Oral Sex Performed on High Risk HPV Girl

[pimphomies]

Hello,
I read information on this site but it would feel more personal if I had my situation answered.
I'm a 21 year old male who recently performed oral sex (where i focused solely on the clit) twice, for about five mins each time (2 diff days). She was diagnosed with High risk HPV 2 years ago, had LEEP in January of this year. I performed oral sex on her on Oct 16 and again maybe a two weeks into November. In the middle of this, she had a Pap Smear done, that revealed everything was still abnormal and she's most likely going to need a second round of LEEP. Prior to this i have only had sex with a female who was "pure", so prior infections for me is out the picture.
A little more about her, she didn't have Leep right away two years ago apparently because the doctors wanted to play the waiting game at Planned parenthood to see if she would clear the virus. She was 24 at the time and never gotten the vaccine. After waiting a year, they said she was really close to having full blown cancer on her cervix. The fact that the abnormal pap test is back, makes me worry that she has HPV-16.
During the first encounter, i also performed oral on her for an additional two mins in the middle of intercourse, Would that increase the risk due to more fluids being moved around? I hear HPV is transmitted through direct skin contact, so is the clit an area of infection? One nurse i talked to said, since i had no contact with the cervix i should not be concerned, however this makes me wonder how anyone ever gets oral cancer through oral sex then.
Should I be worried about oral transmission of HPV? Is oral cancer something I should consider in my future? I don't smoke, and just drink an average amount on weekends. I saw a Nurse Practitioner who said my chances we less than 5% for sure, and a Physician Assistant who said i shouldn't even worry about it.  Additionally, if the condom shattered completely during sex for three minutes should i be concerned i'm now a carrier?
Thank you

[Edward W Hook, MD]

Yes, you are correct.  Your risk of oral cancer, if she was even infectred is far, far lower than 1%

Further, oral cancer takes years or even decades to occur.  Your symptoms are not due to oral cancer or to HPV which does not  cause lymph noe swelling.  

And finally, yes, the odds are that her infection is no longer present.  There are many causes of abnormal PAP smears.  EWH

[pimphomies]

P.S., since her infection was almost two years ago. is there a chance that her infection was pretty much cleared up (even though she recently had an abnormal pap test). Or does an abnormal pap test pretty much mean the virus is active? Thank You

[pimphomies]

Thanks for your reply, I don't know the rules of the forum, so I did not post a follow up question. If this causes me to get another charged, let me know . Basically, I just wanted a little clarification.
You say the chances of me having any adverse consequence from this exposure is small. Is that with respect to oral cancer? Are you saying i have a less than 1 percent chance that i may get oral cancer due to HPV from this type of exposure. (assuming i don't perform oral sex agin on someone)  Also, this is assuming the worse; that she was in fact HPV-16 infected.

Additionally, the lymph nodes in my neck on one side have been a little bigger, and also that side of the neck has been a little swollen. Additionally my jaw has had a weird feeling on that side and my cheek bone under my eye sometimes has this little faint pain. Additionally, something feels to be stuck in my throat. Are these signs of oral cancer?
Additonally, how long would it take for HPV related oral cancer to develop in your opinion?

My last and final clarification is this; is this somethign i should TRUELY forget about for good. or just for right now. Thank You again.

[Edward W Hook, MD]

I'll try to help.  HPV is a complex topic and which is frequently misunderstood and for which there is much misinformation circulating.  For better or worse, at present HPV is a "fact of life" and most people have it or will have it at some point in the future.  Despite this fact, only a tiny minority of persons with HPV get the consequences of infection (primarily women and primarily cancer and pre-cancerous lesions).  HPV is the most commonly acquired STD.  Over 85% of sexually active women will have HPV infection at some time in their lives.  The figure for men is less well studied but similar.   In some HPV will cause genital warts, in others it will not cause warts but may lead to changes in PAP smears.  In most people who gets HPV, warts or otherwise, the infections will resolve by themselves without therapy in 8-24 months.  In a very small minority of women, HPV infection can persist and lead to the pre-cancerous lesions that PAP smears detect and which can then be treated - this is what has apparently happened to your partner.  For men there is far less risk of any sort.

Condoms reduce but do not completely prevent HPV infection so there is a possibility that you acquired HPV from your encounters. The chance is small.  The chance of your having gotten oral HPV infection is even lower and if you did, your risk of either spreading it or getting oral cancer is extremely low.  HPV is infrequently transmitted by oral sex.  And despite the media attention about oral cancer, it's not a big deal.  In the entire US, there are only about 6,000 cases of oral or throat cancer per year that are due to HPV-16, the main genital type that has been implicated; and those occur almost exclusively in people age 50 and over.   Furthermore, risk for HPV associated oral cancer is increased by co-factors such as smoking or chewing tobacco.

I agree with the NP and PA whom you spoke with but would put your risk even lower than their estimates- less than 1% chance you will have any adverse consequence form the exposures you describe.  I certainly would not worry that you are a “carrier” of HPV.  
EWH