[Question #14033] Is HPV contagious after 20 years?
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2 months ago
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I have had clear paps and HPV test for 20 years. I had a LEEP in 2001. What are the chances I can still transmit HPV? What do I need to tell any future partners?
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H. Hunter Handsfield, MD
2 months ago
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Welcome to the forum. Thank you for your confidence in our services.
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Unfortunately, there are no data on which to base an answer to your question. It is generally assumed that if a genital test for HPV DNA is positive, that type of HPV can be sexually transmitted to partners; and if negative, transmission is unlikely. Having had negative HPV tests for 20 years, you can safely assume you do not have a transmissible HPV infection at this time.
From the standpoint of HPV prevention, you should say nothing to your current or future sex partner(s). Of course some prospective partners discuss past partnerships and STIs with each other but in this situation that's a relationship issue that might convey respect, but doesn't relate to health safety.
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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1 months ago
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In your estimation, how many people in the 45-65 age group have been exposed to HPV? What about the oral risks? What could you say to a partner if he was concerned about my past history?
Thank you.
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H. Hunter Handsfield, MD
1 months ago
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Probably nearly 100% of people age 45-65 have been infected at one time or another. A good estimate is that 90% of sexually active persons acquire HPV at least once, often several times. Getting and having genital HPV is a natural, expected, and largely unavoidable aspect of human sexuality.
I have already advised what you should say to new or prospective sex partners: re-read the paragraph starting with "From the standpoint...." For a partner who learns about your past HPV and asks about it, I would suggest you say you almost certainly are no longer infectious (i.e. he would not be at risk); and that even if you have active infection and he were exposed, he would probably never know it and would not have any health consequences from it.
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1 months ago
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Thank you so much for your answers. I really appreciate it. How about oral cancer risks with HPV? What is the current data on that? How risky is oral sex with HPV?
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H. Hunter Handsfield, MD
1 months ago
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HPV can cause squamous cell cancer of the pharynx, one of a few kinds of oral cancer. A single type of HPV (HPV16) is the only cause. It you have been vaccinated against HPV and it was prior to a possible HPV 16 exposure, you are immune and will never catch it. Oral HPV is possible but less common than genital.
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That completes the two follow-up comments and replies included with each question and so ends this thread. I hope the discussion has been helpful. Best wishes and stay safe.
