HPV and Safe Practices for Gay Men: Key Questions Answered

Q: HPV and Safe Practices for Gay Men: Key Questions Answered

Hello： 1) Yes, but it is difficult to examine when it has not yet developed. <br>2) Yes, but the chances seem to be lower. <br>3) Warts can have unclear boundaries and may take a year to appear. <br>4) No risk - masturbation; low risk - mutual masturbation, light kissing, mutual

Cauliflower and other gender-specific prevention measures?

1.
If a person is infected with the human papillomavirus (HPV) but is still in the incubation period without visible symptoms, can they be detected through testing?
2.
Is it possible to transmit HPV during the incubation period?
3.
How many months should a sexual partner be free from visible HPV symptoms to confirm that they are not infected? (For example, with HIV, if a partner has not engaged in sexual activity for over three months and has tested negative, they can be considered uninfected.)
4.
If there are no obvious oral injuries, what is the risk of contracting HPV through oral sex with someone in the incubation period? Similarly, what about syphilis and HIV?
5.
For mutual masturbation, unprotected oral sex, anal licking, contact between the glans and anus without penetration, and protected anal intercourse, what sexually transmitted infections (STIs) should be considered? (HPV, HIV, syphilis, and others?)
6.
How can one confirm or test that a sexual partner is free from the aforementioned STIs? (Similar to question 3, but inquiring about other STIs.)

Wang Wang, 20~29 year old female. Ask Date: 2018/09/30

Dr. Du Shixi reply Urology

Hello: 1) Yes, but it is difficult to examine when it has not yet developed.
2) Yes, but the chances seem to be lower.
3) Warts can have unclear boundaries and may take a year to appear.
4) No risk - masturbation; low risk - mutual masturbation, light kissing, mutual rubbing, sexual intercourse with a condom; moderate risk - deep kissing, oral sex, withdrawal; high risk - unprotected sexual intercourse, resulting in wounds or bleeding (warts cannot be guaranteed to be protected by condoms; other activities require consistent condom use for protection).
5) At least 100 days of hospital testing without infection is needed for reassurance; for warts, one should monitor for the appearance of growths for at least 3-6 months, although there are cases where they appear after more than a year, but these are not common.
Wishing you good health.

Reply Date: 2018/09/30

More Info

Understanding HPV and Safe Practices for Gay Men: Key Questions Answered
Human Papillomavirus (HPV) is a significant concern for all sexually active individuals, including gay men. It is essential to understand how HPV can be transmitted, the implications of infection, and the preventive measures that can be taken to reduce the risk of transmission. Below, I will address your questions regarding HPV and safe sexual practices.

1. Can HPV be detected during the incubation period if there are no visible symptoms?
Yes, HPV can be detected even if there are no visible symptoms. The virus can remain dormant in the body for an extended period, and during this time, it may not cause any noticeable signs. HPV testing can identify the presence of the virus, but it is important to note that not all types of HPV are routinely tested in men. If you suspect you may have been exposed to HPV, it is advisable to consult a healthcare provider for appropriate testing.

2. Is HPV transmissible during the incubation period?
Yes, HPV can be transmitted during the incubation period, even if the infected person does not show any symptoms. This is one of the reasons why HPV is so prevalent; individuals may unknowingly pass the virus to their partners. Engaging in sexual activities, including oral sex, can facilitate the transmission of HPV.

3. How long should a sexual partner be free of visible HPV symptoms to ensure they are not infected?
Unlike HIV, which has a clear testing window, HPV does not have a definitive period after which one can be sure a partner is free of infection. Since HPV can remain dormant for years, it is difficult to ascertain whether a partner is free of the virus based solely on the absence of symptoms. Regular screenings and open communication about sexual health are crucial. It is advisable for both partners to undergo HPV testing and discuss their sexual history.

4. What is the risk of contracting HPV through oral sex with someone in the incubation period?
The risk of transmission through oral sex is present, even if the person does not have visible symptoms. HPV can infect the oral cavity and throat, leading to potential health issues, including oropharyngeal cancers. If you engage in oral sex with someone who is infected with HPV, the risk of transmission is significant, especially if there are micro-abrasions in the mouth or throat.

5. What are the risks associated with various sexual activities, including mutual masturbation, oral sex, and anal sex?
Various sexual activities carry different risks for transmitting sexually transmitted infections (STIs), including HPV, HIV, syphilis, and others. Here’s a breakdown:
- Mutual Masturbation: Generally considered low risk for STIs, but skin-to-skin contact can still transmit HPV.

- Oral Sex: Can transmit HPV, herpes, gonorrhea, and syphilis. The risk increases if there are cuts or sores in the mouth.

- Anal Sex: Higher risk for transmitting HPV, HIV, and other STIs. Using condoms can significantly reduce the risk but does not eliminate it entirely.

- Fingering or Anal Contact: Skin-to-skin contact can transmit HPV and other infections.

6. How can one ensure that a sexual partner is free from STIs?
The best way to ensure that a partner is free from STIs is through open communication and regular testing. Both partners should get tested for STIs, including HPV, before engaging in sexual activities. It is also important to discuss sexual history and any previous infections. Regular health check-ups and screenings are vital for maintaining sexual health.

In conclusion, HPV is a common virus that can be transmitted through various sexual activities, including those that may not involve penetrative sex. Understanding the risks and engaging in open communication with partners about sexual health is essential. Vaccination against HPV is also a crucial preventive measure. If you have concerns about HPV or other STIs, consulting with a healthcare provider is recommended for personalized advice and testing options.

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