STDs Expert Forum
Oral HPV, warts!
About This Forum:

The STD Forum is intended only for questions and support pertaining to sexually transmitted diseases other than HIV/AIDS, including chlamydia, gonorrhea, syphilis, human papillomavirus, genital warts, trichomonas, other vaginal infections, nongonoccal urethritis (NGU), cervicitis, molluscum contagiosum, chancroid, and pelvic inflammatory disease (PID). All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.

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Oral HPV, warts!

Doctors, I have a concern about oral warts (hpv). I have a slightly raised very smooth flat pedunculated lesion that’s mostly flesh color but sometimes red at the junction line of the hard and soft palate. I think its red sometimes from me messing with it by my tongue. Since I first noticed it back in late October early November it has actually gotten smaller, about half the size of what it was when I first noticed it.  My understanding is that oral warts CAN be pedunculated lesions but are white or sometimes flesh colored but are mainly lumpy, pitted or cauliflower appearance.  I've been to 6 doctors now (two dentist, primary care doctor, doctor at the ER and a doctor that’s deals with the oral and maxillofacial regions and their associated structures.  All say it’s not a wart but doesn’t know what it is and doesn’t think it needs a biopsy. Do you think its HPV related?
Also, can hpv be passed through saliva? Back in December I used my saliva as lube for unprotected sexual intercourse(when the bump was present of course.) and have been worried about that too but have since been the urologist twice and said everything is fine. I don’t see anything down there either but wondering if it can be passed that way. Basically I used my hand it lick my tongue and applied it down below before “sticking it in”.
Every picture I’ve seen of oral hpv warts do not look what I have in my mouth but I’m still very concerned.

Thanks!
239123_tn?1267651214
Welcome to the forum.

I have scanned some of your questions and the discussions on the HPV community forum and elsewhere.  As best I can tell, you had accurate replies there.

First, as you were told, with 6 (six, for goodness sake!!!) doctors and dentists giving you the consistent opinion that your oral lesion isn't a wart, you can believe it. You don't have an oral wart.  It's a waste of your emotional energy and my time to answer speculative questions about a condition you don't have!

Second, the advice about saliva and HPV transmission was accurate on the other forums.  Saliva doesn't transmit the virus, as far as we know.

Regards--  HHH, MD
6 Comments
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Avatar_f_tn
Do you know of anything that it might be? Like I said it has gotten smaller but has stayed the same size since december. I looked up pedunculated lesions on the soft palate on most are warts but those warts dont look like what I have.
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Avatar_f_tn
The doctor of oral and maxillofacial said it looked to be a part of my normal anatomy, could this be true? Can warts in the oral cavity be smooth?

I've been to my urologist twice since demember and said everything looks fine down below and no sign of warts. I havent noticed anything either...if it was a wart do you think they would have showed up below by now?  
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239123_tn?1267651214
You have the opinion of a genuine expert, based on direct examination, plus 5 other health professionals who had the same opinion.  And now you also want the opinion or a distant, online doctor who is not an expert in that area and can't even see the lesion?  You are wasting your time and mine with such a question.

Genital warts appear anywhere from 2 months to 2 years after exposure.  I have no way of judging whether you might have caught genital warts that haven't yet appeared.
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Avatar_f_tn
I did some more research and the only pedunculated lesion(stalk like growth) on the soft palate is in fact a wart or what they call a papilloma...now I'm just wondering how I got it....I've been with the same girl for almost 4 years now. If I get this removed and if this is indeed a wart then shes gonna think I cheated on her. Another thing I read is some say they are contagious or not and thats my concern whether it can be passed through saliva even though there was no skin to skin contact or wart to skin contact. Its been two months since that has happened and I havent found an unusual growths below and neither has she.

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239123_tn?1267651214
It sounds like you're spending hours researching a problem you don't have and for which you are little or no risk.  What a waste of time!  I have no other advice and won't have any more responses on this thread.
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This Forum's Experts
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H. Hunter Handsfield, M.D.Blank
University of Washington
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Edward W Hook, MDBlank
University of Alabama at Birmingham
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