[Question #7456] Hpv

2 months ago
Some  questions about hpv exposure after being vaccinated ? Protected sex with a pro , if you are currently vaccinated , what’s the chances of getting warts ? 

Have you seen patients with warts that are not hpv 6/11

How common are the other hpvs not covered in vaccine 


H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
2 months ago
Welcome back. You've been warned about repeated questions concerning your heightened anxiety about HPV. But it has been a year -- thanks for holding off for a while.

There are over 100 HPV types that usually infect the genital area. The vaccine protects against the 9 types that cause about 90% of both cancers and warts. Vaccinated persons remain sussceptible to the other types.

Even without a condom and without vaccination, the risk of warts from any single vaginal sex event probably is under 1 chance in a thousand. It would be even lower than that if your sex worker partner has been vaccinated, which many (most?) sex workers have. Using a condom and with your vaccine protection against HPV 6 and 11, I would guess the chance you caught warts might be aunder 1 chance in a million

I cannot say whether I have ever cared for a patient with warts caused by types other than 6 and 11, because HPV testing and typing are rarely done when managing genital warts. (For most of my active years in the clinic, such testing wasn't available anyway.) But since around 10% of warts are caused by other types, probably I have treated some such patients.

OK? Let me know if anything isn't clear.

HHH, MD
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2 months ago
Does routine pap smear testing test for other types not covered in vaccine 

I guess  basically my big question is , one time protected sex with a CSW and me being vaccinated , what are my biggest concerns regarding a STI ? 

As you can see from the past , I am obsessed with HPV and every now and then , I do something stupid 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
2 months ago
Routine paps are designed to detect pre-cancerous cellular changes (dysplasia), regardless of HPV type. HPV testing usually is done, and can detect many (but not all) HPV types,

As I said above, I would put the chance you caught warts at under 1 in a million. The risk you picked up any HPV at all probably is higher, maybe 1 in a hundred thousand?  But it doesnt't matter. If you've had an average sex life, youhave already had gential HPV, perhaps several infections. (90% of sexually active persons become infected.) If so, it probably will never cause you or any partners symptoms or harm. Having HPV is a normal, expected, unavoidable consequence of sex -- that's all there is to it. Therefore, you cannot have sex with other humans without the possibility of getting another HPV infection. Condoms reduce but do not eliminate that risk. But since HPV almost always is a trivial health issue, I am not recommending you stop having sex. Sexual health and gratification themselves are important to human health and happiness, clearly outweighing the consequences of most HPV infections.

Your obsession with HPV has been obvious in your several questions. It is once again apparent that this forum us incapable of relieving this obsession. Counseling, counseling, counseling.
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2 months ago
I agree with you with counceling , I’ve been working on it but then I do something stupid and it defeats all the counseling. So basically after the 2 to 12 day herpes window,  I have nothing to worry about?  I believe herpes is extremely low also correct. 
So after this I’m just gonna leave this alone and not think about it and not worry
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
2 months ago
Most but not all initial herpes infections cause symptoms. However, you are correct that the risk of herpes is low riak after any single contact. The combination of that low risk plus absence of symptoms within ~10 days is strong evidence against infection and should be very reassuring.

I do hope you are indeed able to "leave this alone and not think about it and not worry". But do be aware that obsessions rarely resolve through will power and accurate knowledge. If such thoughts cotninue to intrude and worry you, please do seek professional help.

That concludes the two follow-up exchanges included with each question and so ends this thread. I hope it has been hellpful. 
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