A member asked:

If i have hpv that has caused genital warts and not found on a pap, if i have had oral sex before, could i have it in my mouth too and not know it?

13 doctors weighed in across 3 answers

Site specific: Genital wart strains are found on the genitals. They, like other strains of HPV have specific sites/locations where they thrive and not others. In immune compromised persons like HIV, wart strains have caused lesions on the lips, not in the oral cavity & this does not happen in normal people. There are other non-wart strains that can cause oral problems which an ENT can evaluate one for.

Answered 12/9/2018

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Dr. Jay Park answered

Possible: HPV strains causing genital wart do not lead to cervical dysplagia/cancer and therefore, pap smear remains normal. HPV strains involved in genital wart, e.g. type 6,11, are capable to produce a wart or papilloma in oral cavity, nasal passage and larynx.

Answered 12/9/2018

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Yes: HPV is a sexually transmitted virus. >150 subtypes of HPV that can infect the genital and throat areas. ~5-10% of Americans age 14-69 are infected (colonized) with oropharyngeal HPV. Most frequent subtype of oropharyngeal HPV is HPV-16, a high-risk subtype for oropharyngeal cancer. Infection with HPV-16 occurs in ~1 % of men and women. There is no test that can find early signs of throat HPV.

Answered 12/12/2018

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