[Question #11634] Follow up to: Question #11633] Hpv/Hpv warts risks

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13 months ago
My apologies and thank you Dr.Hook for your answers.   Sorry i feel the need to ask follow up question for my clarification and confusion.   I realize that this is a what if kind of question.   
So based on the early question and comments.
1. Should my wife have a positive pap for HPV or suspicious cells.  Would my oral sex event be the cause?  
2. I have read that positive paps are not indicative of infedility, does this also apply to my scenario where we have been married for 30 yrs?  Do monogamous couples get HPV?
3.  Can positive paps show up in such couples years later?
The ASHA site  states on HPV that it is not a sign of infedility. 

Sorry i am scared but trying to be a better person 



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Edward W. Hook M.D.
13 months ago
These are repetitive, guilt-0driven questions for which there are no good answers.

1. Should my wife have a positive pap for HPV or suspicious cells.  Would my oral sex event be the cause?  
This odds of this occurring are vanishingly low.  If it occurred, the chances that it was due to your condom produced receipt of oral sex are likewise vanishingly low.   That was indicated in our previous exchange- the answer will not change, or get more precise with repeat questioning

2. I have read that positive paps are not indicative of infedility, does this also apply to my scenario where we have been married for 30 yrs?  Do monogamous couples get HPV?
Monogamy is not protection from HPV.  Studies show that within 2 years of initiating sex about 60% of young women will acquire HPV.  
Not sure why you are asking about infertility if your wife is menopausal but as I also said before  HPV does not cause infertility 

3.  Can positive paps show up in such couples years later?
Sure- rarely.  There are no good estimates of how often- it's rare.

The ASHA site  states on HPV that it is not a sign of infedility. 
So did I

Address your guilt, not improbably outcomes of your past behaviors.  EWH
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13 months ago
Thanks 
To question 1.  If positive pap where would it come from if not from the oral sex
To question 2. Sorry I was not speaking of infertility but infedility.  Would a positive pap be indicative of infedility in my scenario?
To question 3. Thanks 



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Edward W. Hook M.D.
13 months ago
1.  This is an unanswerable question.  There are no good data to provide an answer for your entirely hypothetical question
2.  This too was answered previously.  HPV infection is not necessarily an indicator of infidelity.  Trying to anticipate an answer to this question is ismplynot possibly, particualry becaue I am confident that it is not going to happen


You are clearly consumed by guilt from what you now perceive to be missteps.  This is apparently leading you to concoct improbable scenarios about outcomes that you already heard are most unlikely to occur.  Your wife has had check-ups which were normal since your receipt of virtually no risk oral sex.  It is scientifically improbable that now. years after you received condom protected oral sex, she is suddenly going to be HPV positive.  In all sincerity, I urge you to seek counseling as to what seems to have suddenly caused your guilt to blossom.  If it is because your guilt is fueled by the misinformation found on the internet, I urge you to try to get over it.  If you cannot, you need counseling which should be available to you and confidential.  EWH 
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Edward W. Hook M.D.
13 months ago
You have one follow-up remaining.  After that, the thread will be closed and future anxiety/guilt related redundant and/or unanswerable questions may be deleted without comment and without return of your posting fee.  This policy reflects our concern for you and nothing more.   EWH---
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13 months ago
Thank you for your help and candor.  I very much appreciate it.