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STDs test with possible HPV !

Hi doctor HHH first i want apologize for my poor english, thanks for giving me this chance, i need your advice about my situation please, i am always using condom i had condom broke one time only in sep/2011 with SW i notice it immediatily so i stop i received oral from her also, after this i didnt do any STDs test, in july/2012 i had sex with my girlfriend she is virgin and i am only her first and last sex partner we did only oral sex to each other and rubbing genitals no insertion at all, we are arranging to get married as we love each other, in sep/2012 i did what i feel its the worse mistake in my life, i was drunk when i go with SW i received unprotected oral for a minute or less maybe then i had protected vaginal sex for 5 minutes during this i notice a blood come out from her !! its not much amount maybe 1-2 ml, when i saw the blood i stop immediatly i hold the condom with tissue and i remove it, the i wear other condom and i did anal sex with her for 1 minut only then i finished, i dont know why really i feel worried after this event especially, i think in my mind that i have to test for HIV and other STDs after one week i notice flesh pump in the rim of my penis (in head from down) it was small rised, smooth and little stiff (size of acne) no pain or itching i squeeze it nothing come out,i am circumcised i went to dermatoligist he check it and he told me this is gintal wart so he advice me to remove it and i agree, so its was immediatily removed
with this thing i get worried more about other STDs, so i tested for all with this below
8 weeks
VDRL nonreactive
gonorrhea (urthral swab) neg
chlamyia Ag neg
3 months
HIV 1 (RNA) by PCR nonreactive
HCV  (RNA) by PCR nonreactive
HBV  (DNA) by PCR nonreactive
HIV Combo nonreactive
HCV Ab neg
HBs Ag neg
HBs Ab postive 800 miu/ml
TPHA neg
4 months
HSV 1 IgM HSV 1 IgG neg
HSV 2 IgM HSV 2 IgG neg
i need your advice dr. HHH please  am i 100% clear from any STDs?
is what i have is really HPV?
thank you!
8 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Such a weakly positive result -- barely higher than the cut-off value -- probably is false.  You can remain confident you don't have HSV-1.
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Avatar universal
the result is 11.3 EU/ml
the cut off is 11.0
Helpful - 0
Avatar universal
Dr. HHH i have something i cant understand it please help me, i did another test as 6 months mark everthing is fine but i get shock because HSV 1 came back postive  Pos 11.3
11.0

all my test at 9 weeks (igg and igm negative)
and 13 week (igg and igm negative)
and my 17 weeks (4 months) igg negative..

doctor is real POSTIVE or its false postive please help me :(
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
After 18+ months the risk of infecting your partner with your current HPV infection would be extremely low.  However, there is never a guarantee that HPV cannot be transmitted in the future.

Your HIV test results are 100% reliable.
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Avatar universal
thank you doctor i really understand that is immpossible to know what was really that outbreake after it was removed..
anyway i have to accept my diagnonsis and deel with this fact
my full concern now is about my fiancee
not my self for sure..
so please doctor answer my last quastions
i will not have more quastion in this post

1-if i still didnt have any recurnce of GW and i didnt have sex for 18 -24 months from date of possible infection can i exclude the vaccination for my GF?

2- my HIV test (RNA,P24,Ab) after 3 months mark is completelly 100 % conclusive without any doubt?

this is my final quastions i am really thankfull and greatfull for having chance to consult you dr. HHH
thank you !
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Usually a dermatologist's diagnosis is accurate based on simple examination; confirmatory lab tests usually are not done.  But you give some good reasons why your lesion might not be a wart.  It is true a wart cannot appear in a week, but neither can molluscum; if you have either of those, you caught it at least several weeks earlier.  Warts often appear for the very first time up to a year after exposure.

In any case, there is nothing more I can do to help decide what you have.  I suggest you return to the dermatologist, or perhaps to a different dermagolotist for a second opinion.
Helpful - 0
Avatar universal
Dr HHH i am really thankfull for your answer please give me a chance for follow questions
yes Dr you are right i want to be 100% sure that i didnt have any STDs
so about HIV do you agree that IMPOSSIBLE to have folse negtive after 3 mothns because if the body fail to produced Antibodies the person will have high viral load because the viral load that ONLY disapear if the antibody begin prduced??

about the HPV i am still didnt accept that i have it because of many things
1- the dermatogist didnt do contirmatory test and he never say anything about HPV vaccine to protect my fiancee as i inform him that i get it from someone els thats why i doubt his experience about HPV
2- the pictures i saw in internet for GW is different from what i had what i see its much close to mollscum contagiosum by 95% or maybe seborrheic keratosis
3- almost everybody i have seen in internet complaining from recurrence of GW that never happen with me its only a single outbreak since 6 months now!
4- its too fast to have wart in one week i read its take several weeks or months to appear after the time of infection!
your comment and advice this will help me Dr. HHH
thank you so much
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.

While I understand you want to be very sure about STDs after the exposures you have described, you really had far more testing than you needed.  But most of the results are reliable; they prove you did not catch any of the infections you were tested for.

A dermatologist's diagnosis of a wart is usually very reliable; and all warts are caused by HPV.  So the answer to that question is yes, you are infected with HPV.  There is no way to know when or where you were infected; it is almost always impossible to know the origin of any particular HPV infection.

If you are interested in protecting your girlfriend from the HPV infection causing your genital wart, I would advise that she be immunized with Gardisil, the anti-HPV vaccine.  Gardasil protects against the two HPV types that cause 90% of genital warts, and the two others that cause most cervical and other genital cancers.  However, it takes 3 doses of the vaccine (6 months) to have complete protection.

I hope these comments are helpful.  Best wishes--  HHH, MD
Helpful - 0

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