[Question #7600] Follow up 7568

2 months ago
I am still having a hard time with this can you please explain to me the  difference being able to self auto annucolation hand to genital to mouth hr hpv causing oral HR HPV what is difference touching genitals causing fluid on hand  then touching  object and someone touching vaginal fluid on that object then immedietly touching their mouth after. How is this transmission not possible but auto inoculation is ? I am sorry just need understand this to ease my anxiety of someone touching contaminated object before mouth
Edward W. Hook M.D.
Edward W. Hook M.D.
2 months ago
Welcome back to the forum. On this occasion I happen to pick up your question. In preparing to answer I read your earlier interaction with Dr. Handsfield and agree with all that he said. Nearly all genital HPV infections are transmitted through direct sexual contact. Transfer through sharing of secretions transferred on one person’s hand to another is unlikely and transfer of infection by contaminating an inanimate object (like a cup) with genital secretions and then having someone whose mouth touches that object become infected is unheard of is, virtually zero risk event.  While in science, because we learn new things every day and because extraordinarily rare events do occur, I cannot say that the scenario you describe has never happened however I am confident that the chances of it happening are about the same as you being struck by a meteorite  falling from space while reading this reply.

Please remember that most exposures to persons with infections of any sort, including HPV, do not lead to infection. I am certain that you have been around others who have cold or the flu and not gotten it.  The same principle holds here.  Two factors which somewhat increase the likelihood of HPV transmission are DIRECT contact with another person’s infection and friction to help work the virus into the skin.  Neither of these factors is operative here. Further, HPV tends to be more likely to infect certain types of epithelial (skin) cells than others.  As Dr. Handsfield indicated, HPV Infection on the oral cavity is less likely to occur than genital infection.

Are you a male or female?  I see your screen name is Jeff but some of your concerns suggest you may be female.  Either way, please don’t worry about the scenario you describe.  It is a no risk event.  EWH 
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2 months ago
I am female I accidently touched genitals not knowing I had hr hpv then touched object immedietly before my son scared he touched fluid on object then his mouth 
2 months ago
Can you please tell me the risk of this cause he has had red rash on face ever since
Do you know about how long it takes to become contagious after expoure to hr hpv 
Do you just have to touch lips or is it inside mouth to get infection 
I am trying my best to get better 
Thank you dr  like I said it's hard me believe everything since I got GHhsv1 after having cold sores all my life  
Edward W. Hook M.D.
Edward W. Hook M.D.
2 months ago
Thanks for the additional information.  I understand your concern for your son.  Our children are so I important to us.  That said, there is no scientific basis for your fears.  An abundance of high quality research shows that HPV is not transmitted by touching an infected site and then transferring the virus on a person’s hands to an uninfected person.  

Likewise I’m confident that your son’s rash is not due to HPV.  HPV takes several months (3 on average) to appear after infection and does not cause rashes.

Out of concern for you and worries that your fears about your son may have a deleterious effect on your interactions with him, I suggest that you seek professional counseling to help you move forward from your unwarranted fears.  Talking with a trained professional may help you to move forward.  In addition, I urge you to stay off the internet as this is far more likely to mislead you and fuel unwarranted fears than to provide useful information.  EWH 
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2 months ago
Thank you Dr that helps me then my my mind goes back to Dr H thread on medhelp that everyone with genital hpv probably have oral hpv due to auto transfer I just dont understand what would be  the difference touching vaginal  fluid on object then mouth 
Edward W. Hook M.D.
Edward W. Hook M.D.
2 months ago

I do not know which comment of Dr. Handsfield's on the MedHelp forum you are referring to however all of those comments are all more than  5 years old and our understanding of HPV biology and epidemiology has evolved since that time.  Further, I worry that you may have misinterpreted Dr. Handsfield' s prior statement.    Current knowledge is that genital HPV infections are far less common than oral infections and that a large proportion of persons with genital HPV do not have oral infection.  Of those who do have oral infection, they have almost certainly acquired those infections through DIRECT sexual contact with sites of infection (oral sex) not auto inoculation.  I really think you are far, far overestimating the risk of HPV transmission trough transfer through touching.

As you know, we provide up to three responses to each client.  This is my 3rd reply.  The thread will be closed shortly.  In addition, I must warn you that repetitive, anxiety-driven questions may be deleted without a response and without return of your posting fee.  Please don't worry.  EWH

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