Sorry, but Dr. Hook and I never comment on each other's threads unless we invite each other to do so. (Generally we never look at each others' discussions.) Our opinions never differ, so there is no point.
That winds up this thread.
Dr. Handsfield,
Thank you very much for your comments. I know there are no cut and dry answers.
Dr. EWH,
I was wondering if you could add your opinion as well.
I'm sorry, I just don't know and no way for anyone else to know for certain. Typical cases by definition are atypica and that much harder to predict. My guess is you would not be infectious after 6 months with no warts, but I certainly would not guarantee it.
Doctor,
What kind of timeline if any can I go off to consider myself clear or at least OK to enter into sexual relations? I also am curious if you consider the lack of clearance to be a good indicator that it will take quite a bit longer for me to clear the virus.
I hope you can appreciate this question and it is the same quesiton I have posed to my dermatologist. It is hard to live a life without knowing if I can take it to the next level with someone I may really care about.
I would appreciate your opinion on this question given my history.
Welcome back. But you continue to rely on a distant online forum that cannot give definitive answers about specific cases. I will reply to these questions, but you should also address them with your dermatologist or other provider who has been managing your HPV/warts. In addition, your clinical course has been so atypical that you might consider a second opinion from a different dermatologist. It still seems possible to me that you no longer have an active HPV infection and are attempting to treat some other skin condition. But my replies below assume the current diagnosis is correct.
1) It is true that most people clear genital warts within several months, but persistent cases beyond 2 years isn't all that rare.
2,6) Still, nobody has recurrent warts forever; yours will stop recurreing one of these days. I cannot guess when. I also cannot predict the future course of recurrent warts after the current crop clears up.
3,5) Genital warts and penile cancer are caused by entirely different strains of HPV. Cancer is unlikely in this situation. But to be maximally safe about it, continue to follow your dermatologist's advice about treatment and follow-up examinations.
4) Regardless of whether you are infected with HPV, and which strain(s), and whether or not you have warts, the chance of a partner getting cancer as a result are very, very small. A potential partner can be immunized with Gardasil, which would protect her against the main strains that cause warts and cancer -- although the problem there is that it takes a few months for the vaccine to become effective, potentially requiring a substantial delay before starting to have sex with her. Still, it probably would be worthwhile. But even without immunization, if she just follows standard guidelines about pap smears, she would be protected against any serious health risk.
7) HPV immunization will have no effect at all on your current warts or other HPV infection(s) you may have. It will effectively prevent future infections with the 4 types covered by the vaccine.
There really is nothing more a forum like this can offer you. Let's dispense with a long string of follow-up questions as in your previous threads. The more atypical a clinical situation, the more important it is to rely on personal care by a knowledgeable provider, and not on online searching or a distant forum, no matter how expert.
Regards-- HHH, MD