[Question #7637] Papilloma on my soft palate
54 months ago
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I have a papilloma on my soft palate. I have had it for years. It doesn’t seem to be going away. My question is should I disclose this to a partner before I kissed them?
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H. Hunter Handsfield, MD
54 months ago
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Welcome to the forum. Thanks for your confidence in our services. However, and with apology, I can't help very much.
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I assume your use of the medical term means this probably has been seen and professionally diagnosed as a papilloma. For such an issue in the oral cavity, some physicians might use that term for any of several growths other than warts cased by human papillomavirus (HPV) (i.e. true papillomas). And assuming the diagnosis is correct, i.e. that you have an oral wart caused by HPV, after presence for several years, it may not be transmissible. In addition, most oral warts are not caused by the genital HPV types. Finally, oral HPV is not known to be transmitted by kissing, although it may occur from time to time by sexual (open mouth) kissing, but probably never by social kissing, i.e. a quick kiss on someone's mouth or cheek.
My guess is that you need not disclose this to anyone, including kissing or sexual partners. However, I stress that this is a guess -- not being an STD problem, this is outside this forum's main areas of expertise. If you have a regular doctor, or a doctor who has evaluated and followed this problem, it would be reasonable to follow up with that provider and follow his or her advice.
Sorry I can't give you more defintive answers, but I hope these comments are somewhat helpful. Let me know if anything isn't clear.
HHH, MD
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54 months ago
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Thank you very much.
53 months ago
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Just I follow up. If I had a genital wart over five years ago and have not had one since. Does it sound like I’ve cleared the infection and is there reason to discuss this with future partners when it comes to transmission?
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H. Hunter Handsfield, MD
53 months ago
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HPV DNA may persist for life, but recurrences of active infection -- i.e. potential for recurrent warts or transmission to partners -- is rare after 5 years. I doubt warts will ever reappear and I see no need to inform sex partners of your past infection. Some couples discuss past partnerships and STD history as they move toward commitment, but that's a relationship issue -- not important for transmssion risk for HPV.---
52 months ago
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Last question on the Papilloma on my soft palate. Why is it not an std issues?
Thanks
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H. Hunter Handsfield, MD
52 months ago
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It's not an STD issue in several senses. As discussed above, not all bumps in the mouth called papillomas are true warts and caused by HPV. Second, when due to HPV, often (usually) they are caused by non sexually transmitted types. Third, there seems to be low risk of transmission of oral papillomas to sex partners. Finally, for those reasons, STD specialists don't deal very often with oral warts and HPV; as noted above, ENT and oral medicine specialists often are more expert in their knowledge and advice. (Oral medicine is a subspecialty of dentistry -- often found in connection with dental schools. It's often a very helpful specialty for oral health issues.)
That completes the two follow-up exchanges included with each question and so ends this thread. I hope the discussion has been helpful.
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