STDs Expert Forum
HPV, Genital and Oral wart questions...
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The STD Forum is intended only for questions and support pertaining to sexually transmitted diseases other than HIV/AIDS, including chlamydia, gonorrhea, syphilis, human papillomavirus, genital warts, trichomonas, other vaginal infections, nongonoccal urethritis (NGU), cervicitis, molluscum contagiosum, chancroid, and pelvic inflammatory disease (PID). All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.

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HPV, Genital and Oral wart questions...

I noticed I have small bumps on my penis. A doctor just told me that she didn't know what the bumps on my penis were and she said that they "MIGHT" be warts.  I told her that I've never had vaginal sex ever before and never came in contact down there with anyone else that had genitals warts. I've ONLY had oral sex, but never with someone that had warts in or around their mouth.  Is it still possible to get genital warts through oral sex? Is it possible to get HPV or genitals warts through just vaginal secreations that leaked on my penis, or my own semen leaking on penis, or saliva? Is it possible to pass warts to myself down there through masterbating (masturbating) or my own semen?  Does HPV travel in semen?  Or does my body actually have to physically touch a wart to get it on my private area?  

2) I've fingered many different girls in the last 6 years.  I noticed last year that I have two warts on the finger that I use for fingering the girls I was with.  I have two questions.  First, can I give my girlfriend now who I'm with warts on her vagina from the straind thats on my finger?  Secondly, Could I have gotten these warts on my finger from fingering a girl who had warts in/on/or around her vagina that I didn't notice?  Can you get genital warts spread to other parts of your body like your hands or fingers?

I am also worried that I might have gotten oral warts in my mouth.  My girlfriend and I got tested for every STD except for HPV and Hepatitus (hepatitis).  The doctors told us that they couldn't test for HPV unless there were visiable symptoms.  I performed oral sex on my girlfriend and now I'm scared that I might have contracted HPV in my mouth.  I don't show any signs of it right now, but I'm a fraid of later seeing symptoms of it in and around my mouth.  What are my chances of this happening?  AND If I decide to have the 3 shots done from the new vaccine GARDASIL, would that lower my chances of anything at this point?  Would you recommend me getting that done?
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Welcome to our Forum.  In preparing to answer your question I reviewed some of your other 30 posts related to HPV infection.  From reading them it is clear that you are very concerned about HPV.  I am not sure why that it.  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.  With this as background, let's address your questions ;

1.  There are over 100 different types of HPV virus.  Only some of them infect the genitalia however.  Recent scientific studies indicate that, on occasion, people can get HPV infection of the mouth but that on most cases this is asymptomatic and not of great clinical import.

2.  HPV is transmitted by DIRECT contact, not necessarily  by secretions.  HPV is not present in secretions, is not transmitted by masturbation or by toucning oneself.

3.  It is unlikely that the warts on your fingers are due to the types of HPV that cause genital infection.  While I cannot guarantee you that you will not transmit infection to your GF from the warts on your finger, it is unlikely.

4.  Worrying about HPV infection in your mouth is not a good use of your time.  See my comments above.

5. The Merck quadravalent vaccine was recently approved for use in men.  It is highly effective and is highly effective.  Given your concerns it might be a good idea for you.  

Hope these comments help.  EWH
3 Comments
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If not through secreations or oral sex how else would I have contracted gentials warts?  Thats where most of my confusion is, because I've never had vaiginal sex or come in contact with a wart down there.  I'm not sure if I have to pay for this additional question so please let me know.  Thank you so much doctor.

-Joey
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300980_tn?1194933000
Ypu do not have to pay for an additonal question and even if you did, I am not sure the answer would be satisfactory.  A small number of persons who get HIV fall into your situation in which there is no obvious "reason" for them to get infected.  Whether these warts are casued by types of HPV that typically do not cause genital infection or through some other very uncommon mechanism (I will not venture a guess as to what mechanism, it would be a complete guess).   Either way, as far as your health is concerned and as implied in my original response, it is not a threat.  EWH
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