HPV Transmission and Symptoms: Your Urology Questions Answered - Urology

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I would like to confirm?


Hello Doctor, I would like to ask a few questions:
1.
My boyfriend was diagnosed with genital warts (condylomata acuminata) about a year ago and started treatment.
I immediately went to a gynecologist for an examination and confirmed that I am not infected.
However, is it possible that I actually have the virus in my body and could transmit it to my boyfriend?
2.
My boyfriend is very confused about the cause of his condition because he is an engineer and works very hard, theoretically having no time or opportunity for infidelity (he has repeatedly assured me that he has not been unfaithful).
We had been dating for about a year before his diagnosis, and he had also broken up with his previous partner over a year ago.
Is it possible for genital warts to remain dormant for two years before manifesting?
3.
Could genital warts potentially arise from inadequate hygiene after using the restroom (or from rinsing the penis and having water flow towards the anus), or from wearing tight underwear causing infections in different areas? He discovered a few bumps around the anal area last month...
Thank you in advance for your answers!

Xiao Si, 20~29 year old female. Ask Date: 2016/08/11

Dr. Sun Hongshun reply Urology


Hello: 1.
Confirm that there is no infection, just that there are currently no lesions on the skin.
2.
It is possible that the condition may manifest when the immune system is weakened.
3.
There may be an infection; it is recommended to wear loose-fitting clothing.
Since there is a possibility of infection, please seek follow-up treatment as soon as possible at a urology or infectious disease clinic.

Reply Date: 2016/08/11

More Info


Understanding HPV Transmission and Symptoms: Your Urology Questions Answered
Human Papillomavirus (HPV) is a common sexually transmitted infection that can lead to various health issues, including genital warts (also known as condyloma or "菜花") and certain types of cancer. Your questions touch on important aspects of HPV transmission and the potential for asymptomatic carriers, so let’s break down your concerns.

1. Asymptomatic Carriers and Transmission: It is indeed possible to carry HPV without showing any symptoms. HPV can remain dormant in the body for a long time, and many individuals may not even know they are infected. In your case, since you tested negative for HPV after your boyfriend's diagnosis, it is less likely that you are currently transmitting the virus to him. However, it is essential to understand that HPV can be transmitted even when an infected person does not have visible symptoms or lesions. Regular screenings and communication with your healthcare provider are crucial for both you and your partner.

2. Incubation Period of HPV: HPV has a variable incubation period, and it is possible for the virus to remain dormant for months or even years before symptoms appear. In your boyfriend's case, if he was exposed to HPV from a previous partner, it could take time for the virus to manifest as genital warts. The timeline you mentioned, where he was in a relationship that ended over a year ago, does allow for the possibility that he contracted the virus during that time and it remained asymptomatic until recently. It’s also important to note that HPV is highly prevalent, and many people are exposed to it at some point in their lives, often without realizing it.

3. Hygiene and Infection: Regarding your question about hygiene, while maintaining proper hygiene is important for overall health, HPV is primarily transmitted through direct skin-to-skin contact during sexual activity. It is unlikely that HPV could be transmitted through indirect means such as using the restroom or through clothing. The appearance of warts around the anal area could be due to the spread of the virus from the genital area, especially if there was contact during sexual activity. It’s essential for your boyfriend to consult with a healthcare provider for appropriate treatment and guidance on managing his condition.

In summary, HPV is a complex virus with various strains, some of which can lead to warts while others are associated with higher risks of cancer. Regular check-ups, open communication with partners, and safe sexual practices are key to managing HPV risks. If you have any further concerns or symptoms, it is advisable to consult a healthcare professional who can provide personalized advice and treatment options. Remember, both partners should be involved in discussions about HPV and its implications for sexual health to ensure mutual understanding and care.

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