[Question #112] What are my risks of STIs from unprotected oral sex
42 months ago
I have had a partner for many years who I occasionally still have sex with
So I have been seeing escorts from time to time. Ones in a category that I would expect take care of themselves.
I do not want to give my partner an sti, including the kinds of HVP that cause genital warts or that show up on a Pap smear or would create any other health problems ("dangerous HVP")
With our sexual history, is she got HPV there would be only one examination for it and that is that I got it from someone else and gave it to her
I had a GARDASIL vaccine about two months ago and will have the second one soon
Edward W. Hook M.D.
42 months ago
Your question is very broad and more extensive than is appropriate for this forum. It is not really one question but many. I will provide brief answers but I will not get to all of your questions.
1. Oral sex is relatively safe no matter what sort of partner you are having sex with. That some of your partners are CSWs does not increase your risk much.
2. A single injection of the HPV vaccine offers some but not complete protection. Following the 2nd injection protection is essentially complete. The HPV vaccine will protect against the types of HPV present in the vaccine and these are the types that cause nearly all genital warts and most pre-cancerous lesions.
Abnormal PAP smears can have many causes and if your partner had an abnormal Pap smear it would not necessarily mean she was infected or that the infection came from you. It can take many years after infection for abnormal PAP smears to appear.
Most HPV infections are asymptomatic.
3. I presume these questions are about risk from oral sex. If so, your summary is essentially correct. Gonorrhea can be acquired through cunnilingus on an infected partner. Trich does not appear to be acquired from oral sex.
Please limit further questions to single questions and do not write a list of questions as you did above. EWH