[Question #11625] Oral HPV

13 months ago

Hi,
I have meet a girl in november 2023 and also 5 weeks ago (10june 2024 same girl)
The 2 times i performed deep oral on her (cunnilingus + analingus). The last time i have give her a massage at the end and noticed some warts between her vagina and anus. I checked on the internet and i can say with certainty that it is HPV.
So i can be sure that i licked on it...

arround 10 days after the last date (10 june 2024) i developped a deep cough (like something was in my throat).
The cough has gone but since then i have some discomford in sometimes liitle pain on one side of the troat.
I also have pain when i do an effort like in the Fitness for example.

1) Coult this all be from a HPV wart ?

2) If we suppose that i got infected from here, do i put me at more risk if i meet here again or am i imune for the moment.
Or can it get worse if i get more virus from her virus ?

3) do you recommand HPV Vaccin at 40 years ? I do a lot of oral sex ?
4) do you recommand Hep A Vaccin if i like to do analingus ?

Thanks for your Help and have a nice day..

H. Hunter Handsfield, MD

13 months ago

Welcome to the forum. Thanks for your confidence in our services.

If your observation is correct -- that your partner has genital warts -- then obviously your mouth was exposed to HPV. But I really would not be concerned about it. HPV is not the cause of your cough and other symptoms (more discussion below), but it is possible you are at risk for oral HPV infection and oral warts. All sexually active persons are exposed and infected with HPV, often many times, so you undoubtedly have (or have had) genital and perhaps oral HPV before now. And the main wart-causing types of the virus (HPV6 and 11) are among the most common; if so, you are immune to catching the same virus type(s) again. For every person with visible warts, there are many more with genital infection without symptoms, so you probably have also been exposed orally many times before. Still, I would advise avoiding further cunnilingus with this partner until her presumed warts have been confirmed and successfully treated; the amount of virus probably is greatest with visible warts, and there's no point in taking the chance of repeated exposure, in case you are not immune.

Presumably your partner is aware of her likely warts and getting care for them. If not (or if you are uncertain), please encourage her to seek care to confirm the diagnosis and get treated.

To your specific questions:

1) No. HPV doesn't cause cough or pain, and any actual symptoms (like warts) don't show up sooner than several weeks after exposure.

2) As noted above, you might be immune to the HPV causing her warts, simply because you have been sexually active, probably for several years -- and all sexually active people are infected with HPV, often several times. But as I said, there is no way to know for sure and it probably is best to avoid repeated exposure. On the other hand, it likely would not be harmful, even if you become infected now: the large majority of HPV infections, both genital and oral, never cause visible warts or other health problems. Therefore, if you continue your relationship with this partner and oral sex is important to you, it is not unreasonable to continue: it's up to you.

3) You don't say your age; if under 26, discuss the HPV vaccine with your doctor or a public health clinic. Vaccination isn't usually recommended beyond age 26; by then most people have already been exposed and infected with many of the 9 types of HPV prevented by the vaccine. And if you ARE susceptible to the virus type causing your partner's warts, it's too late for the vaccine to help.

4) You are correct that analingus (and cunnilingus) risks hepatitis A. However, your email address suggests you reside in a medically advanced nation in Western Europe, and I would think childhood immunizations in your country include hepatitis A and B. However, this likely depends on your age. If not previously vaccinated, you could consider it now. On the other hand, there is no such thing as a hepatitis A carrier: you can be infected only by someone with a recently acquired infection. You are at little or no risk if you have no partners with active hepatitis.

I hope this information is helpful. These topics are complex; feel free to let me know if anything isn't clear.

HHH, MD

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