A last worry and an ommitted detail

[hareramaharekrishna]

Dear Dr Hook

Thank you for your patience and answer the last time.  The link is here:
http://www.medhelp.org/posts/STDs/Advice-for-future-life-because-worried/show/1956534#post_9169404

I have two little apprehensions remaining.  In summary I have had one unprotected vaginal sex with a friend and protected vaginal sex with 6 CSWs many times, protected fellatio in most except the last one which was unprotected fellatio.  I also had performed unprotected oral on all of them.  3 months past the last exposure I got tested for all STDs including Herpes Type specific Blood test and throat Gonnorrhea at a private Clinic in United Kingdom London.  I live in France and travelled just to get the tests done.  All wa negative.

The details I missed is that during all the sex I had there has been some naked touching while making out, meaning bare genitals of both of me and the CSW touching before putting condom on. This happened with all of them.  And also another thing I missed out was that on one of the CSW in January there was some bumps near her vagina. They were pink and hard and were also on her thighs and near her labia.  I do not know what they were.  There was naked touching with her also.  On another CSW in January itself I saw the some red bumps on her buttocks and on her pubic area as well as near vagina.

I reiterate that all my tests are negative including herpes blood test in London. My marriage is in two days now.

1) I want to know if these details I missed add to anything to what I said before and in any case change the fact that I can have unprotected sex with my wife without infecting her with any STDs including Herpes?? (all tests negative in London STD private clinic)

2) Also I would like to know if I should be concerned about HPV or seek testing?

Just some residual fear which I want to thrash out once for all.

Cheers

[hareramaharekrishna]

Thank  You very much!!  I am really happy.  I thank all the Medhelp team! I am now Happily Married!!! ;)

Bye

[Edward W Hook, MD]

Final comment:  yes, as I said in my original reply, you can stop worrying and move forward, having unprotected sex with your wife.  This concludes this thread.  EWH

[hareramaharekrishna]

So in the end I can stop worrying and safely have unprotected sex with my wife without any STD,herpes or HPV concern?

[hareramaharekrishna]

Hope you will believe me and reply.  I am getting committed for better or worse in a few hours forever and ever.

[hareramaharekrishna]

I think someone was using this computer before me.  I am in a Cybercafe.  I wrongly posted by their account up there.

Thank you very much.

I will have my wife have her regular pap smears.  As for me I do not have any kind of obvious symptoms of HPV.

So in the end I can stop worrying and safely have unprotected sex with my wife without any STD,herpes or HPV concern?

I am getting married tomorrow morning!

Bye doctor and thanks

THIS IS THE REAL ME WHO ASKED THE QUESTION and only this is my account.

[bhaicassam]

Thank you very much.

I will have my wife have her regular pap smears.  As for me I do not have any kind of obvious symptoms of HPV.

So in the end I can stop worrying and safely have unprotected sex with my wife without any STD,herpes or HPV concern?

I am getting married tomorrow morning!

Bye doctor and thanks.

[Edward W Hook, MD]

Understood.  No change in my assessment or advice.  EWH

[Edward W Hook, MD]

You are worrying needlessly.  The nature of your exposures does not change the accuracy or meaning of the tests.  The tests were negative, thereby showing that you were not infected in the very low risk exposures that you described.

As for HPV, nearly everyone has the infection and it is of no meaningful consequence.  I Have pasted several links to early conversations we have had with other clients about HPV.  The summary advice I have about HPV is that it is not something you can test for and not something to worry about.  

Here are the comments and links for HPV:
“For better or worse, at present HPV is a "fact of life" and most people have it or will have it at some point in the future.  Despite this fact, only a tiny minority of persons with HPV get the consequences of infection (primarily women and primarily cancer and pre-cancerous lesions).  HPV is the most commonly acquired STD.  Over 85% of sexually active women will have HPV infection at some time in their lives.  The figure for men is less well studied but similar.   In some HPV will cause genital warts, in others it will not cause warts but may lead to changes in PAP smears.  In nearly everyone who gets HPV, warts or otherwise, the infections will resolve by themselves without therapy in 8-24 months.  In a very small minority of women, HPV infection can persist and lead to the pre-cancerous lesions that PAP smears detect and which can then be treated.  For men there is far less risk of any sort.”

http://www.medhelp.org/posts/STDs/HPV-Transmission/show/1522088

http://www.medhelp.org/posts/STDs/HPV-without-sex/show/1799277

EWH

[hareramaharekrishna]

please read the dates as February 2013 instead of January up there for the exposures of bumps I saw on the CSWs!  Typing error. Sorry,. .

[hareramaharekrishna]

please read the dates as February instead of January up there for the exposures of bumps I saw on the CSWs!  Typo erro. Sorry,.

[hareramaharekrishna]

I tested negative exactly 3 months (12 weeks) past the last exposure.  All tests negative including herpes type specific blood test and HIV. All tests done in Londo private clinic. I had forgotten to mention these above details to the doctor and did not discuss HPV at all.