[Question #11200] Oral HPV 16
16 months ago
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Hello doctors .
Male 38 . From 13 years ago , i performed few cunnilingus acts for few minutes each act . I dont know if i was infected or no .
All the days feel axienty after read kn google about HpV 16.
“ HpV 16 is very common and still doemant decades before reactivate and cause cancer “ this sentence can’t leave my head .
I am married from 4 years , later my wife did negative HpV pcr test .
From month ago I visited many dermalogists , dentists , ENT , all exams are all normal, found nothing abnormal.
-These normal exams can rule out any persistence oral HPV from 13 years ago ?
-my wife negative test can rule out also any active or latent infection ?
Thank you
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H. Hunter Handsfield, MD
16 months ago
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Welcome to the forum. Thank you for your confidence in our services.
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I'm sorry you've been so worried for so long. You should not be. Google is not your friend! Unrestricted online searching most often leads anxious persons to be attracted to information that inflames whatever they are anxious about.
The quotation you provide is true, except that it doesn't say what the writer means by "very common". Certainly the vast majority of people who have performed oral sex on several female partners do not have oral HPV 16. And although pharyngeal (throat) cancer due to HPV 16 has been increasing in frequency the past 10-20 years, it's still a rare cancer -- last I heard, around 16,000 cases per year in the US, where there are many million HPV 16 infections. In other words, a very small proportion of those who have had HPV 16. (You can check US cancer statistics at the American Cancer Cancer Society (www.cancer.org). And your many oral medical examinations should be very reassuring. 40% of all humans die of cancer, so that could be your fate, but the likelihood that it will be a cancer caused by oral HPV 16 (or any other HPV infection) is probably under one chance in millions.
To your two questions:
1. Your many normal oral examinations should be very reassuring.
2. Your wife's negative Pap smears also are reassuring and suggest she does not have an active genital HPV infection. It says nothing about latent infection, but there is nothing in your past sexual history that puts her at increased risk for HPV 16 or any other type of HPV.
Finally, going back to your online searching: I suggest you entirely stop looking for information about HPV. But if you can't help yourself, at least restrict yourself to professionally run sites (like medical centers or public health) and professionally moderated sites (like this one). And avoid sites by and for people at risk, like Reddit.
I hope this information is helpful. Let me know if anything isn't clear.
HHH, MD
16 months ago
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Thank you so much .
I have high anxienty , i read about hpv 16 and still remember these acts , because it was cunnilingus on sex workers .
Every day on google , Chat GpT .. questions and answers .
About 5 differents dermalogists , 5 dentists and ENT doctors , all found no abnormalities , no genital warts or lesions , no oral warts or oral lesions. Also endoscopy found no masses or warts in the throat or base of the tongue.
Sorry to repeat what i did in the past few months .
My goal is to reassure my self against this infection and i can’t accept my self to be the cause of any cancer to my wife .
But i still never feel good . All the time one question in my head , what if ? Words like dormant , latency , reactivate , all these words are part of my daily life . How i was not infected , hpv is very common especially high risk .. I’m really tired .
All i need , collect evidences to maybe i can prove that i did not infected from 13 years ago.
- do you think i have risk for future oral cancer due to this past ?
- base of the tongue or tonsils can be infected from cunnilingus only while there is not direct friction ?
- my question about my wife negative pcr test can add reassurnance for me that i don’t have active or latent oral hpv ?
Thank you so much again .
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H. Hunter Handsfield, MD
16 months ago
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There's nothing more we can do. You are anxious because you are obsessed -- and obsessions never are resolved by improved understanding of the facts. There is always a "yes but" or "could I be the exception" sort of question, and that's what you are asking. In other words, it is absolutely untrue that "All I need" is evidence you were not infected 13 years ago. Such evidence is not available, but even if it were, your anxieties would continue. This is a mental health problem, and from your questions and your repeated seeking of reassurance from many doctors and now this forum, this is clearly having a seriously negative impact on your life. You need professional mental health care -- not more facts and reassurance about HPV. I suggest it from compassion, not criticism. Please take the suggestion seriously.
"Do you think I have risk for future oral cancer...?" Nobody can prove there is zero risk, but the chance of that is extremely low. Please re-read my replies above.
"Base of tongue or tonsils...?" Yes, they can become infected from cunnilingus even if they did not have direct contact.
"...about my wife": There is never any way to prove someone does not have HPV -- only tests to assure HPV isn't causing disease (Iike having Pap smears).
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16 months ago
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Thank you so much .
I know i need help for anxiety .
I need advices .
I need anything can reassure me .
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H. Hunter Handsfield, MD
16 months ago
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I'm glad you recognize the need for help. I hope you follow through with professional counseling. Good luck. (And in the meantime do your best to stop worrying about HPV. You are at very low risk!)---