[Question #925] HPV

50 months ago
Hello, Im a 25 year old male.
I am wondering if you can advise on whether I pose an increased risk to future partners.
Around 4 years ago I developed a couple of small genital warts on my penis. They went away and haven't returned.
2 years ago I visited a high class escort around 8 times always wearing protection.
I am wondering if I should make future partners aware of these past incidents. If there is any chance that I will increase their risk of cancer I would need to let them know. But obviously if there is no real increased risk I would like to keep these incidents to myself at first.
many thanks


50 months ago
I am asking specifically about hpv. I have been fully screened for all other std's. Thanks.
50 months ago
Also I have not had sex in the last 2 years..... I am really after some good information on this as I have kind of worried myself with all that I have found online. I just really do not want to pose any health risks to a girl that I care about. Thank you so much.
50 months ago
Also sorry to stagger this question, another thing other than the escort I have only had sex 5 times in my life before with 5 different girls.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
50 months ago
Welcome to the forum. I'll try to help. FYI, another username Chris has been asked repeated questions about HIV. I'm pretty sure you're someone else, though! We encourage users to selectl more complex usernames to assure no confusion with other users.

In general, nobody is obligated to tell sex partners of past HPV infections, only if they have an active infection at the time they begin or continue a sexual relationship. Just about everybody gets genital HPV at least once, and for everyone with a known HPV diagnosis (e.g. warts, women with abnormal pap smear, etc), there are at least 10 others out there who are infected but not diagnosed. Therefore, informing partners of past infections does nothing at all to reduce their risk of getting HPV.

You may also be thinking about the possibility of persistent infection. But that's uncommon more than a few months after warts (or an abnormal pap) have cleared up. HPV DNA may persist for life in some persons. But for the most part even these people are not infectious, i.e. the virus cannot be transmitted to partners. 

In addition, there is generally no need to inform future partners of past sexual partnerships, even particularly high risk ones. Further, most "escorts" (by which I mean expensive female sex workers by appointment, as opposed to brothel workers, bar pick-ups, etc) are at fairly low risk for STD. Many select low risk clients (e.g. married men), know how to protect themselves, and get tested frequently. So I don't see your past experiences as especially high risk. Of course anyone having non-monogamous sex should be tested for STDs from time to time, but it sounds like you have been doing that and have had negative results -- or, in the case of your warts, treated. 

Having said all that, many couples discuss their past sexual lifestyles either before they first have sex or at least before embarking on long term commitment. But this is a relationship issue, not one directly related to STD/HIV risk and prevention.

I hope this has helped. Let me know if anything isn't clear.

HHH, MD
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50 months ago
Thanks so much doctor, I just have another question to nip this in the bud. A few years ago I huge regret of mine was that I had a blowjob with a condom on from a high risk brothel worker. Would this put me at a higher risk of passing hpv than the average male? Thanks again so much for quelling my anxious mind. 
50 months ago
I'm more specifically concerned about the cancer causing type..... thinking that she was likely to be more at risk of having many different strains of the virus
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
48 months ago
I have to apologize for the extreme delay in responding to your follow-up questions. We may need to look into a better notification system of moderators of new comments on existing threads.

Oral sex rarely transmits HPV, partly because oral HPV infections are much less common than genital; and when infection is present, oral-genital sex appears to be an inefficient mode of transmission. And you used a condom as well, which is highly protective. Your risk of having HPV, including the high risk types, definitely is no higher on account of the exposure a few years ago. 

Best wishes. Apologies again for the delayed response.

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