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HPV Concerns And Questions
Hello, I Tried to ask this question with my original thread however it got deleted I believe because it is an unrelated question, so I apologize for doing that. I have decided to ask this question separately to hear your advice about it.
The full thread to my story can be found here:
http://www.medhelp.org/posts/HIV-Prevention/I-was-exposed-to-Syphilis--And-Im-worried-about-HIV-now-/show/1629127#post_7410391
In brief: I have never been sexually active prior to this incident I’m 22. I went home with a 29 year old bisexual guy after the bar one night after he reassured me many times he was hiv/std free…. We had protected anal intercourse (I was the bottom). The condom did break at one point, he noticed and put another one on. We also did unprotected oral sex, some penis to anus skin to skin rubbing.
3 weeks later he told me he tested positive for syphilis
@ 7.5 weeks I tested negative for all STD’s and HIV (including Syphilis)
This has done little to put me at ease since I’ve been reading about HPV and how easily it is transmitted and how it causes anal cancer in high rates in MSM . So I have some questions that I was hoping you can please help me with because I’m a little confused.
1) how likely is it that I contracted HPV from this exposure? what is my risk or probability?
2) If I have had no warts so far on my anal area or penis it’s been 8 weeks am I in the clear? If not by which time am I in the clear?
3) If no warts were to show up, Am I still at risk for anal cancer from this exposure?
4) How long does it take for abnormal cells to be detected in an anal pap? When should I do it in 3 month? 1 year? 2 years?
5) Could I get HPV and anal cancer from this exposure seem likely?
I’m terrified from this experience this has brought me so much distress and has crippled me with fear. If there is anything that I should concerned about from this experience please let me know about it.
The full thread to my story can be found here:
http://www.medhelp.org/posts/HIV-Prevention/I-was-exposed-to-Syphilis--And-Im-worried-about-HIV-now-/show/1629127#post_7410391
In brief: I have never been sexually active prior to this incident I’m 22. I went home with a 29 year old bisexual guy after the bar one night after he reassured me many times he was hiv/std free…. We had protected anal intercourse (I was the bottom). The condom did break at one point, he noticed and put another one on. We also did unprotected oral sex, some penis to anus skin to skin rubbing.
3 weeks later he told me he tested positive for syphilis
@ 7.5 weeks I tested negative for all STD’s and HIV (including Syphilis)
This has done little to put me at ease since I’ve been reading about HPV and how easily it is transmitted and how it causes anal cancer in high rates in MSM . So I have some questions that I was hoping you can please help me with because I’m a little confused.
1) how likely is it that I contracted HPV from this exposure? what is my risk or probability?
2) If I have had no warts so far on my anal area or penis it’s been 8 weeks am I in the clear? If not by which time am I in the clear?
3) If no warts were to show up, Am I still at risk for anal cancer from this exposure?
4) How long does it take for abnormal cells to be detected in an anal pap? When should I do it in 3 month? 1 year? 2 years?
5) Could I get HPV and anal cancer from this exposure seem likely?
I’m terrified from this experience this has brought me so much distress and has crippled me with fear. If there is anything that I should concerned about from this experience please let me know about it.
Thanks for all the help take care!
MEDICAL PROFESSIONAL
Gardasil prevents future HPV infections (in the event you change your mind and decide against a life of celibacy, which I predict will happen someday); and almost certainly it prevents anal cancer due to HPV 16 or 18. However, it will provide no protection if you indeed caught HPV already.
As far as confirming your H B immunization, all you can do is contact the doctor or clinic where the vaccine was administered; or ask your parents.
Your closing comment is exactly right; you correctly understand. Therefore, that will end this thread. I won't have any further comments or advice.
As far as confirming your H B immunization, all you can do is contact the doctor or clinic where the vaccine was administered; or ask your parents.
Your closing comment is exactly right; you correctly understand. Therefore, that will end this thread. I won't have any further comments or advice.
sorry i ment to write im not 100% sure i was vaccinated for hep B is there a way to find out?
Thank you so much for the quick reply. This definitely puts me at ease I was a little worked up about it and it concerned me a great deal.
Prior to this incident I had no knowledge or experience with STD's It's been a difficult situation and in learning about new STD's I tend to have questions about them and I don't have a definitive source for answer expect you and Dr. Hook so thank you!
I WILL never EVER be involved with someone sexually for the rest of my life. I'm going to be celibate :)
Now, in regards to the Hep A vaccine I did talk to my nurse about it and she will be doing it for me in about a month.
I do believe I was vaccinated for Hep B in grade 6 and 7 however I'm 100% sure is there a way to find out? I don't have a family doctor...
I do plan on using my student drug plan to take the gradasil vaccine,
If I did get the gradasil would this prevent me from having anal cancer? because from what I read there isn't enough research about it.
I am worked up because the guy had syphilis and my life was in danger. However I will take your advice and will definitely be seeking counselling, its needed after this type of experience.
Basically from one i understood from this is that there is a very small risk I got HPV from this and in return there is Even a smaller risk it would turn into anal cancer so basically I cant relax and move on with life.
Prior to this incident I had no knowledge or experience with STD's It's been a difficult situation and in learning about new STD's I tend to have questions about them and I don't have a definitive source for answer expect you and Dr. Hook so thank you!
I WILL never EVER be involved with someone sexually for the rest of my life. I'm going to be celibate :)
Now, in regards to the Hep A vaccine I did talk to my nurse about it and she will be doing it for me in about a month.
I do believe I was vaccinated for Hep B in grade 6 and 7 however I'm 100% sure is there a way to find out? I don't have a family doctor...
I do plan on using my student drug plan to take the gradasil vaccine,
If I did get the gradasil would this prevent me from having anal cancer? because from what I read there isn't enough research about it.
I am worked up because the guy had syphilis and my life was in danger. However I will take your advice and will definitely be seeking counselling, its needed after this type of experience.
Basically from one i understood from this is that there is a very small risk I got HPV from this and in return there is Even a smaller risk it would turn into anal cancer so basically I cant relax and move on with life.
MEDICAL PROFESSIONAL
Your previous comments was deleted and the thread terminated primarily because you were having trouble accepting Dr. Hook's advice and continued to ask anxiety driven questions. But I will answer these additional questions, but note the MedHelp rule that permits a maximum of 2 questions every 6 months on the professionally moderated forums.
1) It is statistically unlikely you acquired HPV from your first and only sexual encounter, but I cannot say the risk is zero. It's possible.
2) No, you're not "in the clear" with regard to warts. Genital warts typically appear 6-12 months after catching HPV.
3) If you caught a high risk (cancer causing) HPV type of the anal area -- e.g. HPV 16 or 18 -- then in the future you could be at risk for anal cancer. However, the vast majority of people with such infections don't ever get cancer, and as noted in reply to question 1, it is unlikely you were infected anyway.
4) Routine anal paps are not recommended at this time; it's still more or less an experimental procedure. However, this could change in the future. At present there are no guidelines about timing, but the average time of progression to pre-cancerous lesions is measured in years, so there certainly is no hurry.
5) All things considered, I would guess the chance you'll get anal cancer on account of this particular exposure is probably something like one in a million. Not worth any thought or concern.
Since you are obviously hyper-concerned about STDs, I suggest you take maximal steps at prevention. Among other things, that means being immunized against hepatitis A and B, and against HPV (with Gardasil, which covers the 2 most common cancer-causing HPV infections and the two that cause most genital/anal warts).
If you continue to be so worked up over this single event, it suggests an emotional reaction to your first sexual experience. You are over the top with it. If you cannot quickly get beyond your obsesssion with it, counseling probably is in order. I suggest if from compassion, not criticism. However, this forum or other MedHelp forums are not a substitute for such care -- so let's curtail any further discussion on this or the HIV prevention forum.
Really, try to mellow out. You can never be a sexually active person and be totally free of all STD risk. You're just going to have to accept that fact and live with it. Do get vaccinated as suggested, and do consider counseling to help you do so.
Regards-- HHH, MD
1) It is statistically unlikely you acquired HPV from your first and only sexual encounter, but I cannot say the risk is zero. It's possible.
2) No, you're not "in the clear" with regard to warts. Genital warts typically appear 6-12 months after catching HPV.
3) If you caught a high risk (cancer causing) HPV type of the anal area -- e.g. HPV 16 or 18 -- then in the future you could be at risk for anal cancer. However, the vast majority of people with such infections don't ever get cancer, and as noted in reply to question 1, it is unlikely you were infected anyway.
4) Routine anal paps are not recommended at this time; it's still more or less an experimental procedure. However, this could change in the future. At present there are no guidelines about timing, but the average time of progression to pre-cancerous lesions is measured in years, so there certainly is no hurry.
5) All things considered, I would guess the chance you'll get anal cancer on account of this particular exposure is probably something like one in a million. Not worth any thought or concern.
Since you are obviously hyper-concerned about STDs, I suggest you take maximal steps at prevention. Among other things, that means being immunized against hepatitis A and B, and against HPV (with Gardasil, which covers the 2 most common cancer-causing HPV infections and the two that cause most genital/anal warts).
If you continue to be so worked up over this single event, it suggests an emotional reaction to your first sexual experience. You are over the top with it. If you cannot quickly get beyond your obsesssion with it, counseling probably is in order. I suggest if from compassion, not criticism. However, this forum or other MedHelp forums are not a substitute for such care -- so let's curtail any further discussion on this or the HIV prevention forum.
Really, try to mellow out. You can never be a sexually active person and be totally free of all STD risk. You're just going to have to accept that fact and live with it. Do get vaccinated as suggested, and do consider counseling to help you do so.
Regards-- 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.
