Slog

News & Arts

The Stranger Suggests

Critics' Best Bets
Music Arts & Food


Line Out

Music & the City
at Night

Wednesday, October 5, 2011

People Aren't Going to Stop Having Oral Sex

Posted by on Wed, Oct 5, 2011 at 7:40 AM

Which is why everyone—boys and girls—should be vaccinated against HPV.

Backing up: I wrote a column back in 2007 about a Johns Hopkins study that documented a link between oral sex, HPV infection, and throat cancer. A new study is out, this one conducted at Ohio University and published in The Journal of Clinical Oncology, and the results are grimish. NYT:

The researchers estimated that over all, throat cancers caused by the virus have increased to 2.6 per 100,000 people in 2004 from 0.8 cases per 100,000 people in 1988. If the trend continues, by 2020 the virus will be causing more throat cancer than cervical cancer, the study concluded.... Dr. Kevin J. Cullen, director of the Greenebaum Cancer Center at the University of Maryland, said the study was well done. “It’s very clear that this is becoming a major epidemic,” he added.

But before you panic: throat cancers are still rare (fewer than 10K cases a year), most people with HPV do not go on to develop throat cancer, and...

Throat cancers caused by HPV are more treatable than those not caused by the virus. Median survival in throat cancer patients with the virus is 131 months; without it, 20 months.

So smoking-related throat cancer is much deadlier and harder to treat than oral-sex-related throat cancer. And as I wrote back in 2007:

So while the news is alarming, and the mainstream media will doubtless go into full hysteria mode, last week's report in the New England Journal of Medicine shouldn't be read as, "Eat yourself some pussy, get yourself some throat cancer!" Engaging in oral sex puts you at a greater risk—significantly greater, admittedly—of contracting a virus that, if your body doesn't clear it, presents a very small risk of causing throat cancer. It's not a certainty; it's a risk. As with many pleasurable activities, sexual or otherwise, we weigh risks against benefits and make choices. Smart folks minimize their risks—by, say, using condoms for oral sex (har har)—but most sexually active adults are likely to conclude that the real and immediate pleasures of oral sex are worth risking a distant and unlikely case of throat cancer.

And now for the good news: There's a vaccine that offers 100 percent protection against the strains of HPV that cause cervical cancer in women and, it now appears, throat cancer in men and women.

Back to the NYT:

Two vaccines, Gardasil and Cervarix, protect against HPV Type 16 and other strains of the virus that cause cancers and genital warts. But medical groups now recommend them only for girls, to protect against cervical cancer. Researchers think the vaccines might also prevent some throat cancers, but cannot be sure unless the vaccines are specifically tested for that purpose. The manufacturers—Merck and GlaxoSmithKline—say they have no plans to study throat cancers. But Dr. Cullen said that the vaccines were likely to prevent the throat cancers, and should be given to boys too. He said he had no connection to vaccine companies.

Considering that HPV-related throat cancers are "far more common in men than in women, a difference that has not been explained," I'm thinking funds will be quickly found to study the effectiveness of the HPV vaccines against throat cancers. In the meantime, moms and dads, your sons should be vaccinated against HPV as well as your daughters.

And in other news: people are still eating cantaloupe.

 

Comments (23) RSS

Oldest First Unregistered On Registered On Add a comment
Fifty-Two-Eighty 1
Good to see you picked up on this. Anyhing that provides more ammunition against the ten percent of parents who refuse to vaccinate their kids (ack!) is a good thing.

I'm still eating cantaloupe too. Rocky Ford cantaloupe at that. The contaminated shit was only from one farm, and it's not on the market right now. Please feel their pain - their entire crop is rotting in the fields right now.
Posted by Fifty-Two-Eighty http://www.nra.org on October 5, 2011 at 7:45 AM
2
And 19 people are rotting in the ground.
Posted by Dan Savage on October 5, 2011 at 7:47 AM
Fifty-Two-Eighty 3
And so it goes.
Posted by Fifty-Two-Eighty http://www.nra.org on October 5, 2011 at 7:54 AM
Vince 4
Please listen people. Get these shots for yourselves and future generations, too.
Posted by Vince on October 5, 2011 at 8:06 AM
5
My teenage boys received the first injection of the HPV vaccine a few weeks ago. So far, no mental retardation.
Posted by AKTheresa on October 5, 2011 at 8:31 AM
6
Unless I'm mistaken, I thought I saw HPV-vaccine shots being offered at Chicago Pride.
Posted by Drew2u on October 5, 2011 at 8:46 AM
7
Hey Dan -

Did you get the vaccine? Should all adult gay men?
Posted by Krl5858 on October 5, 2011 at 9:05 AM
8
Funny how you're fine with cantaloupe but not fine with pitbulls, even though cantaloupes have killed 3.5X more people in a short time than pit bulls kill in a year. Pit bulls kill an average of 5 people per year.
Posted by I hate inconsistencies on October 5, 2011 at 9:06 AM
9
@5: I so desperately want this to be a new meme. #notretardedyet
Posted by brokephilosopher on October 5, 2011 at 10:49 AM
10
Dan, given that cigarettes were previously the leading cause of throat cancer, I think this confirms the origin of the phrase, "smoking cock".
Posted by Smartypants on October 5, 2011 at 11:00 AM
11
Now that there's proof that boys have skin in the game, I expect the catholic priests will recommend the vaccine any day now.
Posted by drawn_a_blank on October 5, 2011 at 11:13 AM
12
@8, then you should learn to read. Dan is attacking cantaloupes in this post. Implicitly, in his tagline "people are still eating cantaloupe." And explicitly @2.
Posted by EricaP on October 5, 2011 at 11:49 AM
kim in portland 13
Both of our children are fully immunized. Neither have suffered any intellectual impairment either.

Hopefully more will get immunized.
Posted by kim in portland http://www.oregonlive.com/portland/index.ssf/2010/11/fast-paced_video_provides_a_fu.html on October 5, 2011 at 12:04 PM
14
I was wondering why such an emphasis on throat cancer arising from cunnilingus, and not so much from fellatio...and then I read your last paragraph.

What IS the proportion of acts of cunnilingus to acts of fellatio, anyway? Are men more giving in this regard, or are men and women performing oral sex at equal rates?
Posted by Approaching 40 in LA on October 5, 2011 at 12:06 PM
Dingo 15
You say "boys and girls." So what's the upper age limit for getting vaccinated? Come to think of it, why is there one?
Posted by Dingo on October 5, 2011 at 12:23 PM
16
@15, generally 26, unless you haven't been sexually active. The theory goes that if you've made it to 26 as a sexually active person, you've probably already been exposed to HPV. Like many viruses, most people clear HPV with little problem and no lasting harm, and receive the same boost in immunity that a vaccine will provide. Same reason they don't recommend vaccinating adults who've already had chicken pox against it. It seems like it would be harmless to get it if you're over 26, but good luck getting your insurance to pay for it.
Posted by Ms. D on October 5, 2011 at 12:48 PM
nicole sweetness 17
@ 16 I live in Canada, and had a physical last week. I am 26 and assumed I was too old for the HPV vaccine. My doctor told me that age limit was recommended with the initial distribution of the vaccine. Now, it is being recommened for men and women regardless of age.
Posted by nicole sweetness on October 5, 2011 at 3:49 PM
18
I am a doctor. The vaccine is now approved for boys as well as girls. The studies were only done up to age 26, hence insurance companies won't pay for it; but if you can convince your doctor to give it to you, you can pay out of pocket-about $600 for the series. I gave it to myself at age 44 when I first got it in the office. And I've started the series with my teenage boy.
Posted by drcme on October 5, 2011 at 4:37 PM
emma's bee 19
I have a colleague (age ~60) currently battling HPV+ throat cancer. He brought up the oral sex connection in conversation (we are scientists).

People, please vaccinate your girls AND boys.
Posted by emma's bee on October 5, 2011 at 4:40 PM
20
Disease is Darwin's way of telling you you are doing something stupid/dangerous/irresponsible.

Is there a vaccine for Stupid yet, Danny?
Posted by Science can't help you if you ignore it on October 5, 2011 at 6:42 PM
21
Thanks, 17 and 18. I'm not preaching from any medical knowledge level, just what I've heard in the media and from my doctor/insurance company. I actually had a minor health freak-out in the last 6 months that mimicked some of the symptoms of early cervical cancer, and ran into my doctor's office crying. Thankfully, nothing "bad" is wrong with me (unless you consider being extremely fertile "bad," which I do). Given that freak-out, I asked about the vaccine, even knowing that it was only recommended up to 26 (I'm 30), and my doctor explained what I had heard. I think it would be good to vaccinate anyone who wants it regardless of age, but my insurance wouldn't cover it. Given that I'm in a stable, monogamous, multi-year relationship and have no signs of cervical dysplasia, genital warts, etc., it's not worth the $1000 to me (hey, welcome to the U.S. where it's more expensive), but if you're sexually inexperienced, non-monogamous, or worried and over 26, it might be worth it to you.

And, 100% for all kids and anyone else 26 or younger. This isn't a tetanus shot that they can just give you if you've had an incident that puts you at risk, people. If I ever ended up outside of my relationship, I would get vaccinated, stat, and recommend it to all the young charges I mentor through my volunteer work (given that I recommend Depo to the ladies if they may, possibly, might, occasionally, maybe, sometime consider having sex at a time that they are not ready, willing, and able to raise a baby, even if they're 100% committed to using condoms, they hate me for recommending another round of shots, but I want my ladies and gents to live long, productive lives, and strenuously recommend the regiment to them, especially since all of them can get it free..even the boys, both as a respect for women issue and as a throat cancer issue). This vaccine is good shit, and should be available to anyone who wants it.
More...
Posted by Ms. D on October 5, 2011 at 6:57 PM
venomlash 22
@20: Disease is simply a manifestation of niche-filling by viruses, bacteria, and protozoans. You know, the "nature abhors a vacuum" bit.
But hey, what do you know about science?
Posted by venomlash on October 5, 2011 at 10:07 PM
23
Oral sex vaccine study? Sign me up!
Posted by Ivan on October 6, 2011 at 2:14 PM

Add a comment

Advertisement
 

All contents © Index Newspapers, LLC
1535 11th Ave (Third Floor), Seattle, WA 98122
Contact Info | Privacy Policy | Terms of Use | Takedown Policy