[Question #8498] HPV transmission

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43 months ago
I know it is not in your policy but if possible I will prefer an MD answer. Hello i am French gay man living in the US for two years. I am currently in Italy and I noticed a little bump near my anus. I've been there to an MD he told me it was a genital wart with no cancer risk. He freezed it and told me to verify because it can come back and need another freeze session. I was ok with that. Because I never had an std I asked him how it was spread. He told me it was an HPV, a std by contact but because I have a wart it was highly contagious even with towels, my hands, surfaces .... I told him a was living with my 7 years old little girl and he told me that she has a great risk to become infected. From that day  I am completely crazy and anxious I can't even sleep. I've done research in internet and I read a lot of different opinions. So I prefer to ask real profesionals. Can I infect my girl with towels, with my hands, with ustensiles, surfaces. I am so afraid she got hpv and somebody take her from me for sexual assault. I hope your answer will calm me. Thank you so much for your help. 
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Edward W. Hook M.D.
43 months ago
Welcome to our forum. Thanks for your questions. Dr. Handsfield and I answer all questions related to HIV and STDs other than herpes which are answered by Mrs. Warren.  We are both positions of work together for more than 35 years.  I’ll be glad to comment.

HPV, is transmitted in the vast majority of cases by direct sexual contact in which lesions are in contact with otherwise uninfected skin. Abrasion including the friction of sexual activity may slightly increase the likelihood of transmission.  While it is possible that I’m very rare occasions (it is difficult to quantify precisely how often) HPV may be transmitted through non-sexual contact including the sharing of towels, it remains a very rare mode of transmission.  The risk of you transmitting your possible HPV infection through sharing towels or touching is very very low and should not concern you.

Please do your best to stay off the Internet.  Google ad related search engines are unedited and contain large amounts of incorrect information.

My advice is to avoid sharing towels but otherwise I would not be concerned about the possibility of you transmitting your HPV infection to your daughter through the activities of daily living. I hope this information is helpful. If there are additional questions or any part of my responses unclear, please don’t hesitate to use your up to two follow-up questions for clarification. EWH
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43 months ago
Thank you doctor for your answer which I carefully read. But I am a bit surprised because you tell me it's a rare risk and even to avoid sharing towels but visiting your forum I read answers about the same risks (sharing towels, day care, shower....) and Dr Hunter Hansfield says that HPV is NEVER transmitted by towels or other things. Only by sexual contact. Can you explain me the difference between your two answers.
Normally I never share the towels but I'm afraid that two or three times I make a mistake and use one of mine for my girl. Also when I take her temperature with an anal thermometer putting cream on it is there a risk?  Thank you so much for your future reply. 
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Edward W. Hook M.D.
43 months ago
I'm sorry if my reply was confusing.  Dr. Handsfield and I are in agreement- there are no proven instances in which shared towels have led to the transmission of HPV.  On the other hand, in science you can never say never- there are all too often exceptions.  In large studies of HPV epidemiology, the are a tiny fraction cases of HPV which are not clearly associated with sexual contact.  If transmission on inanimate objects were possible (again, one can never say never), then sharing of towels would be a stron cadidate for these rare transmission events.  Inmy reading of your question, my sense is that you were worried and wish to take every precaution.  In such settings, the only recommendation I have to prevent non-sexual transmission would be to avoid sharing towels.  As I also indicated, I really do not think you need to worry.  

Taking your daughter's temperature with an anal thermometer should not be a concern, including after putting lubricant on it..  EWH
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43 months ago
Ok I understand your point of view between real risk and theorical risk. I have a last question if I have condylomas inside my mouth can a little peck, I mean a little dry kiss on my daughter lips is a risk for her to acquire hpv? Thank you.
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Edward W. Hook M.D.
43 months ago
First, presuming you are seen from time to time by a dentist, if you had a condyloma in your mouth, your dentist would have identified it.  Irrespective however, warts are transmitted by DIRECT contact with the wart.  A wart in your mouth would not be transmitted by a kiss on the lips.

I hope the information I’ve provided has been helpful.  This completes this thread. EWH 
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42 months ago
Thank you doctor for your help. Sincerely