the Risk of HPV Transmission Through Shared Activities - Urology

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I would like to ask questions regarding genital warts?


If I engage in masturbation with other men, and one of them has his hands contaminated with his own dried prostatic fluid, and then touches my glans and urethral opening, is there a risk of contracting genital warts? Additionally, if his underwear has come into contact with his prostatic fluid and potentially touched my underwear (while I am also wearing underwear), is there a risk of contracting genital warts? Thank you, doctor.

AAA, 20~29 year old female. Ask Date: 2017/03/05

Dr. Du Shixi reply Urology


Hello: The infection of genital warts is related to the viral load and your immune resistance.
As long as he has genital warts, you are at risk, so please be cautious.
Thank you for your inquiry.
It is not related to prostate fluid.
(If his hands come into contact with his own warts and then touch you, there is a possibility of transmission.)

Reply Date: 2017/03/05

More Info


When it comes to understanding the risk of HPV (human papillomavirus) transmission through shared activities, it is important to consider the nature of HPV and how it spreads. HPV is primarily transmitted through direct skin-to-skin contact, particularly during sexual activities. This includes vaginal, anal, and oral sex, as well as other forms of intimate contact that may involve the genital area.

In your scenario, where you and another male are engaging in mutual masturbation, the risk of HPV transmission can be assessed based on a few factors:
1. Direct Contact with Infectious Fluids: HPV can be present in bodily fluids, including pre-ejaculate and semen. If the other male had pre-ejaculate on his hands and then touched your genital area, there is a potential risk for transmission. However, HPV is not highly infectious through dried fluids. Once the fluid has dried, the likelihood of the virus remaining viable and infectious decreases significantly.

2. Indirect Contact via Clothing: If the other male's underwear had pre-ejaculate on it and then came into contact with your underwear, the risk of transmission remains low. HPV does not survive long outside the human body, and the virus is not typically transmitted through clothing. The primary mode of transmission is through direct skin contact rather than through inanimate objects or clothing.

3. Risk of Genital Warts (Condyloma Acuminata): HPV types 6 and 11 are responsible for the majority of genital warts. If the other male is infected with one of these types and there was direct contact with your skin, there is a risk of transmission. However, the risk is significantly lower if there was no direct skin-to-skin contact or if the contact was indirect (such as through clothing).

4. Symptoms and Testing: If you are concerned about potential HPV infection, it is advisable to monitor for any symptoms, such as the appearance of warts or unusual changes in your genital area. Many HPV infections are asymptomatic and resolve on their own, but if you notice any changes, you should consult a healthcare provider. Testing for HPV can be done, but it is typically more straightforward for women through Pap smears and HPV tests. For men, there is no routine screening for HPV, but a healthcare provider can evaluate any lesions or symptoms.

5. Prevention: To reduce the risk of HPV transmission, consider vaccination with the HPV vaccine, which is effective against the most common cancer-causing strains of the virus. Additionally, practicing safer sex by using condoms can help lower the risk of transmission, although they do not provide complete protection since HPV can infect areas not covered by a condom.

In conclusion, while there is a theoretical risk of HPV transmission through the activities you described, the actual risk is likely low, especially if there was no direct contact with infectious fluids. If you have any concerns or experience any symptoms, it is best to consult a healthcare professional for personalized advice and potential testing. Regular check-ups and open communication with sexual partners about health and safety can also help mitigate risks associated with HPV and other sexually transmitted infections.

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