Engaged in kissing, very briefly gave oral (30 seconds), but had oral performed on me for a few minutes.  Didn’t think too much about this m 2 m contact but maybe 9 months later developed a sore on the roof of my mouth (also started using Zyn around then).  The bump was flat and would periodically swell a little and produce a hard - head of a pin like a very small white head.  It would be frozen pea hard (but smaller) and then a few days later would almost like rupture and go back flat - kind of leaving a small circular ulceration.  Then it would do it again over and over.  I had this on and off for I’d say 6 months.  I decided to stop Zyn and it seems like it is slowly shrinking in size and has not come to a head in a few weeks.  My question is with the exposure listed above could it have been HPV.  I am now 16 months post that last exposure and curious if it is / was hpv causing that flat slightly red skin on the roof of my mouth to produce a hard pin head like growth that would rupture and go flat. It didn’t show up until maybe 9 months after with no other exposure and It’s been strange and any insight on it being hpv or anything else would be appreciated.  Than you for the service you provide.

I'm not familiar with Zyn. Online I find it's a nicotine product used to help stop tobacco use. If so, I can't say whether it might cause oral sores, but I wouldn't think so and a quick online search doesn't list it as a side effect.

More to the point, oral warts are rare but a flat wart might be possible. I am not aware that oral HPV causes oral sores or ulcerations. However, all this is just guesswork; we STD specialists do not diagnose or manage oral HPV infections. However, any longstanding non-healing sore in the mouth (or anywhere else on the body) should be professionally evaluted. The main concern and potential importance is cancer or a pre-cancerous lesion. An otolaryngologist (ENT specialist) would be an excellent choice. In any case, this isn't necessarily related in any way to your oral sexual exposures.

I hope this information is helpful. If you seek care for this, I would be interested in hearing the outcome -- if you would care to post a follow-up comment within 4 weeks, when threads are routinely closed.

HHH, MD

I strongly urge you to not worry about HPV. Your oral lesion needs professional evaluation regardless of the cause, and from all you say I'm guessing it's not HPV and not related at all to any sexual exposure. But there is no way to know any of this until a specific diagnosis is made professionally.