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Oral STD infection

Greetings.

Sorry if you ask me sounds strange, is that I do not speak English well, I speak Spanish.
I present my case:
I am a gay man of 20 years and recently I heard that people who practiced oral sex with more than 6 couples have 250% more likely to have throat cancer caused by HPV.
I have had more or less the number of sexual partners, and I'm a little worried, because I want to be opera singer, I have the voice, I have everything to be, however, I worry a little that in the future I throat cancer develops implementing caused by HPV, and that makes me lose my voice.
Currently I have a steady partner, but I want to have it, so I have raised the following questions:
1.debo oral sex leave to care for my voice?
2.es throat cancer HPV as common as it does the press think?.
3. is opornuto to continue with my studies as a singer?, or should I let the song because of the danger to develop throat cancer?
4. In whom it is most common oral HPV infection in heterosexual men or gay men?
Thank you for your attention, I hope I can guide.
2 Responses
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Avatar universal
My advice is that you ask the question in the real doctor's Forum STD, doctors with long-standing experience of just HPV, use the search and search on "oral hpv" or "oral cancer


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239123_tn?1267651214
H. Hunter Handsfield, M.D.Blank

Mar 27, 2011
Welcome to the forum.  I'll try to help ease your concerns.

Your question and others like it have become quite common; there has been quite a bit of media attention to the rapidly evolving research about some oral cancers and HPV.  I'm not sure which Johns Hopkins research you refer to; there have been several such studies.  But they all have similar results:  cancer of the back of the throat (the oropharynx), often originating in the tonsils, often is due to HPV type 16, which also is the most common cause of cervical and anal cancer.  Some stories refer generally to "head and neck cancers", but only oropharyngeal cancer is strongly associated with HPV-16.  (HPV-18 is not frequently involved in these malignancies.)

Part of the answer to your concerns lies in the statistic you correctly quote:  around 8,000 cases per year in the US.  That is a very small number in a country of 320 million.  Despite rising numbers, it remains one of the rare cancers.  Regardless of your oral sex history and likely oral exposure to HPV, you are far more likely to get prostate, colon, lung, and other cancers -- even relatively uncommon cancers like leukemia and pancreatic cancer are far more frequent than HPV-16-related pharyngeal cancer.

As to whether some sort of screening should be recommended remains a work in progress.  There is no standard screening method, other than examination during routine health and dental visits.  Whether oral testing for HPV-16 should be recommended may become clear as more research evolves.  For now, there are no standard recommendations.

Here is another thread that goes into these issues in more detail.  Please take a look, then let me know if you have any brief follow-up questions about it:  http://www.medhelp.org/posts/STDs/HPV-and-oral-cancer-risk-in-male/show/1181303

Bottom line:  nobody should be highly worried about HPV-related pharyngeal cancers, regardless of their oral sex history.

Regards--  HHH, MD
Helpful - 0
563773 tn?1374246539
MEDICAL PROFESSIONAL
Hello,

The human papilloma viruses (HPV) are predominantly sexually transmitted and even oral sex can transmit HPV. Diagnosis of genital warts is usually clinical, made by visual inspection. Genital warts can be confirmed by biopsy but sometimes we can use an enhancing technique called acetowhitening. This technique involves the application of 5% acetic acid solution to the area of suspicion for about 5-10 minutes. Infected areas will turn white.

Usually HPV causes warts in pelvic area and genitals. Sometimes it can cause throat infection known as recurrent respiratory pappilomatosis or RRP. Only when you are showing symptoms of oral cancer, can this possibility be explored. Rest assured and go ahead with your singing career. HPV can be transmitted both in heterosexual or homosexuals as it is a sexually transmitted disease and can occur in both.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.




Helpful - 0

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