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hpv and genital herpes information

DR hhh or hook,

related questions ive seen on the boards are pretty general in responses and the more detailed ones are from a couple years ago and figured  new info or data has possibly come forward since then.
I met with a csw, in her 20's and latin. the moment my pants came down a condom was placed on by her  for oral and vaginal intercourse...it didnt break and I made frequent checks that it was rolled down to the base of my penis. oral protected lasted about 3 min and protected intercourse maybe 5-10. During the intercourse I wasnt able to finish so she started stroking me with condom on for about 2 min then proceeded to take the condom off, put lotion in her hands, and give me a hj until completion. after she produced a baby wipe to clean up and I showered  15min later.
I know thanks to your advice last time I have nothing to worry about as far as bacterial stds.
Genital herpes and hpv are the main ones im curious about......I have gotten cold sores on my mouth yearly since I was 13

My questions are
1.  how frequent are these 2 diseases passed during the acts I described?  if rare can you be a little more specific
2. I have read  hand to genital contact may pass hpv so my concern is she stroked my covered penis containing her fluids then proceeded to stroke my bare penis.  I was wondering how and why the chances decrease (assuming they do) when its still the same secretions being transmitted....basically is it the enviornment or the time frame... and if the chances do decrease .... by how much?
3 will me having cold sores protect me somewhat from gen herpes?
4 I have read condoms lessen the chances of hpv transmission during intercourse by as much as 70% but not sure if that means theres still a 30% chance of attracting it or if the 70% is taken off the normal percentage number and what the accurate number maybe?
5. if you were in my situation would you be concerned about having unprotected sex with your current partner.
4 Responses
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Avatar universal
Thank you dr hook...... you have def eased my mind. Have a great weekend
Helpful - 0
300980 tn?1194929400
MEDICAL PROFESSIONAL
Short answert to a question with a complex answer- In the course of hand to genital contact there is a dilution (reduction) of the amount of virus transferred from person to person. This reduction is substantial and reduces infectivity.  Further, there is the issue of environmental exposure you mention.  EWH
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Avatar universal
Dr hook,

Thank you for your response

The only additional info Id like from you to help understand hpv a little bit more is what changes from the point of genital to hand to genital contact that decreases the chances of transmission.  Do the virus cells not survive as easy on the hand? basically when I hear of how genital to genital contact is a way its passed its hard for me to grasp why genital to hand to genital contact turns it into a theoretical possibility and not as much of a major concern.  Would you mind explaining what transpires to the virus when its removed from the infected site and transferred to the other persons genital site by hand that makes the transmission less of a possibility?

ive tried my best to play safe and it just scares me when I read that playing safe still has its flaws and I am just trying to educate myself on how to reduce my risk even further in the future

thank you very much for any additional information you can provide to help me understand hpv more....last thing I want is my wife to have a pap and find something knowing we have been together for a while...I also obviously fear looking down in a year and seeing warts.
Helpful - 0
300980 tn?1194929400
MEDICAL PROFESSIONAL
Welcome back to the forum.   Answers below.  Space limitiations do not allow me to repeat the questio..

1. Good question.  We'd all like to have more precise information but unfortunately all we can provide are generalizations.  There is no ethical way to determine how frequently STDs of any sort are transmitted from person to person in specific situations.  Our epidemiological studies help to provide useful information such as the fact that condoms, in general, reduce the risk of HPV or herpes transmission 40-50% over an unprotected encounter but cannot do better than that.  Further, every person and every sex act is different as well.  Finally, and particularly for HPV, there is the HUGE problem of the fact that most sexually active persons are already infected.  All of this combine to not allow us to say more than provide the sorts of general estimates I mention above.  At the same time, as mentioned in your earlier thread, it is also important to remember that most sexual encounters, and particularly most such encounters when efforts are made to reduce risk, do not lead to transmission and that safe sex measures reduce that already small risk.  

2. Your earlier thread also discussed both the power and the problems with the internet as a source of knowledge.  Nothing has changed since then.  Hand to genital transmission of any STD, including HPV, while perhaps theoretically possible, is and should not be a major concern.  This is the case even though it is typical for persons engaged in masturbation to get each other’s genital secretions on one another.

3  Somewhat. the data suggest that persons who have HSV-1, the virus that causes cold sores offers reduce risk of getting HSV-2.  There is no risk of getting HSV-1 again. Once you have it, you will not get it again, even in a different site.

4  No, this is a 70% reduction (perhaps slightly too high an estimate) of the already low probability of infection.

5. No.

I hope these comments help. EWH
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