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HPV RELATED WORRIES


I am 29 year old male. As far as my partners concern i started doing sex just 9 months back with one prostitute and 4 others normal girls. All vaginal protected but oral unprotected. I was not having knowledge of HPV otherwise i would have never done this mistake in my life and put my life partner in trouble.

Since then i have done extensive research about HPV on net.
I understand it is a fact of life, it is part of being human and it is inevitable.

I want to ask you something very important about HPV high –risk types:-
1) I am going to get married to marry my girlfriend next year. This year i met her and made unprotected love not vaginal but anal. Since then i am worried God forbid if i have high risk types HPV did i passed it to her . God forbid Is she is going to develop anal cancer or something?? What are chances??
2) She is 22years old now is it necessary to get regular pap smears every year or after every two year.?
If God forbid anything abnormal found in these results early i mean at the age of let us say 24 of her she should go for HSV testing also? Or wait till she turns to 30. So that she can give her body time to fight of the virus and saver her from painful methods of treatment.
Even for high HPV types also it is said that sometimes they may not lead into cancer. Just stays there. Is it true??
3) What are the chances to develop cancer if detected on time .?
4) If there any complicacies’ in pregnancies?

My girl friend is virgin surely not vaccinated and it is uncommon in India. Although medical facilities are of international standards but the awareness of HPV is very low.

Regards
4 Responses
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Avatar universal
Thank you very much.

i have got all your points and i m satisfied with your answers.

I also understand the medhelp's policy for posting questions.

Best Wishes,
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
1) It isn't sex that spreads the virus around the genital area.  It happens on its own.  You cannot prevent it and should not worry about it.

2) Anal cancer is very rare in women and heterosexual men.  It is a problem primarily for men who are the receptive partners in anal sex with other men.

3) In case of early abnormal pap, follow the advice of the doctor or clinic where the test is done.

4) I don't understand this question.  1% is the maximum rate at which someone might get cancer if pap smears are never done.

5) At least 99% of women with high risk HPV will never get cancer, her whole life.

6) The wart-causing HPV types rarely cause cancer, and the cancer-causing types rarely cause warts.

Your mind is racing overtime in rather irrational fashion.  Everything I have said, both in your other thread and here, and in the threads whose links I provided, is intended to be reassuring -- but your mind is turning it around and seeing bad news where none exists.  I will not contribute to what seems to be a significantly abnormal obsession.  Therefore, this thread is over; I will have no other advice.

Also please note MedHelp's rule that permits a maximum of 2 questions every 6 months on the professionally moderated forums.  You may not post another before next August.
Helpful - 0
Avatar universal
Thank you very much for the useful information.

Further i request few more clarifications:-
1) If as u said HPV may spread itself from anal area to vaginal that means it can also do it in reverse . Means from cervix to anus ? so we should not forbid ourselves from anal sex fearing that HPV may spread there?

2) Specially please tell me how dangerous is the anal cancer.? And what % of people develops it.? I am only talking about heterosexual partners.

3) Regarding question about pap smears i asked what to do in case of early abnormal paps detection? she should get treated same time or should wait for until she passes 30 age and give her body a chance to fight it off.

4) When u said 1% develops cancer.
I am still confused i was asking about the situation where a women regularly does her health checkups and follows treatment schedule. And still she finds it is not going to help her much and she had to face that fateful situation.

5) How fair are the chances that females fights of even high risk type for her whole life.?

6) Does wart causing HPV types also causes cancer? I have not develop any warts since my last exposure 5months back. Is it possible she may develop depending upon her immune system.?

Best wishes,
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome back to the forum.  Thanks for re-posting as a new question.

Thanks for doing some research.  You are correct that HPV "is a fact of life, it is part of being human and it is inevitable".  Therefore, the odds are strong you have been infected at least once and that you will have other HPV infections in the future -- although that risk will be low if your new partner indeed is a virgin and if neither you nor she ever has sex again with anyone else.

To your specific questions:

1) Anal sex is just as risky for anal as vaginal sex.  If you happen to be infected at this time, you have already exposed your new partner.  Once a person is infected, HPV spreads itself around; she could almost as easily get a cervical HPV infection from anal as for vaginal sex.  Had you not started to have sex, you and your partner could have been immunized with one of the vaccines, to protect yourselves from 4 of the most common HPV strains -- but the vaccine takes several months for protection to begin.  Still, this is something you and your partner could discuss with your primary health providers.

2) Because HPV is so common, even in women without typical STD risk behaviors, all women should have routine Pap smears where they are available.  However, recommendations for the starting age vary between countries.  Even though paps typically start in the US as soon as a woman becomes sexually active, most countries agree that isn't necessary and recommend starting at age 30.  Even though HPV infections are most common in younger women, the persistent infections that lead to cancer usually doesn't show up until age 30 or later.  But this isn't a guarantee, and no harm would come if your partner decided to have paps earlier than age 30.

3) As you found in your research, a small minority of high risk HPV infections (maybe around 1%) lead to cancer.  Pap smears are effective in preventing death from cervical cancer, by detecting pre-cancerous changes or cancer itself it reaches a harmful stage.

4) Sometimes genital warts increase in number and can be harder to treat during pregnancy, and if a woman has active genital wart-causing HPV infection during vaginal delivery, the baby can get warts of the vocal cords -- a condition called respiratory papillomatosis, which sometimes is serious.  Fortunately, it is rare; and it can be prevented by the obstetrician keeping a lookout for warts during pregnancy and treating them if warts appear.

Interesting terminology you use for your partner, by the way.  In most societies, a woman who has had anal sex would not be considered a virgin.  But perhaps absence of vaginal penetration defines virginity in India.

Here are three other threads that address other aspects of genital HPV infection.  You can find many others through the forum's search function.

http://www.medhelp.org/posts/show/742564
http://www.medhelp.org/posts/show/783676
http://www.medhelp.org/posts/show/552283

Bottom line:  Even if you and/or your partner are infected, you can expect to never experience any serious harm from HPV.  It is an impersonal bit of DNA that happened to evolve to exploit human intimacy for its own survival.  Such an entity should never be permitted to interfere with love, romance, commitment, and mutually rewarding sex; it simply isn't that important and definitely not worth the level of worry you seem to have about it.

Regards--  HHH, MD
Helpful - 0

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