inflammation although there are many causes of tender, swollen lymph nodes). Epidermoid cysts are not signs of oral HPV infection.
I hope that this information is helpful. I really do not think that you need to worry and would encourage you to move forward without concern. EWH
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20 months ago
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Thank you so much, Dr.
What do you mean by self-limited and becoming non-detectable ? Does it mean I can't transmit it and I won't get cancer?
Also by tender do you mean painful?
20 months ago
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Just want to make sure the swollen lymph node and geographic tounges are not related to HPV?
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Edward W. Hook M.D.
20 months ago
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Your body will control HPV (if you have it) making it undetectable by testing.
Cancer is a rare outcome of HPV infections. About 99% of HPV infections DO NOT go on to cancer.
As I said before, swollen lymph nodes and geographic tongue are NOT related to HPV.
Please don't worry. It is unlikely that you even acquired HPV from the encounter you describe. EWH
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20 months ago
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Thank you so much, Dr, for my final reply.
1. when you say undetectable does it mean it can't be transmitted to others through sex? or even to myself for example when I wash myself and then eat something by hand (I heard even washing by hand and soap is not enough)?
2. when he had HPV and warts how come I got Molluscum contagiosum? is it normal? or one of our doctors made a wrong diagnosis?
20 months ago
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and when you mention "It is unlikely that you even acquired HPV from the encounter you describe"
why is that? isn't it a way of getting oral hpv? once a Dr told me because he had warts doesn’t mean he does not have hpv16.
Sorry for the many questions as you can see I've been living in hell for 8 years for this problem.
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Edward W. Hook M.D.
20 months ago
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You are correct- undetectable HPV is not transmissible.
You seem to assume that you were infected by the encounter you describe. This suggests to me that you have a misunderstanding of HPV infections. Over 80% of sexually active persons will have genital HPV infections, often with more than one strain of the virus. In nearly everyone who gets HPV the immune system fights the virus to control the infection, making it undetectable. When is undetectable is is not transmissible. In addition, even with active HPV infection, you cannot spread it to other parts of your body by touching or scratching. HPV infection does not represent a risk you others unless there is DIRECT, most often sexual contact. The HPV virus infects the oral cavity during oral sex occasionally but oral infections are less common than genital infections- the virus does not infect the oral cavity as often as it does genital sites.
I cannot comment on why you got molluscum. It is a different virus.
I have explained that it is unlikely that you acquired HPV from oral sex. As I said, most exposures do not lead to transmission and even when they do, most infections are innocuous problems which go away on their own. The way to deal with possible HPV infections is with regular GYN evaluations as recommended and in terms of oral HPV, with regular dental infections;
Visible warts are not caused by HPV 16 which is the strain most strongly associated with cancer (although over 99% of HPV 16 infections DO NOT go on to cancer). The types of HPV that cause visible warts do not typically infect the throat.
I really think that you are more concerned than you need to be. You were apparently exposed. From what you say, there is no evidence that you have HPV. EVen if you do, it is typically an innocuous problem which is readily dealt with through routine health care. I urge you to move forward without further concern.
As you know, we provide up to 3 responses to each client's questions. This is my 3rd response. Therefore this thread will be closed shortly without further responses. If you wish to learn more about HPV, I suggest you visit the American Sexual Health Association's (ASHA) web site where they have a link to useful information on HPV.
Again, please don't worry. EWH
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