Regarding male HPV infection issues?
Hello, doctor.
I am a 30-year-old heterosexual male.
I am concerned about HPV infection because I have previously engaged in sexual activities where a woman performed analingus on me.
Two months ago, I visited a clinic and underwent an HPV DNA test conducted by a urologist.
They used a brush to sample around my anus and near my penis.
The results showed high-risk HPV type 56 and low-risk type 43, with a viral load of ++.
This has made me very anxious, especially since I have no symptoms and no history of genital warts.
However, the doctor mentioned that even without a history of warts, it does not mean I won't develop them in the future.
The doctor also stated that once infected with HPV, the virus will never completely disappear.
Even if future tests are negative, it only indicates that the virus is suppressed to a level undetectable by the immune system, meaning I still have a risk of developing genital warts or anal cancer in the future.
This information frightened me, so I immediately researched online and found that many people say that about 90% of HPV infections can be cleared by the immune system within two years, which seems to contradict what the doctor said.
Which statement should I believe? How long should I wait before getting retested? Thank you.
Jason, 30~39 year old female. Ask Date: 2016/08/11
Dr. Sun Hongshun reply Urology
Hello, I tend to agree with the first statement, but in medicine, nothing is ever 100%.
Even with an HPV type 56 infection, you cannot determine whether it is a past or recent infection.
There are many types of HPV, and the claim that 90% of infections are cleared by reliable immunity is unclear in its basis.
Since the virus may coexist with us, it is important to exercise regularly and maintain a healthy lifestyle to support your immune system, while also trying to avoid high-risk behaviors.
If you experience any discomfort or have questions, you should return for a follow-up appointment.
Reply Date: 2016/08/11
More Info
Understanding HPV Infection in Men: Concerns and Next Steps
As a 30-year-old heterosexual male who has engaged in sexual activities that may expose you to HPV, it is completely understandable to have concerns about your health following a diagnosis of high-risk HPV types 56 and low-risk type 43. Your feelings of anxiety are valid, especially given the potential implications of HPV infection, including the risk of developing genital warts or even cancers such as anal cancer.
Firstly, it is important to clarify some misconceptions about HPV. While it is true that HPV can be persistent and may not be completely eradicated from the body, many individuals—approximately 90%—do clear the virus naturally within two years due to their immune system's response. This means that while you may have tested positive for HPV now, there is a significant chance that your body could eliminate the virus over time. The key factor here is the strength of your immune system, which can vary from person to person.
Your doctor’s statement that once infected, the virus may never completely disappear is also accurate; however, it is essential to understand that this does not mean you will always be at risk of developing symptoms or related health issues. Many people live with HPV without ever experiencing any health problems. Regular monitoring and maintaining a healthy lifestyle can significantly contribute to your immune system's ability to manage the virus.
Regarding your follow-up testing, it is generally recommended to have a re-evaluation every six to twelve months, depending on your doctor's advice and your specific health circumstances. This will allow for monitoring of any changes in your HPV status and help in early detection of any potential complications.
In terms of sexual health, it is crucial to communicate with your partners about your HPV status. While condoms can reduce the risk of transmission, they do not provide complete protection against HPV, as the virus can be present on skin not covered by a condom. Therefore, practicing safe sex and considering vaccination against HPV for both you and your partners can be beneficial. The HPV vaccine is effective in preventing the types of HPV that most commonly cause genital warts and cancers, and it is recommended even for those who are already infected with some types of the virus.
Additionally, it is wise to be vigilant about any changes in your body. If you notice any unusual symptoms, such as growths or changes in the skin around your genital area or anus, seek medical attention promptly. Regular check-ups with your healthcare provider can help ensure that any potential issues are addressed early.
Lastly, while the emotional toll of an HPV diagnosis can be significant, it is important to remember that you are not alone. Many individuals are affected by HPV, and there are resources available for support and information. Engaging in open discussions with healthcare professionals can help alleviate some of your concerns and provide clarity on the next steps in managing your health.
In summary, while your diagnosis of HPV is understandably concerning, it is essential to focus on the positive aspects: the majority of HPV infections resolve on their own, and with regular monitoring and a proactive approach to your sexual health, you can manage your risk effectively. Stay informed, maintain open communication with your partners, and prioritize your health through regular check-ups and a healthy lifestyle.
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