[Question #10704] oral hpv

Avatar photo
20 months ago
Hello,
Today I went to an ENT to check my throat, Dr performed a nasolaryngoscopy without wearing a glove.  He touched the forms the doorknob and the long tube with his bare hands and then inserted it into my nose and throat. now I have a sore throat and pain I'm worried maybe the tube was contaminated,

Can this cause oral hpv or any other STD? Or in general can it cause an infection?
Avatar photo
H. Hunter Handsfield, MD
20 months ago
Welcome back to the forum, but I'm sorry you found it necessary. I'll be taking your question this time, but I reviewed your recent discussion with Dr. Hook. I agree exactly with his comments. In addition to my reply below, I strongly recommend you go back and re-read his replies last time. 

HPV has never been known to be transmitted by contact with the virus in the environment. People who live in households with HPV infected persons -- sharing toilets, towels, kitchens, eating utensils, and of course doorknobs etc -- never become infected. There is no possibility of increased chance of such things just because it's a doctor's office, even if that doctor regularly performs genital exams on HPV infected patients. The virus rarely if ever takes hold unless massaged into exposed tissues, which is why it's an STD to begin with. Sexual transmission requires intercourse, for example, and not just fingering or hand-genital contact.

I would also encourage you to entirely ignore oral HPV. It's an uncommon problem, and important health problems from it are extremely rare. To the extent you might be at risk for oral HPV, it will never happen except by oral sex on a partner with active genital HPV infection. Even then, most exposures do not result in infection; and when it happens, the risk of cancer someday from that event is under one chance in millions.

ENT specialists generally are very knowledgeable about oral HPV. You could discuss all this with your doctor. I'm sure s/he will give you similar reassurance, both about your overall risk and the chance of infection while in the office or during the sorts of procedures you had.

I hope these comments help you relax a bit. Let me know if anything isn't clear.

HHH, MD
---
---
Avatar photo
20 months ago
Thank you.
I never got replies from Dr. Hook.
My follow up is what if the dr has warts on his hands?
 And will soap and hand sanitizer kill hpv virus on hands?
Avatar photo
H. Hunter Handsfield, MD
20 months ago
I reviewed your discussion with Dr. Hook; I don't understand "I never got replies" from him.

Yes, soap and sanitizer kill HPV; and HPV is not known to ever be transmitted by hand contact. Warts on the hands are rare in adults, and are rarely (if ever) caused by the HPV types that infect the genital area or mouth.
---
Avatar photo
20 months ago
Sorry about the confusion I was so stressed and didn't understand you were referring to my previous question.

I asked the doctor today and he told me he didn't use gloves because bacteria in the mouth is more than hands!!!  I'm even now more stressed. I know this forum is not about what ifs and obsessions. But I think I'm dying of anxiety. Do you believe is it normal to do nasolaryngoscopy with bare hands and not a sterile condition?   

Avatar photo
H. Hunter Handsfield, MD
20 months ago
Sorry, but otolaryngologists' practice methods and standards are way beyond our expertise on this forum. But it certainly is true that the human mouth is teeming with bacteria, viruses, etc, much more than the hands or fingers. I think you should trust your doctor's reassurance!

It seems clear the main problem you have is your anxiety, not HPV itself or your doctors' office policies. Of course this also is outside my real expertise, but it seems to me that professional counseling is what you need -- not more facts and reassurances about oral HPV. 

That concludes this thread. This forum really can't help you any more than we have tried to do. I do hope the two discussions have been somewhat helpful. Best wishes to you.
---