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I contracted genital warts in 1988 and have had normal Pap smears for 10 years. What are the chances of transmitting the virus to my partner with condoms, without condoms, or through oral sex?
I wish there were clear statistics to share with you.
Upwards of 2/3 of sexually active adults test positive for human papilloma virus (HPV) -- the cause of genital warts -- even if they have no symptoms. So women have to work out the choices you mentioned on a case-by-case basis. Studies done with the herpes virus show that women are much more likely to contract the virus from an infected male than the other way around -- same as HIV.
Scientists have identified more than 60 types of HPV. Some types of the virus cause common skin warts. About one-third of the HPV types are spread through sexual contact and live only in genital tissue. Low-risk types of HPV cause genital warts, the most recognizable sign of genital HPV infection. Other high-risk types of HPV cause cervical cancer and other genital cancers.
Since you have not had persisting or worsening Pap smears, we can assume that you have a low-risk type of HPV. Let's also assume that you will continue to harbor the virus lifelong, but your immune system keeps it in check.
Condoms will offer him some protection, but they don't cover the entire genital area. Condoms will also protect you from other sexually transmitted diseases that can be much worse than HPV and could even kill you.
Oral sex -- on you, I assume -- is not usually linked with a man getting HPV of the oral cavity, throat, etc. A few studies have linked HPV with oral cancers, but there is no proof the virus got there through oral sex.
What I suggest is a frank conversation with prospective partners that you had HPV 10 years ago with no recurrences. You should tell him that, unless he is a virgin, there is a strong possibility that he has already been exposed to HPV.
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