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Am I or my girlfriend at risk?
Dear Doctor,
3 years ago, my girlfriend had a PAP smear that showed she had high risk HPV type. She did another PAP 6 months later that came back negative. In the same year, I had a genital wart removed and the same happened to my girlfriend. We both got it removed.
2 months ago, I unfortunately received oral sex from a woman I do not know well. There was ejaculation in her mouth. I did a chlamedya/gonnorhea test and it came back negative. Here are my questions:
1- My concern is primarily for HPV. Since the oral sex encounter with this woman, I had vaginal sex with my girlfriend. She is planning to get a new PAP smear test. Could I have contracted another strain of HPV from receiving oral sex that I could have passed on to my girlfriend? I haven't told her about this encounter but would it be possible for her to have caught a different HPV strain (low or high risk) that I might have caught from the one time encounter? That was a stupid mistake and I cut any ties with this woman but I don't want to have to explain it to my girlfriend.
2- Since it has been 2-3 years since I had a genital wart removed, is it possible that I could have passed that HPV strain to this woman? I haven't told her that I had a genital wart. Is it required for me to inform her? Also, since my girlfriend had also the high risk strain (which I assume is different than the one that causes genital warts), that means I had at least 2 strains. Is it possible that I could have passed them on to this woman?
3- How about other STDs? Is it possible to have caught herpes? The encounter happened 2 months ago but I am not sure what type of symptoms I could get.
Thanks a lot for your help!
3 years ago, my girlfriend had a PAP smear that showed she had high risk HPV type. She did another PAP 6 months later that came back negative. In the same year, I had a genital wart removed and the same happened to my girlfriend. We both got it removed.
2 months ago, I unfortunately received oral sex from a woman I do not know well. There was ejaculation in her mouth. I did a chlamedya/gonnorhea test and it came back negative. Here are my questions:
1- My concern is primarily for HPV. Since the oral sex encounter with this woman, I had vaginal sex with my girlfriend. She is planning to get a new PAP smear test. Could I have contracted another strain of HPV from receiving oral sex that I could have passed on to my girlfriend? I haven't told her about this encounter but would it be possible for her to have caught a different HPV strain (low or high risk) that I might have caught from the one time encounter? That was a stupid mistake and I cut any ties with this woman but I don't want to have to explain it to my girlfriend.
2- Since it has been 2-3 years since I had a genital wart removed, is it possible that I could have passed that HPV strain to this woman? I haven't told her that I had a genital wart. Is it required for me to inform her? Also, since my girlfriend had also the high risk strain (which I assume is different than the one that causes genital warts), that means I had at least 2 strains. Is it possible that I could have passed them on to this woman?
3- How about other STDs? Is it possible to have caught herpes? The encounter happened 2 months ago but I am not sure what type of symptoms I could get.
Thanks a lot for your help!
MEDICAL PROFESSIONAL
You don't need additional testing for gonorrhea or chlamydia; your 10 days result is reliable. There is no test for asymptomatic NGU, but no symptoms means no infection. You can't get HSV-2 from oral sex, and the risk of HSV-1 (without symptoms) is too low to worry or to get tested. Since you have had no symptoms, I recommend against testing for HSV.
I don't know what to say about recognizing abnormal discharge or sores. They aren't subtle and you'll know if you have either one. Having not had them after 2 months, you are out of the woods. If I were in a situation like yours, I would not have gotten tested at all and would have never stopped having unprotected sex with my wife. The main problem here is your emotional reaction to a sexual decision you regret. At this point, my advice is to suck it up, stop worrying about STD outcomes, and move on.
That will be all for this thread.
I don't know what to say about recognizing abnormal discharge or sores. They aren't subtle and you'll know if you have either one. Having not had them after 2 months, you are out of the woods. If I were in a situation like yours, I would not have gotten tested at all and would have never stopped having unprotected sex with my wife. The main problem here is your emotional reaction to a sexual decision you regret. At this point, my advice is to suck it up, stop worrying about STD outcomes, and move on.
That will be all for this thread.
Sorry doctor,regarding HSV-1, is it possible to have contracted it and no symptoms occur? If so, are there reliable testing for it? I read that you have to wait for 3 months before you have a HSV-1 and 2 test.
Thank you and I apologize for my many questions.
Thank you and I apologize for my many questions.
Thank you doctor.
One follow up question regarding being on the lookout for other STDs symptoms. I had a Chlamedya/Gonorrhea test 10 days after my oral sex encounter and the tests came back negative. Are you saying I need another test in the next couple of weeks? Also, regarding NGU and HSV-1, are there particular testing for them?
Regarding penile discharge and sores, I've always had a hard time understanding what I should expect. I have many different lesions and dots on my penis that I do not know what they are but are the symptoms you are mentioning in your face that you can't miss?
Thank you again doctor
One follow up question regarding being on the lookout for other STDs symptoms. I had a Chlamedya/Gonorrhea test 10 days after my oral sex encounter and the tests came back negative. Are you saying I need another test in the next couple of weeks? Also, regarding NGU and HSV-1, are there particular testing for them?
Regarding penile discharge and sores, I've always had a hard time understanding what I should expect. I have many different lesions and dots on my penis that I do not know what they are but are the symptoms you are mentioning in your face that you can't miss?
Thank you again doctor
MEDICAL PROFESSIONAL
Welcome to the forum. I'll try to help and will go direclty to your questions.
1) Oral HPV is uncommon and therefore HPV is rarely if ever transmitted by oral sex. There is definitely no risk for HPV.
2) HPV almost always clears up within several months and then cannot be transmitted. The wart-causing types generally clear up faster, but after 2+ years it is very unlikley you still could transmit either one to your more recent partner. And since HPV apparently does not easily infect the mouth and throat, she probably would not have been at much risk even if you are still infected.
3) Although little or no risk for HPV, oral sex carries risks for other STDs, such as gonorrhea, nongonococcal urethritis (NGU), and herpes due to HSV-1. Be on the alert for symptoms like penile discharge or sores in the next couple of weeks. If nothing shows up, you're probalby home free. But if you want even greater security, you could visit an STD clinic for examination and testing.
You seem overly concerned about HPV. Please do some reading to educate yourself about how harmless genital HPV usually is, and pretty much unavoidable. It isn't worth worrying about.
Good luck-- HHH, MD
1) Oral HPV is uncommon and therefore HPV is rarely if ever transmitted by oral sex. There is definitely no risk for HPV.
2) HPV almost always clears up within several months and then cannot be transmitted. The wart-causing types generally clear up faster, but after 2+ years it is very unlikley you still could transmit either one to your more recent partner. And since HPV apparently does not easily infect the mouth and throat, she probably would not have been at much risk even if you are still infected.
3) Although little or no risk for HPV, oral sex carries risks for other STDs, such as gonorrhea, nongonococcal urethritis (NGU), and herpes due to HSV-1. Be on the alert for symptoms like penile discharge or sores in the next couple of weeks. If nothing shows up, you're probalby home free. But if you want even greater security, you could visit an STD clinic for examination and testing.
You seem overly concerned about HPV. Please do some reading to educate yourself about how harmless genital HPV usually is, and pretty much unavoidable. It isn't worth worrying about.
Good luck-- HHH, MD
You are reading content posted in the STDs Forum
Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
