plse support

[nihesh]

dear doctor ,

i am getting married next month , before that i have few questions regarding hsv-1 and hpv , hope u can help

i have always done condom protected oral sex in my life

two episodes of ball licking , first one in april 2008

my last episode was 2 months back novemer 2009  , i did not have any symptoms of genital hsv-1 on my balls ,

u think i am free from this disease genitally as i do not develop any symptoms after 2 months


shall i get married i do not want to get tested for hsv-1
,

also i am worried about hpv , bcoz rubbed my condom protected penis on genital areas ,

thi s also happened 3-4 times in life and last occured  4 weeks back ,

i read in your forms that hpv i svery common andweshould not worry about that ,

u think i van develop cancer on my penis due to 3-4 episodes in which i used condoms and when not condoms i rubbed over panties plse help ,

plse help me to forget and give confidence

[Edward W Hook, MD]

Your questions seem to indicate a mis-understanding of STD transmission and risk, as well as a mis-understanding of just how common HSV-1 is.  I will try to briefly provide you with some information that may e helpful in clearing things up.

The chances are that you, as well as your wife-to-be already have HSV-1.  Worldwide, the majority of adults have HSV-1, most often which was acquired during childhood.  These infections are not acquired sexually but are acquired through kissing and other normal, non-sexual activities.  To worry that you may have gotten genital HSV-1 infection from receipt of condom protected oral sex or from having someone kiss or lick your genitals is not a realistic concern.  If you had been so unlucky as to get genital HSV-1, you would have developed lesions/sores in the infected area.  You state you have not had lesions.  You should not worry about genital HSV-1.

Similarly, condoms reduce the risk of acquiring HPV.  This too is not something that it is appropriate to be concerned about from the activities you have described.  Your risk of penile cancer related to HPV is very, very low.  You do not know that you have HPV and, even if you do, only a tiny fraction of penile HPV goes on to develop into cancer (far less than 1%).  

Finally, STDs, including HSV and HPV are not transmitted by touching first one's self and then another person.

The activities you describe raise no concerns about STDs, including HSV and HPV.  EWH

[nihesh]

doc ,

i forget to mention all episodes were with asain prostitutes

also , doc  a chinese prostitute recently touched my eyes and nose after touching her eyes and nose , she was scratching some sort of pipmle / itch on her nose

can i get any std like this please help