[Question #10511] HPV CONCERN

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22 months ago
Good Day Doctors, 

Im a gay man and yesterday i had oral sex with someone who appeared to have a small rised white wart on his testical after I performed oral on his penis, and he fingered after touching his penis, and i licked his tesitcls but not on the side of the warts. But his penis did not touch my genitals AT ALL. but im kinda worried about genital-hand-genitals contact. Two weeks ago i took my first dose of HPV vaccine. Does this act cause any risk for me to develop HPV? or even HSV Type 2? Orally or genitally? 

Thank you doctors. 
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Edward W. Hook M.D.
22 months ago
Welcome to our Forum.  Thanks for your questions.  I'll be glad to comment.  Before I get to the issue of HPV, let me make several relevant comment regarding your other concerns.

First and foremost, STIs, including HIV, are NOT transmitted from person to person through transfer of genital secretions or other infectious material on one persons hands to another.  That just not happen and is not a concern.  That is the reason that mutual masturbation is a no risk event in terms of HIV or other STI risk.

Second, There is no risk for HSV-2 here.  HSV is transmitted by direct contact with a site of infection.  HSV also only very, very infects the oral cavity so there is no reason for concern about HSV.

Third- nothing you describe suggests any risk for a genital infection of any sort

Regarding HPV let me start by congratulating you on initiating HPV vaccination.  We recommend this for everyone.  If you have been sexually active in the past you may already have HPV but vaccination will stop new infections.  Your risk for acquiring oral HPV from this encounter is low but not zero.  It sounds like you did not knowingly have direct contact with the scrotal lesion you describe which may have been a wart (it may have been something else- the scrotum is a relatively uncommon location for warts and there are many genital lesions which can be mistaken for warts).  Further, not all exposures to infection result in transmission- this is particularly true for oral infections.  HPV does not infect the oral cavity as rarely as it does ano-genital sites.  When it does, transmission is through direct contact and in most cases will resolve on its own without complication.

I hope that this information is helpful to you. EWH
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22 months ago
Thank you so much Doctor, that’s very reliving to hear. I forgot to mention that he performed oral sex on my anus “rimming”, what kind of risk am i at from this? 

Thank you so much 
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Edward W. Hook M.D.
22 months ago
Thanks for the additional information.  This does not change my assessment in any way.  EWH---