[Question #2881] HTLV I/II

40 months ago
Dr’s,

I was curious as to your thoughts on HTLV I/II and it being sexually transmitted? Is there any data out there about risk factors from a single unprotected sexual encounter in the United States? Have either of you had experience with someone who had contracted HTLV via sexual exposure?  Seems to be a lot of contradictory information out there regarding HTLV so wanted an experts opinion on the subject. Thanks for your responses in advance 
40 months ago
Would you recommend anyone testing for these if they have tested negative for all common std’s ie chlamydia, ghonnorea, hsv, hep abc, syphillis, hiv, ebv?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
40 months ago
Maybe sexual transmissible, but not often sexually transmitted. I've never known of a patient who had it. The frequency of sexual transmission and the risks from any particular sexual exposure have not been studied. There are no recommendations for testing on account of sexual behavior risks, regardless of the results of other STD tests.

HHH, MD
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40 months ago
Dr HHH,

Is there a reason it is not recommended to test for if it maybe sexually transmitted? 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
40 months ago
Because the chance any particular person has it is very low, regardless of sexual history (as far as swe know); and I'm not aware if any standardized lab tests even are avialable.. Even if it could be done at reasonable cost, there is no treatment, no prevention steps, nothing to be done -- i.e. no different medical care for people with positive vs negative results.

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40 months ago
Dr HHH,

So the assumption is that people who are positive are asymptomatic? Can still pass it on to others and possibly children but that’s not a cause for concern? 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
40 months ago
Here is the same warning I wrote in closing one of your many earlier threads."That concludes this thread. Also, please note the forum does not permit repeated questions on the same topic or exposure, such as obscure infections that may or may not be sexually transmitted. This will have to be your last one; future new questions about this exposure, testing, and your fears about HIV or other STDs will be deleted without reply and without refund of the posting fee. This policy is based on compassion, not criticism, and is designed to reduce temptations to keep paying for questions with obvious answers. In addition, experience shows that continued answers tend to prolong users' anxieties rather than reducing them. Finally, such questions have little educational value for other users, one of the forum's main purposes. I trust you will understand."

Ialso advised that I hope you follow up with the obviously necessary counseling. I still do! (It is a suggestion from compassion, not criticism.)
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H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
40 months ago
You and I were writing our last comments simultaneously, so I didn't see your last comment until later.

We simlply have no data on the risk of transmission, the potential mechanisms of transmission if sexual (seman? vaginal sex? anal? oral?), or data on which to base testing or on counseling on the basis of either a positive or negative test. Sorry if the situation seems unsatisfying, but that's the way it it.

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