Genital Warts: Risks and Concerns After Treatment - Urology

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Cauliflower (Condylomata Acuminata)


Hello, doctor.
I have a question that might seem a bit silly, but I hope you can help me.
Both my wife and I have had genital warts in the past and have undergone treatment.
Recently, I experienced a recurrence, and my wife is concerned that she might also have it, so she asked me to get checked first.
During the examination, she accidentally passed gas, and I didn't avoid it; I felt the gas on my face.
Later, I noticed genital warts around my anus.
I have previously read about infections occurring due to gas produced from electrosurgery.
I would like to know if I could be infected in this situation.

Luo, 30~39 year old female. Ask Date: 2016/11/18

Dr. Du Shixi reply Urology


Hello: The transmission of warts is related to the viral load and one's own immune system.
Some transmission methods reported by the media are rare (meaning they are newsworthy only when they occur in one or two cases).
It is more important to closely monitor your own skin and practice safe behaviors.
If any issues arise, it is safer to seek medical attention promptly.
Thank you for your inquiry.

Reply Date: 2016/11/18

More Info


Genital warts, caused by certain strains of the human papillomavirus (HPV), are a common sexually transmitted infection. They can be concerning for both physical and emotional reasons, especially when it comes to recurrence and the potential for transmission to partners. Your situation raises several important points regarding the risks of transmission and the implications of treatment.

Firstly, it’s essential to understand that genital warts are primarily transmitted through skin-to-skin contact during sexual activity. The HPV virus can be present even when warts are not visible, which means that individuals can unknowingly transmit the virus to their partners. In your case, the concern about being infected after your wife inadvertently released gas while you were in close proximity is understandable, but it’s important to clarify that the act of passing gas itself does not transmit HPV. The virus is not airborne and cannot be spread through gas or other bodily fluids in this manner.

However, if there are visible warts or HPV-infected skin in the area, direct contact with those lesions can lead to transmission. If your wife has warts or has been previously diagnosed with HPV, there is a risk of transmission during intimate contact, even if the warts are not actively visible. It’s crucial for both partners to be aware of their HPV status and to communicate openly about any concerns regarding symptoms or recurrence.

Regarding your recent recurrence of genital warts, it’s not uncommon for individuals to experience outbreaks after initial treatment. Treatments such as cryotherapy, laser therapy, or topical medications can effectively remove visible warts, but they do not eliminate the virus from the body. HPV can remain dormant in the skin and may reactivate, leading to new warts. This recurrence can be frustrating and may require additional treatment.

In terms of managing genital warts, it’s advisable to consult with a healthcare provider who can offer guidance on the most appropriate treatment options for your situation. They may recommend further treatments to address the new warts and discuss preventive measures to reduce the risk of transmission to your wife. Additionally, the HPV vaccine is available and can help prevent infection from the most common high-risk strains of the virus, which are associated with cervical cancer and other genital cancers.

It’s also important to consider regular follow-ups with your healthcare provider, especially if you or your wife have concerns about the presence of warts or the risk of transmission. Regular screenings and open communication can help manage the emotional and physical aspects of living with HPV.

In conclusion, while the act of passing gas does not pose a risk for HPV transmission, close contact with infected skin can. It’s essential to maintain open communication with your partner, seek appropriate medical treatment for any recurrences, and consider preventive measures such as vaccination. By taking these steps, you can better manage the risks associated with genital warts and HPV.

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