It’s crucial to emphasise the importance of regular screenings, vaccination and safe sexual practices with certain strains of HPV specific to throat cancer, says Dr Pratima Thamke, consultant obstetrician and gynaecologist, Motherhood Hospital, Mumbai.
Can oral sex increase the risk of throat cancer? Yes it can. That’s because it is one of the easiest ways for transmission of the human papillomavirus (HPV), which usually causes infection, as manifested in skin warts, and different types of cancer. Global studies have already established an association between oral sex and heightened throat cancer risks, primarily due to the transmission of specific HPV strains.
That’s why it becomes important for healthcare practitioners to facilitate screenings, have informed patient discussions and more targetted interventions under the broader spectrum of sexual health and hygiene. Dr Pratima Thamke, consultant obstetrician and gynaecologist from Motherhood Hospital, says that apart from prioritising HPV vaccinations, one must promote safe sexual practices and encourage regular screenings to mitigate risks associated with oral sex-related transmission.
How do you approach discussing the potential link between oral sex and throat cancer with your patients, considering the implications of certain HPV strains?
Discussing the potential link between oral sex and throat cancer with patients can be a sensitive and delicate matter. It’s essential to approach this conversation with empathy, understanding and factual information. Doctors must create a safe space for our patients to ask questions and express their concerns without judgment. When addressing the implications of certain strains of HPV in relation to throat cancer, it’s crucial to emphasise the importance of regular screenings, vaccination and safe sexual practices. By focussing on prevention rather than stigmatisation, patients can make informed decisions about their sexual health.
What preventive measures or screening methods do you recommend to individuals who may be at a higher risk of throat cancer due to oral sex-related HPV transmission?
Encourage routine oropharyngeal screenings, particularly for high-risk individuals with a history of oral sex-related HPV transmission. Those at elevated throat cancer risk should undergo regular screenings, including comprehensive head and neck examinations, facilitating early detection of potential abnormalities or lesions indicative of cancerous or pre-cancerous conditions.
Can you elaborate on the current state of research and clinical awareness regarding the association between specific HPV strains transmitted through oral sex and the increased risk of throat cancer?
Studies have revealed that certain high-risk HPV strains, such as types 16 and 18, are strongly linked to the development of cervical cancer, while others like types 6 and 11 are known to cause genital warts and respiratory papillomatosis. The virus can infect the mucosal cells of the oropharynx, leading to persistent infection and, in some cases, the development of cancerous lesions.
With advancements in genetic sequencing technology, specific viral strains can be accurately identified, paving the way for targetted prevention strategies. For instance, recognising that HPV type 16 is responsible for a large proportion of cervical cancer cases underscores the importance of widespread vaccination against this particular strain. Understanding which strains pose a greater risk for persistent infection can inform tailored monitoring and intervention plans. By integrating these new insights into clinical practice, healthcare providers can work towards more effective prevention and management of HPV-related conditions.
How do you address the psychological and emotional aspects that patients may face when discussing the potential connection between their sexual behaviour, HPV and throat cancer?
Addressing the psychological and emotional aspects of discussing the potential connection between a patient’s sexual behaviour and their health requires a delicate approach that prioritises empathy and understanding. It is crucial to create a safe and non-judgmental space for patients to express their feelings, fears and concerns without feeling shamed or stigmatised. Validating their emotions can help build trust and encourage open communication, allowing for a more honest dialogue about their sexual behaviours. Additionally, acknowledging the complexity of human sexuality and recognising that sexual behaviours are deeply intertwined with one’s identity can promote a more personalised approach to addressing any potential health implications.
