Hello,
Thank you for choosing DoctorSpring.
I understand this can be a really challenging and frustrating times for you and your girlfriend
I will try my best to help you out here.
1. NO. You are definitely not the cause for the anal cancer in your girlfriend. HPV is only one of the risk factor for anal cancer. And it takes years for the cancerous process to being. This involves four steps :
HPV acquisition
HPV persistence (versus viral clearance)
Progression of a persisting infection to a precancerous lesion
Local invasion
All this cannot occur within 9 months.
2. You have the same risk as everyone else. As there is no proof that you have HPV infection. But repeated anal sex and multiple partners would put you in a higher risk category.
3. Again there is not proof that you have HPV. Almost upto 50% of adult individuals can have HPV infection. Almost 90% sexually active individuals will come in contact with HPV in their lifetime. So I do not think this will alter your sex life in an great manner. But you should always stick to condom use. And obviously multiple sexual partners is not without risk for STD and other infections. So you should take that also into consideration. So I do not think you will be 'harming' anyone if you engage in protected sex.
Hope this helps
Feel free to ask followups
Thank you
Patient replied :
Thank you for your very helpful answer, please I need clarification about the following:
1. If am "definitely" not the cause of her cancer because of our short term sex life, does this mean accordingly that she got her hpv which caused her cancer from a previous old partner and not me?
2. I understand that I have the risk factor as everyone else, but does having sex my girlfriend whom she has anal cancer and mostly has a dangerous kind of hpv makes her transmitted this dangerous kind of hpv to me?
3. What if I got married once again and my partner will be only "one", should I also be using condom for all my life time even with my new wife?
4. As I am seeking different opinions from whatever trustworthy sources as much as I can, who in your opinion should have the best answers to my questions? An STD specialist, or andrology or oncologists?
Can you please refer me or provide me a list of the best doctors that I can have their another opinion in my case and questions, and please any other trustworthy online clinics that I can contact directly form my home country?
Thanks again and kind regards
Hello,
Thank you for getting back.
1. Anal cancer, just like many other cancer can have many causes. Although the major cause is HPV you can never know for sure unless HPV is tested for. But there is a strong possibility that HPV is the causative agent . In that it is possible that you partner got it from her previous contacts, But this analysis is pointless as we never know for sure.
2. Yes. As I said since you had multiple sexual partners you are at slightly higher risk. But anal cancer by HPV is not like an infectious disease. Even if you get the same HPV your risk for anal cancer remains same as everyone with HPV.
3. No in that case routine condom use is not practical or not needed.
4. You can consult an Oncologist . Also STD / Infectious disease specialists could give you more information. Other online portals are Healthtap, Mediangels etc. Alternatively you can ask a Oncologist here in DoctorSpring itself.
Hope this helps
Feel free to ask followups / clarifications
Patient replied :
Can you refer me to an oncologist at doctorspring?
Hello,
You can ask a new specialist consult and post your query.
You can either mention that you need a reply from an Oncologist or choose Oncologist in the dropdown menu.
By the way if you know the stage of your partners anal cancer please mention that too.
Thank you