[Question #11226] HPV exposure?

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16 months ago
Hi. I asked a question 2 nights ago re. using parent’s sex toy & me thinking I developed genital warts from this. Doctor said it was ‘low to no risk’ and this comforted me for a few hours. Following this I took a picture of my anus (where I thought wart was present) and further noticed 2 more flesh/skin colour bumps close together which look more like warts from what I’ve seen online. They’re quite hard to notice & this has inflamed my health anxiety & OCD as to thinking they’ve been there since exposure around 1-2 years ago. I’m not at all worried about if this is HPV, my own health, only my parents. I’m terrified if they get sick and I don’t tell them about this my life will be over, plus, I obviously want them getting ill. I’m sorry for coming here again but I don’t know what way to turn. I’ve been in tears all day. I’m on waiting list for therapy but that will be months at least. Can anyone confirm/re-confirm:
1. If HPV can live on sex toy (silicone) and infect me after 16 hours?
2. If my mum needs to go for screening for VAIN/VEIN in vagina in case this is HPV?
3. If my mum needs another cervical screen (HPV test last August was neg.)
I’m terribly sorry for wasting your time. My birthday is Saturday and I don’t want to spend it depressed. I’ve never felt so low. I don’t want to tell my parents because I don’t want them to know I know about their toy and them be embarrassed, so I’m trying to figure out if it’s necessary I do. Thank you so much for a wonderful, helpful service.
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H. Hunter Handsfield, MD
16 months ago
Welcome back. But having read your just completed discussion with Dr. Hook, this forum really can't help you much further if at all. Your original question started out "I am obsessing over an incident...." I agree you are obsessed -- and obsessions, by definition, are never resolved by simply hearing the facts and probabilities. There's always a "yes but" or "could I be the exception" sort of thought process. Your questions have all been answered by Dr. Hook, or the answers should be obvious from that discussion.

The anus typically has skin glands and other structures that appear as bumps on the skin. Almost certainly these are not warts. 

1. This is not possible.
2. You have no reason to believe or suspect your parents have or have ever had HPV.
3. She does not need another Pap smear or HPV test on account of your fears.

I'm truly sorry you are so depressed and anxious. Unfortunately, all we can do on this forum is repeat the sort of reasoned, science based facts and opinions we have already expressed. It is clear that this is a truly serious issue for you, and it is not going to improve unless and until you receive the mental health care you so clearly need. I suggest this from compassion, not criticism! Since we do not directly provide psychological support, I won't give detailed advice. But depending on your relationship with your parents, perhaps you could start a discussion with them -- even though you've already decided it likely wouldn't work for you, it might still be a consideration. Or contact your personal physician, probably a pediatrician (given your likely age and still living with your parents):  almost all are perfectly willing to have at least preliminary contacts with their young patients without saying anything to their parents. Finally, perhaps your school nurse would be a place to start.

In the meantime, stop examining your anus or any other body area! And avoid the temptation to search further about HPV or other STIs online. Most anxious persons come away with increased concerns, not decreased:  information that inflames the underlying anxieties always becomes more apparent than the reassuring information that also can be found.

I hope these comments start to help. Best wishes and good luck to you.

HHH, MD
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16 months ago
Hi doctor, many thanks for your reply. It’s difficult for me to see a doctor as mine is a close friend of the family and despite the patient confidentiality, I still don’t really want to retell this story to a doctor who both knows myself and my parents well. I’m aware this site doesn’t allow pictures, does that include links to pictures? I have a picture of these lesions (up-close: you can’t see anything personal) and can’t find anywhere online that isn’t my GP to have them checked for that final piece of reassurance that I know would help me unimaginably, at least in the short term. I’m happy to not speak to my parents as long as you think it’s not going to have any repercussions for them, should this be HPV - such as any pre cancers or cancers developing. If you could clarify this, that would be great. I understand what you said about understanding the facts not actually being what helps, but it does help me feel better even for just a short while and I’ll take that over anything at the minute. So that being said, if you’re able to just confirm;
1. HPV cannot live on a sex toy? (I know googling doesn’t help, sometimes I can’t stop myself - I wish I could). I read online on many websites many different things from no to up to 8 days. Another thing I read is that the DNA may live on but the virus dies? That wouldn’t mean transmission?
2. Not telling my parents and allowing my Mum to next attend screening in 4 years is perfectly safe for her?
3. I also had a question regarding to pre-cancerous cell changes within the vagina and vulva. Again, I’ve read online (sorry!) that these can sometimes be seen or abnormalities can be seen by a nurse when they’re performing cervical screening, so theoretically my mum probably doesn’t have any changes seeing as the nurse didn’t spot anything, to my knowledge?
I really, really value your service Dr Handsfield - many thanks.
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H. Hunter Handsfield, MD
16 months ago
We do not examine photos or otherwise provide direct medical care.

1. Neither HPV nor any other STI virus or bacteria is likely to survive drying; and presumably you do not know if or how recently your parents had used it. Further, most sex toy users clean them after use, and it's fair to assume your parents did so.
2. Your own use of the toy did not create any STI danger for your mom.
3. The cellular changes you speak about are irrelevant. You give no reason to support your fear that your mom (or dad) have HPV; or if they do, that she isn't under proper care for it. Your mom's genital health is not your business.
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16 months ago
Hi, many thanks again for your quick reply. I’m aware it isn’t my business; I love and value my parents so much and I hate myself for doing what I did but my brain keeps telling me almost as if it’s on a loop that if I noticed something because I used their toy, it’s my duty to tell them. My mum is very conscious of her health but the panic kicks in when it comes to internal warts or pre-cancerous lesions and the like, for I could potentially explain to her what’s happened and she could be examined for these and they’d be treated if necessary - I’d never forgive myself if I knew something she didn’t and I could’ve prevented her becoming sick, I hope you can see where I’m coming from - I’m not trying to invade on their privacy and that’s where the issue of whether I tell them or not comes in, I don’t mean to intrude. My mum has had abnormal smear around 30 years ago so it raises my concerns. I’m sorry if it comes across as if I’m doubting you as well (I’m not!!) but seeing as this is my final chance of reassurance before what should be a happy time in my life I’d like to ask a couple more questions? 
1. IF it was HPV, some of the ‘warts’ came up before she had a cervical screen which came back neg. - is that reassuring?
2. Can vaginal dysplasia be seen by a nurse when they’re performing a smear? If so, if nothing was present then - even if something does appear in the next four years, would it be of concern? Slow progressing? Safe to wait?
3. Presuming these are more likely then to be glands of some kind, is it normal for 2 to come up next to each other? There are some white pimple-things too?
4. Again, IF these were warts, would they go away on their own?
I really appreciate your services. I believe you’ve helped me on HealthTap prior as well. I’m sorry for wasting your valuable time; I need help with this. I recognise that. I just wish it were sooner.
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H. Hunter Handsfield, MD
16 months ago
These questions support my most important diagnosis for you:  obsessive-compulsive anxiety disorder. See my comment above about "yes but" or "could I be the exception" sorts of questions.

1. What do you mean "it"? You have described nothing consistent with HPV, and that indudes the anal bumps you are worried about.
2. The cervix may or may not appear abnormal to the naked eye if HPV or dysplasia is present. Usually normal.
3. The spacing of such bumps is random.
4. Most warts clear up on their own over a few months or a couple of years.

That completes the two follow-up exchanges included with each question and so ends this thread. The forum does not permit repeated questions on the same topic, especially when anxiety driven. This being your second, it will be your last; future questions on these topics and your HPV fears will receive no reply and the posting fee will not be refunded. This policy is based on compassion, not criticism, and is intended to reduce temptations to keep paying for questions with obvious answers. In addition, experience shows that continued answers tend to prolong users' anxieties rather than reducing them. Finally, such questions have little educational value for other users, one of the forum's main purposes. Thanks for your understanding. 


I do hope the two discussions help get you started on a path to resolve your concerns. Best wishes to you.

 

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