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hpv concern

I am a 31-year-old white male that had a sexual encounter with a black female on May 4, 2010. Approximately 3 weeks before that, I performed oral sex on her for approximately 1 minute. She has performed oral sex on me on three different occasions. We engaged in protective vaginal intercourse for a brief period on May 4 and I performed oral sex on her for at least 5-10 minutes. 2 weeks later, I developed a sore throat that I still have 4 months later. I also have tonsillar enlargement with the tonsil on my left side being larger (looks meaty). I have seen ENT, Infectious Disease Specialists, and a Dentsist. I took an HIV test on September 21 (negative) as well as a gonorrhea test (3 weeks after incident) (swab from penis and throat-negative). I took a syphyllis test at 6 weeks (negative). My ENT thought it could be acid reflux, but the medication has not helped in 2 months.. The ENT even ran the light down my throat. Towards the end of July 2010, I noticed 4 growths on my groin area. I had them removed and biopsy. Two of them come back skin tags and the others come back as viral warts. He sent those two off for a second generational analysis and they come back seborrheic keratosis and my dermatologist read the histopathological report for me and said nothing to worry about, just a benign growth, not condyloma. The HPV typing 2nd generational analysis said negative for both low and high risk hpv types. Two of them were in the groin line and two of them were in the subapubic area.

Took Oral HPV DNA test on 9/22/10 with a dentist. Dentist did not see any unusual growths. Said Quest produces test.Chances of oral HPV? Cause of sore throat for 4 ½ months along with tonsillar enlargement? The woman mentioned above said she had an abnormal pap smear, but never said if she had the HPV test. She said it was precancerous/cancerous cells. I found this out after the incident. My wife’s recent papsmear 3 weeks ago come back normal and her HPV test come back normal/negative.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
You have gone way overboard in analyzing, reanalyzing, and second guessing the pathology reports.  The bottom line is that your genital area lesions were not warts and were not caused by HPV.  You need to stop examining your genitals.

I haven't a clue what is causing your sore throat.  It is not HPV and probably is entirely unrelated to the sexual exposure described.

Oral HPV happens but is not very common. I am unaware of data about transmission by drinking water and I am skeptical.  When oral HPV happens, it mostly goes away without ever causing disease.  Although rates of throat cancer caused by HPV of one type (HPV-16) indeed are rising, it remains very rare and not necessarily the result of sexuall acquried HPV infection.  Here is a thread that summarizes the current understanding of oral HPV, cancer, etc:  http://www.medhelp.org/posts/STDs/HPV-and-oral-cancer-risk-in-male/show/1181303

You need to get off your laser-beam compulsions about this problem, which is not normal.  You are wasting an incredible amount of energy on a trivial issue.  Because I will not risk contributing to that mentality, I won't repond to any further comments.  This thread is closed.
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Avatar universal
I sent the pathological report to my dermatologist for him to look at and he said nothing to worry about, not an std. I also let an infectious disease specialist look at the pathological report as well. Both of these examined me and my dermatologist said a spot under my scrotum which was red in color, somewhat brown in bright light was an angiokeratoma. When you look at it, the skin looks kind of like a blister that is almost healed, but does not hurt. You can feel a slightly raised bump just above the skin. This was not one of the places mentioned in the earlier thread. I was also negative for HSV-1 and 2 IGG test after 3 months. The rep from OralDNA was a formal dental hygentist and she said she trains dentist on how to perform the oral hpv test. She told me that the low risk strains are the ones that usually cause wart like growths in the mouth and throat and the high risk strains usually affect the throat and tonsils and sometimes you can't see the warts cause they are flat or hidden. She said there is a rising case of throat cancer with hpv of the throat. She scared me. What could be causing the sore throat for 4 1/2 months with tonsil enlargement? She said HPV of the throat would take 2 years to clear and they have found you can get oral HPV from drinking after someone and that HPV can live on a surface for 2 weeks. She also said no treatment is available for oral hpv.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
I saw this before I responded above.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the STD forum.

I see no reason for you to be concerned about HPV, whether oral, genital, or anywhere else.  It's interesting that the initial report of 2 of the genital area growths suggested warts, but it seems clear that the final diagnosis of seborrheic keratosis is reliable and that those lesions had nothing to do with HPV.  Oral HPV is rare, and when it occurs causes no symptoms and certainly cannot cause sore throat.

There is no way to know whether or not you were exposed to or infected with HPV during the sexual exposures described.  Oral sex is low risk for HPV, as is condom-protected vaginal sex -- but it's still possible you were infected.  But probably not.

Your partner's past abnormal pap is pretty much irrelevant.  Over 80% of all people (maybe over 90%) get infected with genital HPV types at least once, usually several times.  And at any point in time, genital HPV can be detected in 30-40% of sexually active persons.  Whether or not you might have been exposed this particular time really doesn't matter very much.  Assuming you weren't a virgin before these events, you have been infected before (at your age, probably several times) and may well be infected again.  So there is no point in getting worried about individual exposures.

All sexually active people need to understand that catching genital HPV strains is a normal, unavoidable aspect of human sexuality.  In this case, you probably didn't catch a new infection, however -- but as I said, there is no way to know for sure.

Bottom line:  Just forget it.  This isn't worth any concern.

Regards--  HHH, MD
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Avatar universal
I forgot to mention that my PCP diagnosed them as viral warts. The pathological report said seborheic keratosis-like condyloma acuminatum described before it was sent off again for the HPV typing which come back negative for low risk and high risk.
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