Dear Doctors,

Thank you for providing this valuable service.

I am a 33-year-old man living in Europe. Over the course of my life, I have performed oral sex with approximately 10 partners, around 20 times in total.

About 10 years ago, I developed genital warts (condylomas) following a single instance of unprotected intercourse.

I am now increasingly concerned about the potential risk of HPV-related oral cancer due to my past sexual activity, particularly oral sex. I understand that HPV-related oropharyngeal cancers have been discussed more frequently in recent years, and I was not fully aware of these risks when I was younger.

Given my history, should I be worried about a significant long-term risk of oral cancer? Would you recommend HPV vaccination at my age?

I would greatly appreciate your guidance on how concerned I should be and whether there are any preventive steps or screenings I should consider.

Thank you very much for your time and help.