I am a young 24 male, I have 2 very small genital warts, I have had multiple partners so I might have other higher risk types too.

I am scared of spreading HPV to other parts specially my anus and causing anal cancer. From where I come from we spray water over the anus and use our hands to wash it. I'm scared that I might have touched my penis and then washed my anus and spread to it putting me at risk for anal cancer.

I agree you likely have had other HPV infections, in addition to the one causing your genital warts. By far the highest risk of anal cancer occurs in people who are the receptive partners in anal sex, especially men who have sex with men. There is a small risk of anal cancer in heterosexual men, but I stress it is very small. The exact mechanism by which HPV infects the anal area in such men is unknown. It probably occurs both because of direct spread of HPV along the skin from the genital to anal area, and maybe from hand contact during toilet hygiene. There is no reason to suspect your risk is any higher because of toilet habits like yours, which are very common in the middle east and perhaps in Muslim countries in general. (You may know more about this than I do.) Whatever the causes, it's not a common problem:  anal HPV and its complications (warts, cancer) are always very rare in heterosexual men without direct anal sexual contact.

You really should not be worried about this. Over 90% of all people acqurire genital HPV, often many times, and you are no more at risk for anal cancer than all those other people, or compared with any other heterosexual male with or without genital HPV infection. In the event of future unexplained anal symptoms (bleeding, wart-like bumps, etc), see a doctor. But the chance of this is low.

I hope this information has been helpful. Best wishes--

HHH, MD

Periodic (e.g. once a year) anal examinations and pap smears for pre-cancerous lesions is a controversial strategy that might one day have a role in the routine care of MSM and perhaps women who have had receptive anal sex. Nobody would recommend it anyone without repeated anal sexual exposure. And for the reasons above, I recommend against it for you:  too little is known about how well it works in your situation, i.e. whether a negative results is reassuring or whether an apparently positive one actually shows elevated risk of cancer. However, if you decide to pursue this anyway, the best approach is to ask your personal physician to refer you to a doctor or clinic where they are doing anal paps (it's not something most doctors are trained to do); or you could look for a doctor or clinic who specializes in care of gay men, many of which are experienced in anal paps. Such clinics exist in many urban areas in both Canada and the US.

I also have to mention that I am HSV2 positive. Again in terms of oral sex, can I get infected again in the mouth? Assuming I am infected in the genital at the moment?

y

People with HSV are immune to catching a new infection with the type they already have, anywhere on the body.

Based on these questions, I have to suspect you are the same person who called himself "Salman" in a couple of different threads. If so, you will be blocked from further posts on the forum. In addition, as discussed last time, there is a good chance you do not have HSV2.