[Question #7318] Sexual history with prostitutes and getting married

4 months ago
Hello doctors, i would like some of ur point of view as of my sexual history when i was 22 until 24 i got addicted to prostitutes and had protected sex with approximately 20 of them ( protected ) now i know that i probably caught a lot of strains of hpv from them but i quit having sex with them since january 2018 and now im about to get married in the upcoming months what is the likelihood i am carrying some hpv now as i’ve heard that it clears in 6 months - 2 year since its been almost 3 years now i am planning on getting married in the next few months and i seriously don’t want to let anything in my past affect my partner or ruin our marriage and also im afraid she’ll get cancer because pap smears aren’t even available in my country as well as vaccination in all those 3 years i only received oral once  cz i was craving for sex this last January 2020 and no Intercourse at all in 3 years in all those 3 years, sorry for taking too long.
Edward W. Hook M.D.
Edward W. Hook M.D.
4 months ago

Welcome to the Forum and thanks for your question.  I appreciate your concern for your fiancée and will be happy to comment.  There are several facts which suggest that the risk of you transmitting HPV to your fiancée are relatively low.  these include:

1. You indicate that most of your exposures were condom protected.  This would reduce the likelihood of becoming infected although it does not assure it.

2.  In men, the average time to clearance of HPV is about 7-8 months and the majority of infections will have cleared within two years of acquisition.

3. Even if she were to acquire HPV, less than 1% of HPV infections progress to cancer. 

Given these facts, if you had HPV, it is more likely than not that your infections have cleared.  Obviously this is a statement based on statistics and averages and there are exceptions.  I am not sure which country you are in but as I understand it, there is no country on earth where HPV vaccination is not available if you look for it.  If you wish to be entirely sure and protect your fiancée, I would seek HPV vaccination for her.  If this is really not available, I suspect that the risk of you infecting her is low.

I hope these facts and this perspective is helpful.  Bottom line, the risk that you will infect your fiancée and that she will develop cervical cancer because of it is very low.  EWH

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4 months ago
Thank you doctor, its just that im from a country where sex is considered taboo before marriage.. and therefor yeah i can’t reveal to her my sexual past not bring up the hpv possibility  also i don’t wanna disclose something that im not sure that i have ( disclose a possibilty) now my sexual past is with hpv scares are haunting me all the time and i feel like a bad person even though ii’ve read that a lot of drs prefer not disclosing anything i wish i knew my hpv status,Thank you dr.
Edward W. Hook M.D.
Edward W. Hook M.D.
4 months ago

I understand your fears and the constraints that some countries perspectives may have.  Globally HPV vaccine is recommended for all women BEFORE they have intercourse.  Perhaps that would provide the "window" you need to pursue this for your fiancé.

EWH

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4 months ago
Alright thanks doctor i’ll try to not let a small possibility ruin my life.
Edward W. Hook M.D.
Edward W. Hook M.D.
4 months ago
Good.  I am totally supportive of this approach.  Please don't worry.  Starting a new marriage will provide lots of other things to get accustomed to.  Take care. EWH
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