[Question #10942] Can Men Clear High Risk OralHPV?

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18 months ago
Hi Dr. Huntsfield! Thank you for doing this. I've previously come across your posts on HPV and they've been vastly educational. 

Unfortunately I haven't found a lot of data or research on OralHPV which I'm very concerned I may have contracted. I'm a 28 year old male virgin. I've had extensive deep kissing with a partner 3 weeks ago, and a lot of topless licking and love bites for almost 2-3 hours. Nothing near the pelvic or genital region however. I have also vaped a bit following the encounter (quit everything completely since I've found out it can mess you up for oralHPV but afraid it's too late I was never a regular smoker). To add to this dumpster fire, I'm unvaccinated since I didn't know they existed till recently. 

She has since told me that she survived cervical cancer a year ago. I've learnt cervical cancer is caused by High Risk Strains like 16 or 18 which I couldve probably picked up from kissing or licking her. 

Based on what I've read HPV 16 is present in less than 1% of men and the rest can be cleared. What if I'm in this 1%? I haven't found any data where people clear this strain. Does this mean I'm doomed to waking up in 10 years with a throat cancer? I've learnt there's an OraRisk oral HPV test that is not yet FDA approved. Would you recommend getting screened post this risky encounter through Orarisk? 

Additionally would this make it impossible for me to date or have children in the future? 

Thanks again, and I apologize for the element of panic in my question. Looking earnestly forward to hearing from you! 

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Edward W. Hook M.D.
18 months ago
Welcome to our forum. Thank you for your questions. Our clients are not allowed to choose which of us replies to their questions. Dr. Handsfield and I have worked together for more than 40 years and during that time. Our assessments and the facts of our responses never differ although our verbal styles may vary. I will be replying to your questions. 

The reason that you haven’t found much research on oral HPV is that it is relatively uncommon, and that our current understanding of this infection is evolving. What we do know however is that oral HPV is substantially less common  then genital infection and that oral transmission through oral – genital sex is relatively uncommon. Transmission through kissing is even less common. On the basis of these well established facts, the interactions you describe, are very, very low risk for acquisition of HPV.

Regarding your questions about HPV clearance, I am not sure what information you have looked at. But the Internet is not your friend here. Certainly studies in men are less common than studies in women. Nonetheless, all available data suggest that HPV infections, irrespective of what HPV type you were discussing, is most likely to clear without progression to complications in most persons (including men) over period of six months to two years following infection. 

There is no realistic reason to think that you acquired oral HPV from the sorts of exposures you’ve described. Even more importantly, your reaction to this slight possibility is extreme. There is no reason to be concerned about the possibility that you may have acquired HPV through the exposure you describe, nor is there any reason to worry. In addition, in case it matters, there is no reason to not continue sexual encounters with this woman because of her history of HPV/cervical cancer. EWH. 




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18 months ago
Dear Dr Hook! 

Thank you! Thank you for reading through my problems. Your response was very reassuring sir. 

I'm still bothered by the following issues sir. Would you be able to guide me here? 

1. The reason I think I'm high risk for transmission is that my partner was a smoker. Given that she had cervical cancer and smokes, I thought it's pretty likely that she could be carrying a High Risk strain in her mouth and I could've contracted it. The thought of waking up to RRP or cancer in 10 years is terrifying. Do you have any thoughts on this situation? 

2. I'm from a community where my family will be looking for a wife for me soon. Do you believe I should disclose this encounter to my partner or get tested via OraRisk to be sure before I get married or am I probably good? I'd feel incredibly guilty if I've picked up and passed on possible cancer to a partner or a child. 

The thought of not being able to have a family in my future because of this encounter has been weighing a lot on me Sir. I've also just felt immensely dirty since I found out I could be carrying HPV. 

Regardless of my anxiety and baggage, I also want to thank you all for the work you do Sir. I'm aware that HPV is still by no means the poorest luck of the draw, and the hope and advice you provide to everyone is just incredible. You guys are heroes in the truest sense of the word ❤️. 

Thank you Sir, and eagerly waiting to hear from you! 
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Edward W. Hook M.D.
18 months ago
I’m sorry you continue to worry so unnecessarily

1.  You pointed out that she had cervical cancer in your original post. While the fact that she was a smoker increases the risk for person with genital HPV 16 developing cancer very slightly, it is no way changes the likelihood (or lack thereof) of her having oral HPV. Further most persons who acquire oral HPV clear the infection without going on to develop complications. Your risk of developing RRP is virtually zero as this is a childhood disease. Your risk of developing oral cancer is a small fraction of one percent 

2.  No, I do not see a need to disclose. As I said earlier, you are overreacting to a very low risk situation.

You are overreacting. Your chances of even having HPV are very low and when persons have HPV only a very tiny fraction of them go onto develop complications.  EWH
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18 months ago
Dear Dr Hook, 

Thank you so so much for your response sir. If you wouldn't mind, could you look at a couple of lingering questions I had from this encounter? I'm mainly worried that I could have picked up her cervical cancer strain and now I could be waking up with cancer in 10-15 years when I may have a family that is dependent on me. I'm 28 now btw and I've heard it's difficult to fight off/clear the virus post 25? 

1. You mentioned that I'm low risk for oral HPV from the deep kissing and top less licking. Is this because kissing spreads a lower viral load? I kissed her with tongue for a couple of hours so I was worrying that skews the odds towards me picking something up. Would you still say it's almost a non possibility that I've picked it up? 

2. I am unfortunately unvaccinated against HPV and I've beaten myself up over it. Would you say getting it now might help build antibodies or fight towards any HPV I may have picked up during this encounter? I plan to remain celibate till marriage after this scare, so I'm not very worried about picking up new strains. 

3. Do you have any advice for me going ahead, Sir? In case I've picked up her HR strain, it would be irresponsible and immoral of me to pass that to another partner, especially if it could kill her, right? would you recommend getting orarisk or something to find out? If you don't recommend getting tested, could you explain why, and are there any lifestyle changes/supplements you would recommend taking just in case? I've already quit smoking since a couple of weeks.

Once again sir, I apologize if I'm inflicting my anxiety on you. I really want to have a healthy and safe family life and I'm really worried I may have permanently jeopardized my shot at that from this encounter. Thank you for your advice, and I remain eternally grateful for all your help. 
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Edward W. Hook M.D.
18 months ago
As you know, I feel strongly you are acting inappropriately to your perceived risk for HPV infection due to the causal encounter which you have come to worry about. My sense is that you have been on the internet which is full of misleading and incorrect statements about HPV. You are not doing yourself by looking on the internet.   Here are the facts:

A. You do not know that you have HPV
B.  You do not know that your partner had oral HPV
C. HPV infections resulting from kissing are relatively rare.
D. Even if you had acquired HPV from your encounter, more than 97% of HPV infections in men are self limited and resolve without therapy.  Even fewer progress to genital cancer.  '

Thus, as final responses to your anxiety-driven questions:
1. Oral infections are relatively uncommon.  When they are present, only a minority of exposures, even exposures of several hours do NOT result in infection
2. Limited data suggest that HPV vaccination is associated with somewhat more rapid clearance of HPV infection. There is no harm to vaccination and there is a chance it might be beneficial to you
3.  Your reaction is inappropriate as is your interpretation of your risk for infection, much less getting an infection that then goes on to cause complications.  You need to address these inappropriate concerns.  I strongly recommend that you seek mental health counseling to help you address your inappropriate level of concern.

This is my 3rd and final response to your questions.  I have nothing more to say.  This thread will be closed shortly without further responses.  You should not need to return to the Forum with additional questions regarding your concerns.  EWH
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