Dear experts,

Welcome to our Forum.  Thanks for your confidence in our service.  I'll do my best to address your questions but I have a little trouble following.  If my answers don't clarify things, please use your up to 2 follow-up questions for clarification:

I am not sure why you ex's new wife's cervical cancer is relevant.  The great majority of unvaccinated sexually active persons have HPV, whether they know it it or not.  It would be unusual for you not to have or have had HPV and as long as your tests are normal, further evaluation is not recommended.  Only a very small proportion of those with HPV however go on to develop pre-cancerous lesions or cancer related to their infections and those can be detected early as long as folks have regular sexual health screening (i.e. PAP smears) and other cancer screening (such as colonoscopy), all of which are good screening tests.  In your case, if no abnormalities have been detected, no further evaluation is needed other than being sure to be re-evaluated at the next recommended screening period.  If your PAP smear is negative and your colonoscopy is normal, further evaluation is not needed at this time. 

There are no data to suggest that procedures such as colonoscopy spread HPV in persons who have rectal HPV. 

I hope this information is helpful.  EWH

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Thank you Dr. Hook for all the information. I am still curious why hpv would not spread during endoscopic procedures. Hope it's ok I ask. 

It's fine to ask.  I cannot provide specific data on WHY but I can tell you that observation of hundreds of thousands of persons undergoing colonoscopy has not led to description of spread of HPV to other sites during the procedure, in much the same way that persons with genital warts do not spread their warts from place to place on the body when they touch a wart and then rub or touch another part of the body.  That's the best observation I have to offer.  EWH
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