[Question #8530] Follow up for question #8504
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43 months ago
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Thanks for all responses Dr. Hansfield. I wanted to check on couple more things.
1. "even the busiest STD clinics never see patients with HPV (e.g. genital warts, abnormal Pap smear) who did not have intercourse -- i.e. no known infected patients whose only exposures were the kind you describe."
a. Let's say a male is infected with HPV 16 with a handjob from a massage, since it's largely asymptomatic or symptoms don't show up for very long doesn't it look like these cases will be missed to show up in STD clinics?
b. They could show up if they have a regular partner (abnormal Pap smear) but even then, it might be counted as an intercourse scenario whereas original issue was handjob from a massage.
c. As for genital warts, although HPV, I understand these are different strains. Is it safe to assume infectivity of both strains are about the same. I read somewhere HPV16 is more common than other strains, so I am worried if it can more aggressively spread than wart causing scenarios that might also not show up in STD clinics.
Doctor, please note I greatly respect your perspectives, but as given in the other question background, I had multiple handjob exposures and given my symptoms I am starting to worry if I got repeatedly infected with multiple strains of HPV through handjob while I earlier assumed it's extremely unlikely. When you mentioned busy STD clinics scenario you have taken these possibilities into account and still confident handjobs are extremely safe? Sorry I had to follow up would appreciate your responses!!
a. Let's say a male is infected with HPV 16 with a handjob from a massage, since it's largely asymptomatic or symptoms don't show up for very long doesn't it look like these cases will be missed to show up in STD clinics?
b. They could show up if they have a regular partner (abnormal Pap smear) but even then, it might be counted as an intercourse scenario whereas original issue was handjob from a massage.
c. As for genital warts, although HPV, I understand these are different strains. Is it safe to assume infectivity of both strains are about the same. I read somewhere HPV16 is more common than other strains, so I am worried if it can more aggressively spread than wart causing scenarios that might also not show up in STD clinics.
Doctor, please note I greatly respect your perspectives, but as given in the other question background, I had multiple handjob exposures and given my symptoms I am starting to worry if I got repeatedly infected with multiple strains of HPV through handjob while I earlier assumed it's extremely unlikely. When you mentioned busy STD clinics scenario you have taken these possibilities into account and still confident handjobs are extremely safe? Sorry I had to follow up would appreciate your responses!!
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43 months ago
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One more note:
Without genital/gential contact or intercourse, in things like handjob is it safe to assume chance of acquiring is 1 in a 10000?? And without secretions, may be even more rare? AFAIK, even genital secretions were not used. I am worried about their hand touching their underpants/pants in few cases before giving handjob.
2. I kissed on lips (closed kiss) with few of them a few times (say 5 of them, 10 times), semi open kissed once (2-3 seconds with 1 person) slightly tongue involved soon stopped - what are my risks for oral HPV.
3. Lastly, I did have multiple breast licking episodes (10-15) and from 1 I remember she wiping her breast surface when I tried to lick. Now I start to worry it's because someone earlier had their penis or mouth that she possibly did not clean (or Clean enough). If that's the case, am I at risk of oral HPV through these episodes?
I have otherwise never participated in oral sex to be concerned about oral HPV. Also I am a virgin (no genital/genital or intercourses). Once again, thanks for your inputs doctor!
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Edward W. Hook M.D.
43 months ago
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Welcome back to our forum although I’m sorry you felt the need. On this occasion I happened to pick up your questions and, given the repetitive nature of the questions you are asking, you will have received answers to the same questions from both Dr. Handsfield and I. In preparing to answer this your questions I reviewed your earlier interaction with Dr. Handsfield and agree with all that he said. Each of the sorts of contacts that you describe are virtually no risk encounters for acquisition of any STI including HPV.
While in most studies of the prevalence of HPV infections there are a very, very small number of infections which occur in people who deny sexual contact of any sort (Whether or not those people are being truthful is unclear). Such cases are the exception rather than the rule. For all practical purposes the risk of acquisition of HPV infection involves direct general contact and friction to help initiate the infection. Even with that most encounters do not leave the transmission of infection.
1a. This is not a realistic concern.
1B. Same answer as 1a.
1c. There are no scientific data to inform the answer to this question. In general, if anything HPV 16 may be somewhat more likely to be transmitted and the types of HPV that cause genital warts, HPV six and 11.
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Edward W. Hook M.D.
43 months ago
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Continuing
2. HPV is not transmitted by kissing.
3. There is no known risk of acquiring HPV in the oral cavity from licking a partners breasts.
As Dr. Handsfield said in closing his earlier interaction with you, you are really worrying entirely too much about no risk events. I urge you to put your concerns aside and move forward. Take care. EWH
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43 months ago
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Thank you so much Dr Hook! I will try to move on. It's my symptoms in previous question that started an anxiety storm. Anyway working through those symptoms and hopefully nothing turns up.
Just couple confirmation:
1 For the kissing scenario, hope you have taken into account where I had a slightly more involved experience
2 For the breast scenario, even if previous customer had their penis/mouth before I did licking, hopefully you still keep the same view point.
Once again, thanks for all services and inputs!
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43 months ago
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Sorry 1 last note, usually people who ask questions, mention 1 or 2 or 5 handjob encounters max. Mine is like 30 or so and stopped!! Hope you have seen people like this too and are safe! Thanks!
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Edward W. Hook M.D.
43 months ago
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1. There are no scientific data to suggest that kissing, even open mouth deep kissing is associated with HPV transmission.
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2. Correct, the breast exposure issues or an entirely no risk event.
The number of times you have received masturbation in Norway changes this assessment. Receipt of masturbation is a no risk vent whether we are talking about this occurring I’m a single occasion or hundreds of times.
I hope this information will help you to move forward. please don’t worry. EWH
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43 months ago
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Thanks doctor Hook!
Like I said, I will work to move on.
I tried to interpret your below response. I was just trying to double check if ever (handjob induced transmissions happen) those would be safely caught and be accounted for with right source. Perhaps when you have can, if you could elaborate a bit on the below that will help.
1a. This is not a realistic concern.
1B. Same answer as 1a.
Thanks, once again so much!
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Edward W. Hook M.D.
43 months ago
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This is repetitive. The answer will not change. You are worrying needlessly. Consensus among experts is that receipt of masturbation does not put persons at risk for HPV. This has been explained by both Dr. Handsfield and I.
This ends this thread. Should you return with additional unfounded, repetitive questions on this topic, your question may be closed without a response and without return of your fee. You need to move on. EWH
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