HPV Chlamydia

[john334]

Hi Drs.

Im a 24yr old male, I was overseas and had some risky exposures which resulted in a chlamydia infection and already present anal warts which i did not know i had which was a surprise because i am heterosexual and didn't think such infection could occur in the anal region in the absence of anal sex. Once i returned home from my trip i tested positive for chlamydia and had it treated with doxycycline. I done a test of cure  about 3 weeks post treatment and my urine sample came back negative. I had sex with 4 women in total in the past 4 months or so, one was unprotected the other 2 i had condom failures and 1 was protected, two of them also performed unprotected fellatio. Throughout all of this i was pursuing a promising relationship with a virgin female and since i french kissed the women i had sex with as well as the female i was pursuing the relationship with my concerns are for her whether through my penile secretions i infected my self orally and in return infected her through french kissing? is this a possible form of  transmission and is it something i have to worry about because it has been plaguing my mind ever since. In regards to my warts i have been having some recurrences since my treatments and have seen a proctologist who said he couldn't feel any internal ones but i am still scheduled for a rectal examination and removal of the remaining warts at the hospital. Is it likely hpv 6 and 11 caused this infection, i do tend to chew on my nails is this a possible form of oral hpv transmission, i've had my first shot of gardasil, if a female has had the 3 shots of gardasil would she be protected from my warts if it is in fact hpv 6 and 11 and do you think my body will rid it self of the infection eventually through natural immune response. I'm having a really hard time dealing with all of this and the confusing information that i have found online.

Kind Regards

[Edward W Hook, MD]

Welcome to the Forum.  I'll try to help.

Chlamydia first.  Chlamydia does occasionally infect the throat but it is quite uncommon even among persons who are frequently performing oral sex on their partners.  You do not mention performing cunnilingus on any of the partners and even if you did, this is a biologically inefficient means of transmission of infection.  There is no evidence that chlamydia is transmitted through kissing, including French kissing. Thus, based on the low risk for infection as well as your treatment, I would not be concerned about the possibility of either r pharyngeal chlamydial infection or transmission of chlamydial infection to your new partner (I hope that, following your diagnosis, you mentioned possible infection to your prior partners if they could be reached- they may not know they are infected or exposure to you may have put them at risk- either way, they should have been informed, evaluated, and treated preventatively).  

If you have never had rectal sexual contact, I am a bit surprised that you have rectal warts.  I presume they are biopsy proven since there are other processes that can be mistaken for warts.  Either way however, I certainly endorse your plan for vaccination and that your new partner be vaccinated as well.  The HPV vaccine is almost completely protective for the types of HPV it covers and as you point out, your rectal lesions, if warts, are most likely to be HPV 6 or 11, hence your new partner would be protected by vaccination.  I would not be worried about transmission of infection to her and I do agree that your own immune system, with or without the treatment you are pursuing will likely eliminate your infection going forward.

I hope these comments are helpful to you. EWH

[Edward W Hook, MD]

Glad to help.  Take care. EWH

[john334]

Thank you very much Dr. Hook at least the chlamydia worries have been put to rest i will try and move forward now and take necessary precautions and see that the female i love does get her gardasil shots.

[Edward W Hook, MD]

Again, chlamydia is not acquired through kissing, even if the person you are kissing has recently performed oral sex on an infected partner.

Autoinoculation is very rar3e with HPV infections unless ome other activity such as shaving is involved.

Once the warts are gone, if they do not recur in the next 3 months, you can consider yourself non-infectious for otehr partners.  EWH

[john334]

Thanks for the swift response Dr. Hook

Just to clarify yes i didn't perform any cunnilingus on none of those women and i dont know which one i caught it from, which is why i asked if i've acquired it orally through kissing the women who performed fellatio on me and in return infected the female whom i was seeking a relationship with  via tongue kissing, and if so what are the repercussions from such an infection also i am in the process of informing them. i've read that the body can clear it naturally in bit over a year. And in relation to my warts i have been to the STD clinic as well as the proctologist who had a look and they are warts which my guess is due to auto inoculation from my genital area, it has really plagued my mind since my diagnosis and killed my sex drive, i don't want to spread this condition, would 3-6 months of wart free periods be sufficient to consider the virus dormant/eradicated hence non communicable?

Thanks