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Oral HPV??...Depressed

Hi Doctor, I'll get right to my concerns.

In early May I ended a relationship in college. I had performed oral sex quite often on my girlfriend, but always had protected sex. She said her ex. had hpv because he had a wart, but that she continued to test negative (not sure if it was pap smear, blood, etc.) She gave her ex oral sex pultiple times.

2 months ago I dated another girl who had had HPV before but said was treated and cleared up. However, she told me recently that she has been having some blood coming from her throat and/or back of her tongue. This concerns me because I read that a symptom of oral HPV are bleeding ulcers. I am assuming she have the guy who she got HPV from oral sex as well, so I think she may have oral HPV but I will offend her if I ask. She had sex with another guy over the summer after she had been cleared of HPV, so she could have gotten it again. I never performed oral, just protected sex.

My concerns: after the first girl I developed a "bubble" if you will near my tonsil, but still kind of on the cheek. My ENT doctor said it was a tonsil stone. Since that day my tonsil (just one side) has repeatedly been inflamed and very painful, and I have a yellow gunk behind it (gonorea?) I am dating someone else now and am terrified of giving her HPV, especially if I have it in my mouth since I have performed oral sex. I have been honest and she is mad that I might have it. Also, I am a smoker and drinker and I have read countless of scary reports saying how HPV mixed with alchohol and tobacco have caused 36,000 new cases of oral and tonsil cancer.

I have not had any open sores, and the "bubble" remains but does not break open. My ENT said that my tonsils would need to come out, but I think it might be HPV. And my doc tried to do a serum test for HPV but can find no lab to do it. So, how to I go about my new relationship? I am terrified and so anxious that my daily routines are being affected. Thank you so much for you answer.
4 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
1) Sounds like a normal taste bud.  Look closely; there should actually be 7-9 of them, arranged in a shallow "V" shape across the back of the tongue.

2) No.

3) I don't know whether a wart might have formed by now.  But the red rash is not possibly related to HPV.

4) Oral cancer is too rare to worry about.  If you're going to worry about things, it should be something that is more likely than a lightning strike -- which is the level of risk about oral cancer, in people with or without HPV infections.

5) "doesn't it add up that I would get the high risk hpv in my mouth and thus be at a high risk for oral cancer?"  No, it does not.

You came here for reassurance.  I gave it, but you are obviously trying to talk me (and yourself) into believing you are at risk for oral HPV, cancer, etc.  Please let it go.

That's all for this thread.
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Avatar universal
Sorry forgot,

Remember that the first female had been exposed to a genital wart from her boyfriend, which I believe is caused by high risk hpv? Therefore, if she had contracted the high risk hpv and I was giving her oral sex, doesn't it add up that I would get the high risk hpv in my mouth and thus be at a high risk for oral cancer? Thanks you.
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Avatar universal
Thank you for your responses Dr. I just have a few quick follow up questions that I assure you will be the last ones.

1. There is small bump on the very back of my tongue that looks like an enlarged tast bud or something, it is flesh colored..HPV? I'm just unclear on how to know if in fact you do have HPV.
2. Should I be concerned of genital HPV since the two females had been exposed to it at one time?
3. I have had a red, peeling dot on the head of my penis for about 2 months. Just went to a dermatologist and he believes it may be yeast. Would a wart have formed by now?
4. Oral cancer concerns from the smoking and drinking?

Thank you.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
No worries here.  You are overreacting to exceedingly low risks with no serious health outcomes.

I doubt a bleeding oral sore can be a symptom of HPV in the mouth.  But even if it is, of all people with blood in the mouth, HPV undoubtedly is an exceedingly rare explanation.  In any case, oral HPV infections are uncommon and account for little if any HPV transmission to other people.  And a "bubble" sort of lesion in the back of the throat doesn't suggest HPV.  (Most such lesions in the mouth are mucoeles, the harmless result of a temporarily blocked mucus gland and nothing abnormal at all.)

It was a mistake to be "honest" with your partner.  Even if you really had oral HPV, there would be no reason to discuss it with sex partners.  And undoubtedly you don't have that anyway.

Finally, no ENT doctor would recommend removal of tonsils for HPV, and would not mistake HPV for another problem in the mouth.

There is no serum test for HPV.  But there is no basis to be "terrified and so anxious" about oral HPV.

Good luck--  HHH, MD
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