My biggest concern is my wife. She has been jaundice in her eyes for nearly two weeks and had high billirubin results. I am afraid that this is from me giving her hpv.  That maybe something has spread/metastized to her liver.    She has had the last to paps (last one in March of 2020) and they all came back normal.  Is it possible for her to never actually develop warts even though she's been repeatedly exposed? 

I know many people are oftern affected by more than one strand of hpv. What are the odds that I got more than one strain from that one particular experience?  The conversation of her having caught it before our relationship isn't relavent as we have been together since a very young age.  

What about our kids? I don't want to infect them when bathing them or by them accidentally using a used towel? 

Is there any positive to take away as far as lessening future outbreaks?

I previously mentioned in my last post that I was prescribed imiquimod just to see if it would work by a telemedicine doctor.  The short supply seemed to clear my shaft area up.  I feel like there are several (tiny) random spots that are infectious.  Will this be a lifelong issue? August of 2016 was the exposure. Th

Additionally he cut out a wart on my right pointer finger and  then used some metal electrical device to deaden the cells after he cut it out. I am curious if this spot could be the same strain of hpv as what they found below the belt.  The anal itching started way back, probably a month, maybe two after the exposure in 2016.  I went to several doctors who treated me for hemmorhoids, banding, coagulation etc.  I showed them a growth back in March, which is the growth I mentioned in my first post. the first proctologist used a "nitrogen pen" as he called it and banded an internal hemmorhoid.  Since then, I produce more than a normal amount of mucous from the anus and have two other spots that have just swollen, and have a hill like projection.  The itching and often stinging is extremely annoying and bothersome. 

I don't recall your sexual history. But most likely you've had the HPV infection causing your genital warts for a long time, perhaps years. For sure long enough that your wive has been repeatedly exposed. She could also be the souirce -- you'll never know. (It's rarely possible to know when and from whom any particular HPV infection was acquired.) The large majority of HPV infections do not cause visible warts or abnormal pap smears:  most remain entirely asymptomatic. Therefore, your wife probably will never develop warts, an abnormal pap, or other health issue from HPV. If she does, it won't be certain whether it's the same or a different HPV strain or the same one you have. 

This has nothing to do with your wife's liver problem. HPV does not cause liver disease and does not disseminate through the body. And HPV is never transmitted in households, even after continuous and frequent sharing of towels, toilets, kitchen utensils, etc. Your kids are not at risk from your infection (or your wife's, if she has HPV).

Correct that many people with HPV have more than one type. However, there are no data on how frequent this is after any one exposure. As implied above, you didn't necessarily acquire your HPV infection from the past sexual exposure you are concerned about.

That you "feel" various spots on your penis are due to HPV isn't justified. Your dermatologist should be able to sort this out; of course this forum cannot, since we have no opportunity to examine you.

The wart on your finger is unrelated to your genital warts. Common hand warts are caused by different HPV types that rarely involve the genital area. As discussed with Dr. Hook last time, it is extremely unlikely your rectal symptoms are due to warts or HPV.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD

1) I understand the previous comments about the anal warts. I've just read throughout the forum how it isn't at all rare to develop genital warts inside the anus if you are heterosexual, even without contact.  Seeing how I have condyloma on my penis, I thought the possibility of anal condyloma is higher. These have changed in appearance which also concerns me. 

2) Could you tell me how accurate an hiv test is at 11-1/2 weeks?  Back in 2016 after this event, I tested negative. Not sure the test, but I did have blood drawn. 

3) Additionally, does oral hpv often appear on the tongue? Since my last question, my wife has developed a strange raw patch in the middle of her tongue that hasn't really improved. She also has hoarseness and the roof of her mouth is raw. This seems to be a cycle for her. 

4) should I expect this hpv to go away/be suppressed by my immune system since it hasn't the past couple of years?

Thanks. 

2) Any and all HIV tests done in 2016 are conclusive any time 6-8 weeks after exposure. Negative at 11-12 weeks is conclusive.

3) Oral HPV is not rare, but it rarely causes symptoms. A "raw patch" or raw feeling of the roof of the moutn are very unlikely to be HPV. She should see a doctor if she remains concerned, but you can be confident it isn't HPV.

4) Warts usually clear up within a year. Any abnormal skin condition persisting a "couple of years" should be professionally evaluated.

As previously mentioned in my last post to Dr. Hook, I have applied hemmorhoid treatment medicication by finger to my internal hemmorhoids. Not sure if that could be the cause or not. 

Colorectal surgeons are generally a lot more knowledgeable about anal and rectal warts than I or Dr. Hook; I would trust their opinions and advice. You should not be self-treating rectal warts that you may or may not have.