HPV and Chlamydia Transmission

I am a 22 year old male who has been fairly sexually active, but for the most part with long term girlfriends, Recently i have   dated a girl who has mild cervical dysplasia and also informed me that she was infected with chlamydia. At the point where i found out about the chlamydia i had only performed oral sex on her so i went and got tested for the chlamydia just in case, all tests came back negative but both she and i went through the doxycycline treatment as directed. Two weeks or so after we were done with the antibiotics we ended up having sex and the condom broke. I have 3 concerns at this point.
1) Should i be concerned that the treatment did not necessarily get rid of her chlamydia infection and i could have got it. Should i go get tested again? I am not experiencing symptoms.
2)did i probably pick up some sort of HPV from this exposure being that she has cervical dysplasia, and should i be concerned about passing this to all of my future sex partners? I couldnt live with myself if i thought a girl that i care about had cervical cancer because of me.
3)I have started to begin to date my ex girlfriend whom i care for deeply again, even though i may not have HPV i could be putting her at risk it seems from what i have read. do i need to use a condom for the rest of my life, even if i am in a monogamous relationship?
Any help with these questions would be greatly appreciated. thanks                  

[H. Hunter Handsfield, M.D.]

I'll go directly to your questions;

1) All standard treatments for chlamydia are virtually 100% effective.  You don't say your partner's treatment, but if she also was treated with doxycycline (and took the full presecription) you have no worries about continued infection.  However, it is recommended that all persons with chlamydia be restested 3-4 months later, just to be safe.

2) You already have had HPV, regardless of your partner's dysplasia.  Everybody who has has several partners in their life, even if limited to long-term relationships, has had HPV; with few exceptions, we all get it.  There is no way to know whether you might have been infected again from your current partner's dysplasia, but it doesn't matter.  If you develop warts in the next few weeks, of course see a provider for evaluation and treatment.  Otherwise don't worry about it.

3) Just like you, your new ex-partner probably has had HPV already.  There is no reason for you to use condoms at this point.  However, it would make sense for your partner to get the HPV vaccine, which is recommended for all sexually active women up to age 26 (and probably will be convered by her health insurance).

Read up on HPV.  Start with the information provided by CDC (www.cdc.gov/std), the American Social Health Association (www.ashastd.org), and Public Health - Seattle & King County (www.metrokc.gov/health/apu/std/).

Good luck--  HHH, MD