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hpv

Hi I am 41 years old healthy woman. When I was 21 year old, I was in a relationship with a 40 year old married man.

One time we had a brief anal sex. He inserted his penis (just tipe of his penis) just for 3-4 secs without a condom. I was married when I was 27 year old. I have negative std tests for everything. I am not sure abt my hpv status but so far all paps are normal. I know pap does not detect hpv plus there are being performed on my vagina not anus.

A man with whom I had a brief anal sex was sexually active only with me and his wife that time and he was virgin before his marriage and his wife had only one sexual partner which was her husband.

What are the chances of me having hpv from this exposure??? My husband was also virgin when we got married and have no affair. I am very scared of having hpv related anal cancer due to my stupid decision long time back.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
You misunderstood my advice.  I do NOT recommend that you "ask your doctor" to do an anal pap smear.  I recommend you discuss this topic, your concerns about it, and whether s/he believes an anal pap smear is a good idea.  Maybe not -- and I am not certain it should be done either.  Anal paps are not a standard medical procedures and should be considered experimental.

1) If an anal pap is done, it should not be painful.

2) You do not need repeated anal paps.  Once should be plenty, if done at all.

3) The rate of anal cancer is 1.8 per 100,000 women per year in the US.  Most of them probably have had repeated anal sex with multiple partners, so your risk is far lower than that.  I would guess no higher than 1 in a million.  You have a much better chance of winning a large lottery.

4) Somewhere around 600-700 women per year in the US die of anal cancer; it is one of the most rare causes of cancer death.  You are not going to be one of them.

You obviously are abnormally obsessed with your anal sex event, HPV, and anal cancer.   Discuss your feelings with your doctor, then follow his or her advice.  If you cannot shake your fears of it despite the scientific evidence and the reasoned reassurance you have had here -- and can expect from your doctor as well -- professional counseling may be in order.  I suggest it out of compassion, not criticism.  Thanks for your thanks about the forum, but it cannot substitute for such counseling, so that will have to end this thread.
Helpful - 0
Avatar universal
Thanks doctor.

I will ask my doctor to have anal pap for me.
1.Is it painful??
2 Do I need to have anal pap on regular basis since I dont do anymore anal sex??
3. I know in medicine anything can happen. But I would still like to ask you can you just let me know my chances of having anal cancer when I will become old???? I would like to see it on 10 grade scale.
4. Per year how many people in the USA died of anal cancer????

I am glad to offer us such a gr8 platform.

Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
The chance you caught anal HPV during the exposure described is very low; and if you did, the infection probably cleared up years ago.  Most HPV infections last a few months to a couple of years, then are gone for good.

If you will carefully read my reply above, you will understand that I cannot predict the likelihood you ever had anal HPV from some other source.  If you have ever had genital HPV -- which you probably have -- then you could have had an anal HPV infection as well.  Genital and anal HPV often go together.  (Not having warts does not say whether or not you have had HPV.  Over 90% of all HPV infections cause no symptoms, no warts, and no abnormal pap.  And as I just said, the large majority of HPV infections go away long before 20 years have passed.

Please pay close attention to my closing statement ("In the meantime...") above.  You should not be at all worried about this.  But for further reassurance, please have a similar discussion with your own doctor.  
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Avatar universal
Thank you very much for your response.

I have never developed warts on/near my vagina and anus. That was my 1st and last anal exposure bcz I hate it.

I am accurate with my information. I never had vaginal intercourse with that guy. looking at short period for anal sex and never having it again So chances of having anal hpv are really low. Am I right???
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.

As a sexually active person with more than one lifetime sex partner, it is probable you have been infected with one or more genital HPV strains.  When HPV is detected, it is usually not possible to know with certainty when or from whom the infection was acquired.  It is equally impossible to know whether any single exposure, whether vaginal or anal, resulted in HPV transmission.  If your information about that partner is accurate, he might have been quite unlikely to be infected at that time; and even if he was, the chance of transmission during any single exposure still might be low.  But there simply is no way to know.  In addition, it doesn't require anal sex to have an anal HPV infection; anal HPV is often present with no anal sexual exposure, simply because the virus can spread from nearby areas, especially in women.  (Anal HPV is less common in heterosexual men with no anal sexual exposure, but by no means rare.)  So if you were ever to develop evidence of anal HPV, it would not necessarily be from the sexual exposure described here.

Even if you had anal HPV, the risk of anal cancer would still be very low.  Even with the cancer-causing ("high risk") types of HPV, the vast majority of infections do not develop into cancer.

For these reasons, I urge you not to worry about this.  The next time you have a routine gyn exam and Pap smear, it would be reasonable to discuss your concerns with the doctor, who could inspect your anal area with care, and perhaps even collect a Pap specimen from the anus as well as cervix.  Anal pap smears are not routine, and are even a bit controversial, but it would not be unreasonable to discuss it with your doctor.

In the meantime, you really should not let this worry you.  Your risk of anal cancer is very, very low; and probably is little or no higher than it would be had you never had that single episode of anal sex.

I hope this helps.  Best wishes--  HHH, MD
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