[Question #4470] Hpv 2

30 months ago
 Hello I have some more questions I guess I’m not wording it the correct way I know some of it you probably can’t answer but I’ve been doing research and they’re saying that squamous  cell papillomas in your mouth are caused by HPV six and 11 but myself and my wife have never had warts so I’m confused by this. does this mean I have an active infection in my mouth or did we get this HPV 20/30  years ago  And this is just a byproduct of it. Plus if I do have HPV 6–11 in my mouth what do I have to expect , am I gomna get warts do I have to worry about transferring to my genitals I’m very confused by this I looked it up and the papilloma it was taken out 13 months ago. Am I contagious to my wife I don’t really understand this I haven’t had oral sex in probably eight years
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
30 months ago
I'm afraid you're right; I can't help much further. 

With visible growth, by definition the HPV infection causing it is "active". But when, where, and from whom you acquired the HPV infection is unknown and probably unknowable. It indeed is possible you initially acquired it 20-30 years ago. Isolated oral infection with the genital HPV types is uncommon, so it is likely that you have it genitally as well. But people with delayed reactivation of HPV generally don't have reactivate at multiple body sites, and I know of no data or clinical experience that people with late-onset oral warts are also likely to develop them in the genital area or anywhere else. I can't say it won't happen, but it's very unlikely. 

As for your wife, since you probably have been infected for years, it is highly likely your wife has been repeatedly exposed to the infection (from both oral and genital contact) for all the time you have been together. Therefore, she probably is (or was) infected and now probably immune to the HPV causing your problem. It would be reasonable for both of you to be on the alert for possible development of genital warts, so they can be promptly treated. But I think it is unlikely this will happen in either of you.

My main advice is that you mellow out and not look at this as any big deal in regard to your health or your wife's, or your marriage. With the oral lesion(s) now gone, most likely neither you nor your wife will ever have any future problem related to HPV.

I hope these comments are helpful and reassuring.

HHH, MD
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30 months ago
I guess I’m confused , if these papillomas come out between your 30 and 50s and  there not wArts and most people get this virus early in life ,, how can this be an active infection ?    Plus  ENT said there not infectious and biopsy was not a wart , I’m really confused . Can you clarify more ?   My ENT also stated it wasn’t HPV related which also confuses me . I’m sorry for all the questions . I did  some research online also That has different results . Most say it’s hpv related but also found  studies saying  otherwise 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
30 months ago
Most of these questions were answered either above or in your other thread; I suggest you re-read all my replies and comments in both threads. I don't see what's confusing about all this, and the question in the first line doesn't make sense. Any HPV infection causing a wart or papilloma is active, by definition; an infection dormant for years or even decades can become active again, which obviously is what happened to you; and all active HPV infections are transmissible, so I don't understand your ENT doctor's assertion that this cannot be transmitted.

As for whether there is any such thing as a squamous papilloma that isn't due to HPV -- all I can say is that I've never heard of such a thing.

The bottom line is that even if this is HPV and transmissible, I don't see that it matters or why you care so much. And if you don't understand why, I can only repeat my recommendation that you re-read all my other comments. 
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30 months ago
I guess my biggest concern is myself or my wife developing overt warts , if this  squamous cell papilloma  and it was cut out 13 months ago , what are chances of either of us developing warts and what are odds i cleared infection  or giving infection to others in future . 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
30 months ago
See my first reply to this thread. I can't make any better judgement on this than I stated there.

That concludes the two follow-up comments and replies included with each question, and so ends this thread. Please note the forum does not permit repeated questions on the same topic or exposure. This will have to be your last one; future new questions about these issue may not be answered, 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. Finally, such questions have little educational value for other users, one of the forum's main purposes. Thank you for your understanding.

I do hope the discussion has been helpful, and that you can come to understand that this isn't such a big deal and to relax and let it got without worry. Best wishes to you.
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