My question is an update / follow up on #8002. I was sexually active before marriage with CSWs occasionally. My wife has this enlarged lump on her lower left neck. I'm convinced with the Dr's reply that I did not pass on HIV. 

Our primary physician prescribed a pap smear test as a regular screening process. My wife is from the eastern part of the world. She never had a pap smear before nor a HPV vaccine. I am her 1st sexual partner.  My concern here is , did i pass any HPV to her, given that she never had a sexual partner nor was never vaccinated for HPV? Will the pap smear come out positive on HPV? We have been in a physical relationship starting 8 months ago. Please help

From your previous questions, it seems you have been sexually active with at least a few partners, including female commercial sex workers. You can assume you have been exposed and perhaps infected with HPV. 90% of sexually active people acquire at least one HPV infection. You have mostly (entirely?) used condoms for vaginal sex, but condoms are only partially protective against HPV, so you could well have been infected. In the event your wife's pap smear shows evidence of HPV infection, it's possible it was not from you, since on rare occasions female virgens have HPV -- that is, rare cases may be nonsexually acquired. However, if indeed she has never had other sex partners, then most likely you would be the source, and you should be prepared to explain the circumstances. (My understanding is that many women in your situation are well aware that their husbands had other sex partners before marriage, so perhaps this would not be a problem.)

Most likely her pap will be negative. But you need to be prepared for that possibility.

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

HHH, MD