[Question #5808] HPV transmission female to male

21 months ago
How effective is condom use in preventing the female to male transmission of HPV when the female is positive for high risk HPV and has no warts/lesions outside of the cervix/vagina?
Edward W. Hook M.D.
Edward W. Hook M.D.
21 months ago
Welcome to the Forum and thanks for your question.  Condoms certainly reduce the risk for acquisition of HPV but not nearly as much as they reduce the risk for STIs such as gonorrhea, chlamydia, trichomonas, and HIV, amongst others.  Estimates are that condoms, when used correctly and consistently reduce the risk for HPV acquisition about 60%.  The best way to avoid acquisition of HPV is to take the HPV vaccine which is safe, effective, and about 99% effective for prevention of the 9 most common HPV types.  EWH---
21 months ago
Also, this was a one time occurrence with this woman.  There was also some fingering and a minimal amount of oral on her around the clitoris with mainly the tip of my tongue.  I’ve played out this same scenario with a variety of women in the past and have presumably never brought anything home.  Any reason this time should cause me any anxiety since she made it known a month later after an abnormal pap with hpv positive?  Thanks!
Edward W. Hook M.D.
Edward W. Hook M.D.
21 months ago
My advice is not to worry about it. You do not mention your age but the fact is, most sexually active persons have HPV.  The virus is not as efficiently transmitted oral sex or masturbation and the clitoris is not a typical site of infection.  Thus, you may have been exposed in the past through similar activities and that your recent partner happened to be more aware of her infection than others changes little.

My comment about the benefits of the HPV vaccine stand.  EWH
---
21 months ago
Thanks, again.  I appreciate your expertise on the subject.  Btw, I am 40.  I think my insurance covers Gardasil 9 up to 45 years of age.
Edward W. Hook M.D.
Edward W. Hook M.D.
21 months ago
Thanks for the additional information.  The vaccine is now recommended for men and women up to age 40.  While not all insurance carriers pay for it, many do.

this is my 3rd response to your questions.  Thus, as per Forum Guidelines, this thread will be closed shortly.  EWH
---
21 months ago
And just keep things status who at home?
21 months ago
Status quo, typo
Edward W. Hook M.D.
Edward W. Hook M.D.
21 months ago
Correct.

closing thread now. EWH
---