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Hi. I'm 22 years old. When I was 15 years  old I gave unprotected oral sex to a boy and some months after that I do the same, but we never had sex. At that time I was taking isotretinoin for acne.  When I was 17 I took gardasil shot. I never had warts in my mouth but I'm very afraid with the possibility of developing oral cancer from these exposures. I would appreciate some help. Thank you and sorry for any mistake.
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Avatar universal
The immune system is what effects clearing rate. I don't think you have mental issues because you want to be healthy. This world is filled with manmade diseases that is being used on people with no control. I took the hpv vaccine b4 havi g sex and still got hpv so what do that means?
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Avatar universal
Thank you. You are right and I will follow your advice. Since I'm thinking on this I went regulary to the dentist and to the ent where he does video laryngoscopy. However I feel that I can't live all my life like this. It's not healthy. Why some people can't clear hpv and others do? Does smoke, drink or other thing increase the chances of having some problem?
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Avatar universal
To those 3 questions:  no, no, and no.

Abnormal anxiety or fear of contamination or infection -- with HPV or anything else -- can be an early sign of a seriously disabling mental health problem. (Rent "The Aviator", the film biography of Howard Hughes, for an excellent portrayal of this. And anyway, it's a great moving, starring Leanardo DiCaprio.) If you can't shake these feelings, professional counseling would make sense. Good luck.
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Avatar universal
Thank you for your answer. Lately, I've been very worried about this. I cant' sleep and I can't do my daily life. I imagine all the possible scenarios and can't go on with my life because I'm so focus on this. Does isotretinoin changes anything? Does it lower my immunity? And dry lips were a potencial risk?
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Avatar universal
I don't see any "mistake" for you to be sorry about. There was nothing abnormal or unexpected in your behavior. Much more important, take pride in being smart about STD prevention -- i.e. the HPV vaccine (Gardasil). I hope you got at least two and preferably all 3 doses for complete protection.

Oral HPV isn't rare, but it's a lot less common than genital. Further, oral HPV is almost as common in people who do and do not perform oral sex on their partners. You can expect to get genital HPV someday, i.e. one of the many strains not covered by the vaccine -- it's a normal and expected consequence of human sex.

Could your mouth and throat have been exposed to HPV 5 years ago? Yes. But if you were, you can expect that any infection by now has cleared up on its own. Despite all the news about throat cancers caused by oral HPV, that's still a rare problem and not necessarily related to oral sex; and even if it is, you are no higher risk of it now than if you hadn't had those exposures. Or than you will be in the future, asssuming a normal sex life. (And by "normal" sex life, I do not mean lifelong monogamy.)

Finally, in case you don't know, Gardasil-9 has recently been approved and soon will be available for another round of immunization. It will protect you from 5 additional cancer-causing HPV types not covered by the original vaccine.

Best wishes.
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