A leading sexual health doctor has questioned Michael Douglas' claim that his throat cancer was caused by oral sex.
Dr Michael Brady, medical director of sexual health charity Terrence Higgins Trust, said while oral sex could have contributed to the cancer, it was very difficult to pinpoint a single cause.
The Hollywood actor recently claimed that his throat cancer was caused by the human papilloma virus (HPV), a sexually transmitted disease that he contacted after performing oral sex on women.
But Dr Brady pointed out that Mr Douglas had been a smoker and a drinker - two factors that he said are the most common causes of oral cancer.
Opening up: Michael Douglas, pictured on the Graham Norton Show last week, has spoken about the causes of his throat cancer
Dr Brady said: 'There are often a number of factors, genetic, environmental, viral, that could be playing a role.'
The star, who fought a six-month battle with the disease from August 2010 until January 2011, had initially believed that it was his years of smoking and drinking that had lead to the illness.
However, in a new interview the 68-year-old said that the particular strain he had suffered with was caused by human papilloma virus (HPV), the most common sexually transmitted disease in the US.
Douglas made the frank admission about how he developed the illness during an interview with The Guardian newspaper when he was asked if he had regretted smoking and drinking in the past.
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