Hello, 

I should note that I have only been on the medication cosentyx for 2 or so years, which is 7 + years after the oral sex and 9 years after any warts were cleared. 

Welcome back to the Forum although I'm sorry to see that you remain so disproportionately concerned about your virtually no risk exposure over the possibility of having a recurrence or acquistion of an innocuous infection that most people have and that very, very few persons suffer meaningful consequences from.  Your Cosyntyx may slightly increase your risk of HPV recurrence IF residual, quiescent HPV remains in your body (remember, it DOES NOT persist and reactivate in most people, including those who are taking immunosuppressive medications.  You have done everything that can be done to address the possibility of infection and your partner is vaccinated, offering them protection.  Your unwarranted anxiety of excessive and unwarranted.  You need to move on.  Life is full of minor risks. Your risk of being hit by a car or by lightening is higher than your risk of having acquired or reactivated HPV and transmitted it to your partner.  I really have nothing more to say other than to urge you to continue your Cosyntyx..  EWH---

Thank you Doctor. I very much appreciate you breaking it down to me like that. I was just doin the thing where I search on the internet and see all these connections between the two and was jumping to worst case scenarios. Thanks for helping me move past this. 

The internet is your enemy here.  There is no way to know what’s correct, what’s exaggerated, what’s out of date, what’s taken out of context, and what’s just plain wrong.  EWH---

Thank you for helping ease my stress and worries about this. I am gonna take your advice and do my best to not worry about this and just move on. I appreciate this so much . 

I whole heartedly endorse that plan.  I think counseling would be helpful.---