Hello there Doctors, back in january this year i stupidly went to a chinese massage parlor with a Trans/shemale worker and after the massage she or he offered me an unprotected blow job which i accepted and we went on and kissed and while kissing she was on top of me her penis touched mine for a second or two Very fast while kissing agressivley( we were naked and i felt her penis not sure  ) it wasn’t that intense of a touch and not even sure it was her penis but maybe it was,,and not any type of sexual intercourse Happened i ejaculated after the blow job with a hand job and  left the place filled by guilt and anxiety that i caught something especially a high risk type of  hpv , and now im living everyday thinking i am a big risk to my gf/partner  and probably i will give her cervical cancer and its just a matter of time ...just because of that exposure, and btw i have a history of low risk hpv 4 years ago which i believe i cleared and i got my hpv vaccine gardisil  4  which protects against only 4 strains and there are many as i have read,i took the vaccine back in 2018 after my low risk hpv ...am i a risk to my current/future partners?,i also have a history with escorts many years ago which to this day i regret and  get anxiety and ideas  that i may caught something from those old days even though i never had unprotected sexual intercourse with any of them only protected sex and unprotected oral,i never even had unprotected sex with my current partner, thanks for your time doctors, and excuse my bad english.

Welcome to our Forum and thanks for your questions.  I'll be happy to comment and hope that my comments will reduce your concerns over this low risk encounter.  The facts that you did not engage in ano-genital contact and have been vaccinated with the HPV vaccine all act to reduce your risk for HPV or other STIs.  Let me comment in a point-by-point manner.

1.  Your risk for infection.  HPV is different from other STIs in that virtually all sexually active persons will acquire the infection.  You know you had a "low risk HPV" presumably based n the detection of a visible wart.  while your past encounters with commercial sex workers were condom protected, condoms only provide partial protection so it is more likely than not that you have had other HPV strains in the past.  You have taken the HPV vaccine however (congratulations) so at this time your risk for the most common other HPV types is quite low.  . 

2.  The nature of your exposures.  The risk for getting HPV is cumulative and increases with the number and type of exposures.  For most single encounters, even if a partner has HPV, the infection will not be transmitted.  HPV is not very efficiently transmitted by oral sex when compared to genital contact and rubbing of the sort you describe is also a low risk activity.

3.  Your partner's risks from this encounter are low although as mentioned above, given your history you may already have HPV. The single best thing you can do to prevent furutre infection for your partner is for her to get the HPV vaccine. 

Putting all of this together, it is unlikely that the encounter you describe has led to an infection that you did not already have. going forward, the safest thing to protect your partner is for her to get the HPV vaccine.  Even if she does not however, as long as she follows recommendations for regular PAP smears and HPV testing her risk for getting genital tract cancer from the encounter you describe is miniscule and should not concern you.

I hope this information and advice is helpful.  EWH

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Hello doctor Edward, yes i think i have been exposed to a lot of hpv strains in the past,, my history with those escorts was +3 years ago, does that mean i still have those Hpv infections by now or they are long gone and i have nothing to worry about,i kept reading stories of people who had hpv in the past being infectious to future partners even after +5 years and i fear even if i had past hpv that i cleared some day it will reactivate and i will give my girlfriend cancer this is why im always so afraid and anxiety kills me, i did change my life style into monogamous relations and stopped fooling around except for that massage parlor mistake and since my last low risk hpv incident, and my gf is anti vax, How likely am i to carry Any hpv Infection right now.. Thanks.

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Thanks for ur answers, i keep getting the idea that i will be a threat of cancer to my gf or my future partners based on the amount of sexual partners(Escorts) i’ve had in my because of reading articles that men who used to see escorts in the past even years before meeting their current partner always end up infecting that partner with High risk hpv and end up getting cancer also the Horror Stories I see Online of reactivation of OLD high risk hpv strains gives me a feeling that some day i might reactivate and for sure infect someone... seems like all are rare cases and the odds are in my favor, Thank you so much doctor and goodbye.

Thanks for your follow up comments. I agree with you, the odds are absolutely and unequivocably in your favor. Given the situations and circumstances that we discussed above it is unlikely that you will transmit HPV do your partner at this time. Even if you did, less than 1% of these infections go on to cancer. Finally, those cancers can be prevented and managed if persons follow routine Pap smear and sexual health screening recommendations. Do not let the Internet miss lead you.---