[Question #14125] HPV & Genital Warts

1 hours ago

Hello,

I had protected vaginal sex with a woman who later told me that she is a sex worker in Amsterdam Red Light District (actively) That was unfortunate and a bit shocking for me. She also told me that she is 51 years old. By the way this was my first ever sexual contact.

I assume that she probably got all of the HPV types with that age and past, she probably started working young.

I don't know her vaccination status but given her age, she probably missed the vaccination.

1- So even if the sex was protected all the time, did I most likely got infected with many types including genital wart causing ones?

For context:

I was careful with the condom to cover my penis almost fully. Since she was a bit thick and my penis was just average sized, I felt that I couldn't fully get inside during sex. I remember having 2 positions, missionary and she was on top of me, kind of grinding. Telling these details to explain the anotomy of the event.

I don't know if these are necessarg details.

It's been 7 months since sex, at 6th month, I had an STI test for everything, negative. I'm 24 years old.

2 - Is seeing no warts till today a good sign? Or will I get them later most likely?

3- Did she probably cleared HPV even if she had it long before? Is her age in my favour in this case?

4- If I get genital warts, I guess it's not a big deal and can be treated but does it effect my daily life? Can I still go to work normally? Would people notice anything? I'm scared that they will pop up during my family visit or something and mess up my whole holiday.

5- Sometimes I feel a bit itchiness that come and go on my scrotum, is this possibly warts trying to establish?

Thanks.

Edward W. Hook M.D.

25 minutes ago

Welcome to our Forum and thanks for your questions. I'll be glad to comment to your questions. FYI, by law, commercial sex workers in Amsterdam are required to test for treatable STIs, including HIV regularly and most single encounters, particularly when they are condom protected do not result in transmission of infection even if a partner is infected so your risk of STI from this encounter was low. Comments on your specific questions:

1. You are correct that your partner is likely to have had HPV but because this was a single condom, protected encounter, it is unlikely that you were infected. If you were going to develop visible warts they most probably would have become apparent within 2-3 months of the encounter. Your STI tests were taken at a time when the results would be reliable. You can be confident that you were not infected with the STIs you were tested for.

2. Yes,, this is a good sign, See above

3. Yes

4. This is a true statement, HPV infections are a part of being sexually active unless you have had the vaccine. Given that you have not had other partners, getting vaccination is a good idea and will provide more than 95% protection against the most common types of HPV which are contained in the vaccine.

5. No, itching is not a sign of HPV. The most comment cause of itching in situations such as yours is becoming aware of normal sensations because you are looking for signs of infection

I hope this information is helpful. I encourage you to look at some of the hundreds of other threads on this forum about HPV. We make them available for educational purposes.

EWH

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