Risks/Frottage

[orangeglo]

Hello,
I'm sorry I couldn't find a direct answer to my question in any other posts.
1) Let's say a man lays his penis vertically between a woman's butt cheeks, rubs with plenty of friction for 10 minutes or so, and then ejaculates on her backside...what are the risks for the woman? what should she test for?
(Let's also assume that due to positioning, part of the penis was in contact with the outside of her vagina as well, during this episode).
Context is that the male was tested with general screening 11 months ago and had nothing, but female is concerned about residual risks outside the normal tests (i.e. latent genital warts).
Even if risks are small, please recommend any testing for whatever risks posed (peace of mind is coming into play too).  
Thank you for this wonderful service!

[orangeglo]

Hello,
Responding to your ???...I just meant that HPV types 6/11 are less prominent than the very common high risk types. I don't know HOW MUCH less common the 6/11/low risk types are (and I doubt there are stats on this), but that's my understanding anyway from doing some reading. If you have time between posts let me know what you think. THANK YOU....

[Edward W Hook, MD]

Herpes -possible but without lesions still low risk.

Regarding your questions
-yes
-??
-correct and, for that matter uncontrolable.  As I said if not everyone, close to everyone has or will have HPV infection at some time or another

EWH

[orangeglo]

I agree, if you could chime in Dr. Hook?

-->I am more worried about asymptomatic HPV 6/11 in this case given that my partner does not have the herpes virus.

-->Please just yes or no my absoprtion of information here:

--the chances that he has HPV 6/11 but doesn't have genital warts is small
--the chances that he's infected with genital warts is unlikely anyway given current statistics on this type of HPV
--overall the chances that he passed latent HPV 6/11 to me during this encounter are too small to worry about

Please let me know so that I can act accordingly with other partners.

After this I will not clog up with anymore posts, for sure, thank you very much.

[infoseekr411]

A question that could benefit all forum users:

In general, couldn't the type of frontage described here be possible mechanism to transmit herpes? I mean, 10 minutes of rubbing with significant friction and contact with vagina and vaginal fluids??

I'm not trying to cause worry and maybe it does not apply to this context but in general, wouldn't it be a possibility?

[orangeglo]

I so much appreciate your straight forward advice. I have an appointment on Monday to get the screening you recommend. I already have the first shot of the HPV vaccine as of a few weeks ago, but I know that this will not help me yet, so no help with any exposure from most recent encounter.  But no matter, with your original comments on my exposure (plus the fact that my partner has never had a wart), I feel I may be manufacturing worry anyway. THANK YOU

[Edward W Hook, MD]

You are asking quesitons with tremendous imprecision.  HPV 6/11 most often causes viisble warts.  Furhtermore, for the reasons mentioned above, what is the use of worrying.  The longer you go without warts, the less likely you are to have them.

Just as a sidebar, whether or not you have warts at this time, the single best thing you can do to help protect yourself is to go on and get the HPV vaccine.  

For addition information on this most common of STDs, I would suggest search for other HPV- and wart-related Q&A on this site, as well seeking addition information on sites such as the American Social health Association web-site (disclosure, Dr. Handsfield and I are both on the Board of ASHA).  Good luck.  EWH

[orangeglo]

Thank you very much for the quick response. My partner said that he's never had a wart down there; but, if my partner has latent/asymptomatic HPV 6/11, is it likely that i could get warts from him from this contact? If so, how many wart-less months do I need before I can breathe a little easier and assume that I'm not infected?

I know there's not a lot of reserach/stats but anything anectodal or otherwise would be incredibly helpful.

[Edward W Hook, MD]

Risks are minimal. Let's examine them a bit further.

Masturbation (no penetration) between her buttocks is still masturbation.  Masturbation is sitll safe sex.  Nothing to concern yourself about.  Risk=0.

What about similar activities on the frountside.  Possible risk if one partner is infected, depending on the dynamics of the contact and whether penetration occurred or not.  No penetration, once again, no risk.

What about HPV.  HPV is readily transmitted from person to person and probably does not require penetration to occur.  In fact, it is so common that most, if not all sexually active humans will have HPV at some time in thier life.  The disease, in addition to being virtually everywhere rarely persists and still more rarely causes serious complications.  The search for these complications are the reason women have PAP smears.  It is, to be honest not fruitful or useful to worry about HPV.

Testing recommendations.  Every person with a new partner or who has more than one partner in a calendar year is probably  a candidate for STD screening (gonorrhea, chlamydia, perhaps HIV) annually, not because of any great risk but rather for the purpose of STD "screening in the absence of symptoms.  As a matter of personal protection, we recommend screening for anyone who has a new partner or has had two or more sex partners in the past year (we consider this to be health maintenance- we also recommend you get your blood pressure and cholesterol checked regularly).
Hope this helps.  EWH