Actor Michael Douglas has never been one to shy away from speaking openly, but when he revealed that his stage-four throat cancer was linked to oral sex, the world took notice.
The Oscar-winning star, now cancer-free, has been using his platform to raise awareness about oral cancers, particularly those caused by the human papillomavirus (HPV), the most common viral sexually transmitted infection in the United States. HPV is known to cause certain oral cancers as well as cervical cancer, with over 100 known strains, about 15 of which are considered high-risk for cancer development.
Douglas first disclosed his diagnosis in 2010, after months of unexplained symptoms. The actor recalls experiencing a persistent sore throat that lingered despite repeated doctor visits.
“I will always remember the look on my friend’s face,” Douglas said, describing a pivotal consultation with a physician in Montreal. “He said, ‘We need a biopsy.’ There was a walnut-size tumor at the base of my tongue that no other doctor had seen.”
The diagnosis: stage IV squamous cell carcinoma oral cancer. Initially, Douglas feared he might need part of his jaw removed. Instead, his medical team opted for aggressive radiation and chemotherapy. The treatment left him with severe burns to his palate, a 45-pound weight loss, and extreme weakness. “That’s a rough ride,” he admitted. “The chemo wipes out all the good stuff, too.”
Despite the challenges, Douglas declined a feeding tube, surviving on a liquids-only diet throughout treatment. Today, he is officially cancer-free.
Back in 2013, Douglas caused a stir during an interview with The Guardian when he appeared to link his cancer directly to oral sex, saying HPV contracted through cunnilingus was the cause. The actor later denied making the comment, though the publication stood by its report and released the audio. At an awards event later, Douglas reflected: “I never expected to become a poster boy for head and neck cancer, but if answering a few questions opens up discussion and raises awareness, then I’ll stand by that.”
While Douglas also speculated that stress, including his son’s incarceration, may have contributed to his illness, he controversially remarked that the act which caused his cancer could also be its “best cure,” a statement medical professionals have firmly disputed. London head and neck surgeon Mahesh Kumar countered: “Medically, that just doesn’t make sense."
The Oral Cancer Foundation estimates that nearly 48,250 Americans will be diagnosed with oral cancer this year. By speaking candidly about his own journey, Douglas hopes more people will recognize the warning signs early — and seek prompt, thorough medical evaluation.