I’ve recently been diagnosed HR HPV (not the 16/18). I’m 25F, and I have a few questions about it. 

As I’ve been told, I hope it goes dormant in a year or so, my life’s healthy and I never smoked. I was vaccinated as a child. But if it doesn’t go away, I’ve researched about the different methods in order to eliminate precancerous/cancerous cells. Can I assume there will always be a procedure that will keep me away from developing cancer? 

Another worry I have, is how to proceed with men. I’m seeing a 38M I’d like to date, and I’ve told him to vaccinate. Would he be at risk if he gave me oral sex the first time we do it, if he’s not vaccinated? (we haven’t slept together yet, and I plan on doing it with condom until I’m negative)

And if we become a couple, will there be any chance of him developing oral HPV or further cancer if he gives me oral frequently? 

If we practice a very messy sex, and I get in contact with my own fluids, will I give myself oral HPV?  

If I want him to share me with other people, I will always have to be aware of using a condom, right? And if I give oral sex, can I get more strains of high risk type? 

Thank you.

Presuming that your partner has had other partners in the past, at his age it is more likely than not that he already has been infected with one or more strains of HPV, the most important of which you are protected from by your vaccination.  Condom use will reduce but not totally eliminate his risk for acquiring the HPV strain that you have unless he already has it (from another partner) which is certainly a possibility.  His risk of acquiring oral HPV from performing oral sex on you is low.

You cannot spread your HPV infection from one location to another.  Please don't let knowledge of your infection constrain your sex life.  

As long as your infection is present, there is a chance that you could transmit it to others but the risk of them suffering any consequences from such an infection, should they acquire it, is low.  

I hope this information is helpful.  If anything is not clear, please feel free to use your up to 2 follow-ups form clarification. EWH

I don’t know if I was given the latest vaccine (Gardasil 9, if I’m not wrong) but if it’s not, could I get that one in order to protect myself against more strains? Is it possible?

As for using condom, I’m planning to use it until I’m negative, to give myself every chance I can to get rid of it. But, once I stop using them, I wonder about contraceptives. I’ve never used any (aside from condoms), but I’ve found that hormonal methods for women tend to raise the probabilities of having breast cancer, so, should I stay away from them as well, assuming they could raise the probabilities of cervical cancer as well? Or it doesn’t relate at all with HPV? 

Thank you. Most of my questions are now very well responded.

The official recommendation is that if a person has been vaccinated with the earlier vaccine, which prevents four types of HPV, there is no need for vaccination with the newer version because the additional five strains compounded in the newer vaccine represent a considerably smaller proportion of all HPV types.On the other hand, many clients do appreciate the modest amount of additional protection provided by receiving the newer vaccine, which covers a total of nine HPV strains. This is the personal choice which is should be discussed with your doctors.  Should you choose to seek the additional vaccination, in all probability a single dose would be sufficient to cover the additional strains.

Any risk of cancer related to HPV is not meaningfully impacted by hormonal contraceptives.  Discussion of the best contraceptive method for you is another topic to discuss with your own doctor however, from the sounds of things condoms have worked well for you so far so I wonder why change.

Thanks for your follow questions. You have one additional follow up remaining. EWH.

About the use of condoms, I do find them useful and use them with my partners, but I’d like to stop when I get into a long-term relationship because I’d like to have more intimate sex with my SO, and I’m willing to get contraceptives for that, and in the next few years, have a baby, if possible. So yeah, I’ll keep using them with responsibility, but only until I find myself in a serious arrangement. 

I’m grateful for the answers you’ve given me doctor, quite helpful. Thank you!

My sense is that you are thinking clearly about contraception.  When the time comes talk with your doctor about options and what’s right for you.  I am not aware of any specific interactions between non- barrier contraceptives and HPV.  

Take care.  EWH