I have been combing the literature and asking the Doctors but can�t seem to come up with any definitive answers to my situation. Would anyone out there mind addressing the following specific concerns for me ?

I assume that my tongue cancer was caused by HPV through oral sex. If this is the case, and I do in fact have (had ?) HPV

- What is the treatment for HPV if any ?
- How do I know if I still have it (HPV) ?
- How long does HPV stay in the body ?
- Can the virus re-manifest as cancer ?
- Can I transmit the HPV to a partner ?
� In what ways ?
� How easily ?
- Can any type of sexual activity (including kissing) transmit the virus ?
- Can I re-acquire the same virus (+16) or a different strain through sexual contact ?
- Am I at increased risk of re-infection or re-manifest because it�s already caused cancer once ?
- Are there any limitations or restrictions (other than abstinence)that I must observe regarding sexual activity (including oral sex) to protect myself and my partner ?
- Can my mucus / saliva be stained for HPV strains to see if I still have it ?

I appreciate your indulgence in what I�m sure seem like na�ve questions. It�s just that now that I�ve concluded this intensive course of Chemo, Radiation and Immuno Therapies, and am showing cancer free scans, I am looking forward to getting my life back to some semblance of normalcy (including dating) during the coming months/year and these are things that have been on my mind as I undertake this process. I can't take the chance with someone else's life/health and I'm not going to even get into the situation if there's a chance I'm still contagious. I'd really hate to think that my sexual days are over but if that's what it takes...




DON - Age 49 at Dx 2/08, HPV 16+ HNSCC, T1N2bM0, Stage IV BOT + 2 nodes L&R, non smoker, casual drinker. Treated w/ Cisplatin x4,concurrent IMRT x37, Cetuximab x10, no surgery (other than feeding tube, twice!), no Peg, Tx at Massey Cancer Center VCU, concluded 7/25/08. 3 scans clean now !!! YEAH!!!