Here is a brief rundown of my situation. I received brief unprotected oral sex from a stripper roughly 4 months ago. The encounter was for 10-15 seconds, no more than that. I was tested (full panels) at the 14 day mark and 3 month mark, all tests were negative on both, except for HSV-1, which I assumed I already had that prior to the event. I trust my tests and am not worried about those STDs that were tested for. My only concern is HPV, as I’ve found out recently I’m not vaccinated. I’m a male, 24, and looking into getting the vaccine. I’ve done my best at reviewing your other threads about this, and I’ve found a lot of helpful information in regards to this, along with using this to educate myself.

For my questions,

1. Would this type of low risk exposure make me develop genital warts? I understand you’ve never seen a case from strictly oral sex only, would you still say that for my situation, I can believe I won’t develop any?

2. I have many forcyde spots around the base of my penis and all throughout my scrotum and I’ve noticed a small bump on the shaft but it’s very small and you can only tell it’s there if you’re trying to find it. Do you think I’m probably just letting my anxiety get to me and should not worry about checking constantly?

3. My current partner of just over a year has the HPV vaccine, so I trust that she wouldn’t catch anything from me, from this specific exposure. But going forward, with both of us having active sexual history’s, would warts developing on me most likely be a cause from a previous partner? I haven’t, outside of this brief contact, had any sexual contact with anyone other than her in almost a year and a half. 

Thank you for your time, I do appreciate it and all of the work you guys do.

You were at little or no risk for any STD. Had you asked before testing, I would have advised no tests were necessary at all. That said, I'm glad your test results were negative and you have been reassured about them.

As for HPV, it is not transmitted by oral sex, or so uncommonly the risk can be ignored. And assuming you have had a reasonable average or normal sex life, you can assume you have been exposed to HPV many times, already infected, and may now be carrying one or more HPV infections. Nearly 90% of all people acquire genital HPV at least once, and among people age 20-40, about 50% are carrying the virus at any point in time. It's so common that it should be considered a normal, expected, unavoidable consequence of a normal sex life. For these reasons, to the extent there was a low risk at all, it did not raise the risk you have or will have genital HPV someday. 

Those comments tart to address your specific questions, but to be explicit:

1. Yes:  I am confident you'll never have warts or any other visible HPV infection from the exposure described.

2. Yes, you're letting your anxiety get ahead of reason. Stop all self examination.

3. I agree your partner is not at risk; I would say the same even if she hadn't been vaccinated against hPV. If you ever develop genital warts, you will never be able to know when and where the infection was acquired, but probably it would not be from the oral exposure described or from your current partner. But the source of almost HPV infections remains mysterious forever.

As you are planning, I would advise you to be vaccinated to prevent infection with the nine HPV types responsible for 90% of warts and HPV related cancers.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD