[Question #7560] HPV

3 months ago
Good evening.  I am a 70 year old sexually active man who has used your site in the past for information that has been very helpful.  I have a very limited circle of sexual partners and believe my practices are safe.  Although I always use a condom, I have a lingering concern about contracting genital warts.  My understanding is that they are widespread and condoms do not provide significant protection.  Apart from abstinence and relying upon another person's knowing whether they have been exposed, do you have any recommendations on managing risk?  Thanks. 
Edward W. Hook M.D.
Edward W. Hook M.D.
3 months ago
Oh welcome to our forum and thanks for your thoughtful questions. I’ll be glad to comment although I suspect that I have little to offer you beyond what you are already doing. My sense is that you are already well informed regarding sexual health and appropriate prevention measures. I would anticipate that by age 70 despite your laudable safer sex practices (While condoms reduce risk for acquisition of HPV in the neighborhood of 50%, with multiple exposures their protective affect is modest) you have been exposed and infected with HPV on numerous occasions. These probable past infections will have generated some degree of immune response. Other than doing what you are currently doing, using condoms, etc. I see little more To be done. Without knowing your partners characteristics I would also anticipate that your ongoing risk for developing genital warts remains very rather low.  In case you’re wondering, I anticipate that the HPV vaccine would offer little additional protection.

Sorry I don’t have more to offer. If anything I have said above is unclear or there are further questions please don’t hesitate to use your up to two follow-up questions for clarification. Take care. EWH
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3 months ago
Thanks for the answer.  Until settling down several years ago, I have had more sexual encounters with more persons than I can begin to count.  They have included persons of all classes and regions of the world, including an occasional sex worker.  With that type of exposure, how would you rate the likelihood that I have experienced genital warts or would have some immunity?  
Edward W. Hook M.D.
Edward W. Hook M.D.
3 months ago
While this, of course is only a guess, it is an educated guess.  Your likelihood of have already acquired HPV, including those types which cause visible warts likely exceeds 90%, perhaps approaching 100%.  This would likely yield at least partial immunity 
EWH
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3 months ago
Okay, thanks.   Based upon those numbers, it appears my risk of getting genital warts is pretty negligible (or at least extremely low).  One final question:  is there much risk in transmitting genital warts via oral sex or kissing?  Thanks again.  
Edward W. Hook M.D.
Edward W. Hook M.D.
3 months ago
I agree. At this time your risk of being general warts the future is low.

Oral pharyngeal HPV infections do occur And are thought to be acquired through performance of oral sex. There are a few data to suggest that Coral HPV results from kissing. Oral infections are less common than genital infections. There are no specific tests for oral HPV.  Dentists are now trained to look into the oral cavity for lesions which might be indicative of oral HPV infection.

I hope the information I have provided has been helpful. We provide up to three responses to each clients questions. This is my third response. Therefore this thread will be closed shortly without for the responses. Stay safe. EWH 
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