Aa
transmissibilty of std's
Hi-I recently had unprotected sex with a woman other than my wife.
What is the likelihood of transmission of the following prior to their clinical manifestation and what is the latent/incubation period of each?
HPV? (and will a male necessarily ultimately develop warts if he is to be a potential transmitter of types 16 and 18?--if not what would signs be?)
Also wife had a laser cone 15+ years ago for mod/severe dysplasia. I had sex with her prior to the cone,but could not have been the original source of HPV changes(virgin). PAP smears now have been negative for 15 years. I had sex with her for years prior to her diagnosis of dysplasia and presumably had a high likelihood of contracting, yet never reinfected her.Could that have been due to a change in cervical mucosa making reinfection less likely?or what-I just never got infected?
Can I be tested for types of HPV prior to signs of HPV and how early?
HIV-incubation, shedding during incubation?, earliest testing?
HSV1,2-" " " " " " ?
Thanks.
What is the likelihood of transmission of the following prior to their clinical manifestation and what is the latent/incubation period of each?
HPV? (and will a male necessarily ultimately develop warts if he is to be a potential transmitter of types 16 and 18?--if not what would signs be?)
Also wife had a laser cone 15+ years ago for mod/severe dysplasia. I had sex with her prior to the cone,but could not have been the original source of HPV changes(virgin). PAP smears now have been negative for 15 years. I had sex with her for years prior to her diagnosis of dysplasia and presumably had a high likelihood of contracting, yet never reinfected her.Could that have been due to a change in cervical mucosa making reinfection less likely?or what-I just never got infected?
Can I be tested for types of HPV prior to signs of HPV and how early?
HIV-incubation, shedding during incubation?, earliest testing?
HSV1,2-" " " " " " ?
Thanks.
Re: testing, I'm not the doctor, but I think it's generally not recommended to test after any particular exposure, unless your partner was really high risk, i.e. known HIV positive. But if it makes you feel better to test now, then by all means, get tested. In the future, save yourself all this unnecessary stress and worry and keep condoms with you. Use them religiously, and get tested once a year.
And if it makes you feel any better, the other couple probably overestimated their risk. One of my partners is very active in that community (and also a MD), and he agrees that swingers are generally safe, mostly for the very reason you gave (unfortunately, they really are pretty straight/homophobic). And while I have nothing to back this up, I'd even think swingers may be *safer* than the general population. They're prepared emotionally and physically to have sex, so they can generally make more reasonable choices about partner selection, situation, etc. Just a thought.
And if it makes you feel any better, the other couple probably overestimated their risk. One of my partners is very active in that community (and also a MD), and he agrees that swingers are generally safe, mostly for the very reason you gave (unfortunately, they really are pretty straight/homophobic). And while I have nothing to back this up, I'd even think swingers may be *safer* than the general population. They're prepared emotionally and physically to have sex, so they can generally make more reasonable choices about partner selection, situation, etc. Just a thought.
I think we're ok on the HPV.
Exposure was to a fellow MD experienced in the "swinging" community,our first foray into that, in a southern us city of 1,000,000+.My wife kept her clothes on, mostly. (Seems MD's aren't immune from stupidity)
With her multiple, some unprotected encounters,I would consider my exposure to be higher than average risk, but I believe most swinging in our conservative area to be hetero, or if bi, then female-female encounters, low risk for HIV, and the other couple states they are tested "periodically", not sure how recently though. Vaginal and oral sex occurred. The other couple's response to our concern was they believe their risk with the "lifestyle" pales in comparison with their risk getting on the freeway every day. I would guess they've swung 15-25 times in the past year and a half when they started. Anyway, I ? testing other than for anxiety relief???
Exposure was to a fellow MD experienced in the "swinging" community,our first foray into that, in a southern us city of 1,000,000+.My wife kept her clothes on, mostly. (Seems MD's aren't immune from stupidity)
With her multiple, some unprotected encounters,I would consider my exposure to be higher than average risk, but I believe most swinging in our conservative area to be hetero, or if bi, then female-female encounters, low risk for HIV, and the other couple states they are tested "periodically", not sure how recently though. Vaginal and oral sex occurred. The other couple's response to our concern was they believe their risk with the "lifestyle" pales in comparison with their risk getting on the freeway every day. I would guess they've swung 15-25 times in the past year and a half when they started. Anyway, I ? testing other than for anxiety relief???
Thanks. Apparently stressed more over the HPV than need be from reading this and your previous responses. We're particularly concerned re the risk of CIN again.Almost any surgical procedure (not a colposcopy of course but only a little more)requires Lovenox postop (Factor V Leiden)for her and still risky. Although she may be immune to whatever type she was infected with before, what would possible role of Gardisil be here? And it takes quite a few months to render protection?
We're considering "protected sex" to reduce (though not eliminate) risk of reinfection until we've resolved this.
We're considering "protected sex" to reduce (though not eliminate) risk of reinfection until we've resolved this.
Wife's 42 by the way.
MEDICAL PROFESSIONAL
I see no need for condoms or other safe sex practices at this point; if one of you has a current HPV infection, so does the other (or is immune to it). The potential benefit of the HPV vaccine (Gardasil) is marginal at best, but the need depends a bit on whether or not you are likely to conintue to have other partners. But is is harmless, so if you don't mind paying at least $500 (since she is out of the age range for insurance coverage), it's fine with me.
I doubt colposcopy/biopsy carries any DVT risk, since it is an outpatient procedure that take 15 minute and doesn't require bedrest afterward, and I doubt her provider would prescribe Lovonox in that circumstance. But Lovonox is no risk of significance anyway; I dose myself with it whenever I fly more than 4-5 hours, which is several times a year.
HHH, MD
I doubt colposcopy/biopsy carries any DVT risk, since it is an outpatient procedure that take 15 minute and doesn't require bedrest afterward, and I doubt her provider would prescribe Lovonox in that circumstance. But Lovonox is no risk of significance anyway; I dose myself with it whenever I fly more than 4-5 hours, which is several times a year.
HHH, MD
MEDICAL PROFESSIONAL
The HPV issues have been discussed repeatedly, and you ask pretty complex questions. Use the search function to see my many replies to similar questions. Search for 'HPV' and 'Human papillomavirus'.
Here are some basic points, which I think cover all your HPV questions. There are no data to estimate the risk of getting HPV for any particular sexual exposure. Your wife's distant HPV infection undoubtedly is long gone and probably she is immune to a new infection with the same HPV type. You almost certainly have been infected with HPV, perhaps more than once. That is the same for almost everybody; 70-80% of people acquire HPV within their first 4 lifetime sex partners. Getting HPV should be viewed as normal, although not desirable (and unavoidable). The large majority of infections never cause symptoms and clear up on their own. There is no test to tell for sure whether any particular person is (or has been) infected, or with what HPV types.
The risk of getting HSV-1 or HSV-2 is very low for any particular sexual exposure, but of course it depends on whether one's partner has infected and, if so, whether that person is having an outbreak at the time. In couples in which one person has genital HSV-2 infection and the other does not, and who have unprotected sex an average of 2-3 times per week, the infection is transmitted in 3-5% of couples per year. That shows that the risk is very low for any particular sexual event.
As to incubation period, for people who get symptomatic genital herpes, the time lag from exposure typically is 3 days to 3 weeks, usually 3-7 days. For symptomatic HPV infection, such as genital warts or time to an abnormal pap smear, it varies widely, from a few weeks to many months. But for both infections, no symptoms occur at all. Such people probably become infectious for their partners as soon as they are infected, i.e. perhaps within days of catching it.
Best wishes-- HHH, MD
Here are some basic points, which I think cover all your HPV questions. There are no data to estimate the risk of getting HPV for any particular sexual exposure. Your wife's distant HPV infection undoubtedly is long gone and probably she is immune to a new infection with the same HPV type. You almost certainly have been infected with HPV, perhaps more than once. That is the same for almost everybody; 70-80% of people acquire HPV within their first 4 lifetime sex partners. Getting HPV should be viewed as normal, although not desirable (and unavoidable). The large majority of infections never cause symptoms and clear up on their own. There is no test to tell for sure whether any particular person is (or has been) infected, or with what HPV types.
The risk of getting HSV-1 or HSV-2 is very low for any particular sexual exposure, but of course it depends on whether one's partner has infected and, if so, whether that person is having an outbreak at the time. In couples in which one person has genital HSV-2 infection and the other does not, and who have unprotected sex an average of 2-3 times per week, the infection is transmitted in 3-5% of couples per year. That shows that the risk is very low for any particular sexual event.
As to incubation period, for people who get symptomatic genital herpes, the time lag from exposure typically is 3 days to 3 weeks, usually 3-7 days. For symptomatic HPV infection, such as genital warts or time to an abnormal pap smear, it varies widely, from a few weeks to many months. But for both infections, no symptoms occur at all. Such people probably become infectious for their partners as soon as they are infected, i.e. perhaps within days of catching it.
Best wishes-- HHH, MD
You are reading content posted in the STDs Forum
Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
