Facing HPV Anxiety: My Journey Through Urology Concerns - Urology

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People who are troubled are going crazy?


On the morning of May 12th this year, I went to a massage parlor after drinking too much alcohol and had vaginal intercourse with the massage therapist.
I only realized that the condom broke during ejaculation.
After that, on May 20th, which was the eighth day, I tested for HIV (RT-PCR) and syphilis, as well as HPV, and all results were negative.
I also had a DNA test for HPV, which was negative on June 13th.
On July 1st, I tested for HIV and syphilis again, and both results were negative.
On July 1st, I also tested for HPV again, and on July 12th, I was informed that I tested positive for high-risk HPV type 39 with a viral load of 1000 copies.
The next day, I took the report to Dr.
Chen Wei-Bao, who prescribed medication for me to take for four weeks and advised me to retest for DNA afterward.
Doctor, please help me!

qì'é, 30~39 year old female. Ask Date: 2016/07/14

Dr. Fu Shizhang reply Urology


Please ensure to use condoms throughout the entire sexual intercourse.

Reply Date: 2016/07/14

More Info


It sounds like you are going through a very challenging time, and I want to reassure you that your concerns about HPV and its implications are valid. Let's break down your situation and address your anxiety regarding HPV, the potential risks associated with it, and the steps you can take moving forward.

First, it's important to understand that HPV (Human Papillomavirus) is a common sexually transmitted infection. In fact, most sexually active individuals will contract HPV at some point in their lives, but many will not experience any symptoms or health problems. There are over 100 types of HPV, and while some are considered high-risk and can lead to cancers (such as cervical cancer), many types are low-risk and may cause benign conditions like warts.

From your description, you have undergone several tests, including for HIV and syphilis, which have all returned negative results. This is a positive sign, and it indicates that you are not currently infected with these viruses. However, you have tested positive for HPV type 39, which is classified as a high-risk type. The presence of HPV does not mean you will develop cancer; in fact, most HPV infections are cleared by the immune system within two years.

Your doctor has prescribed a treatment plan, which is a proactive step. It’s essential to follow through with the treatment and any follow-up testing as recommended. The fact that your doctor is monitoring your HPV status and has advised you to return for further testing after four weeks is a good practice. This will help determine if the virus is still present and if further action is needed.

Regarding your anxiety about the potential risks of developing cancer from HPV, it is crucial to remember that not all high-risk HPV infections lead to cancer. Regular screenings, such as Pap smears and HPV tests, are vital for early detection of any changes in cervical cells that could lead to cancer. Since you are already in a monitoring program, you are taking the right steps to manage your health.

In terms of your sexual health, it is advisable to communicate openly with your partners about your HPV status. Using condoms can reduce the risk of transmitting HPV, but they do not provide complete protection since HPV can be present in areas not covered by a condom. If you are in a committed relationship, discussing HPV with your partner can help both of you understand the situation better and make informed decisions about sexual activity.

Additionally, consider getting the HPV vaccine if you haven't already. The vaccine can protect against the most common high-risk types of HPV and is recommended for both males and females. It is most effective when given before the onset of sexual activity but can still be beneficial even if you are already HPV positive.

Lastly, managing anxiety is crucial for your overall well-being. Consider seeking support from a mental health professional who can help you cope with your fears and provide strategies to manage anxiety. Support groups or counseling can also be beneficial, as they allow you to connect with others who may be experiencing similar concerns.

In summary, while testing positive for HPV can be concerning, it is essential to remember that most infections resolve on their own, and regular monitoring is key to managing your health. Follow your doctor's advice, maintain open communication with your partner, and take care of your mental health as you navigate this journey.

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