HPV: Risks of Transmission After Skin Warts Treatment - Urology

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Hello doctor, my girlfriend previously had viral warts on her fingers and toes, which were treated with cryotherapy and surgical removal, and she has been free of them for over a year.
I would like to ask: 1.
Even if the warts on her hands and feet have been treated, will there still be residual HPV in her body? (I understand that the types of HPV causing warts on the hands and feet are different from those causing genital warts.) 2.
If I have sexual relations with her, will I be at risk of transmission?

David, 20~29 year old female. Ask Date: 2017/03/07

Dr. Du Shixi reply Urology


Hello: 1) It is possible, but treatment for the condition can help (many people have it).
2) If a woman does not have genital warts, you will not transmit the infection during sexual intercourse.
Thank you for your inquiry.

Reply Date: 2017/03/07

More Info


Understanding HPV and its transmission risks, especially after treatment for skin warts, is crucial for both your health and your partner's. Human Papillomavirus (HPV) is a group of more than 200 related viruses, with some types causing common warts (such as those on the hands and feet) and others associated with genital warts and certain cancers.
1. Residual HPV After Treatment: After successful treatment of skin warts, such as through cryotherapy or surgical excision, it is possible that some HPV may remain in the body. However, the immune system often clears the virus over time, especially if there are no visible warts or symptoms. The types of HPV that cause common warts (like HPV types 2 and 4) are generally different from those that cause genital warts (like HPV types 6 and 11). Therefore, while your girlfriend may have cleared the warts from her hands and feet, it does not necessarily mean that she is free from all HPV types. The immune response can vary from person to person, and some individuals may retain the virus without showing any symptoms.

2. Risk of Transmission During Sexual Activity: If your girlfriend has been treated for hand and foot warts and has not had any recurrence for over a year, the risk of transmission of the same HPV types that caused those warts is likely low. However, if she has been infected with genital HPV types in the past or has a history of genital warts, there is still a risk of transmission during sexual activity. HPV can be transmitted through skin-to-skin contact, and even if there are no visible warts, the virus can still be present and infectious.

To minimize the risk of transmission, consider the following recommendations:
- Vaccination: If you and your girlfriend have not been vaccinated against HPV, consider discussing the HPV vaccine with your healthcare provider. The vaccine can protect against the most common and high-risk HPV types, significantly reducing the risk of transmission and HPV-related diseases.

- Regular Health Check-ups: Encourage your girlfriend to have regular gynecological check-ups, including Pap smears, to monitor for any changes in cervical health, especially if she has a history of HPV-related issues.

- Safe Practices: Use barrier methods, such as condoms, during sexual activity. While condoms do not provide complete protection against HPV, they can reduce the risk of transmission.

- Open Communication: Maintain open communication with your partner about health history and any concerns regarding HPV. This can help both of you make informed decisions about your sexual health.

In conclusion, while the risk of transmitting HPV after treatment for skin warts is generally low, it is not entirely absent, especially if there is a history of genital HPV. Staying informed, practicing safe sex, and considering vaccination can help manage the risks associated with HPV. If you have further concerns or questions, consulting with a healthcare provider specializing in infectious diseases or sexual health can provide personalized guidance.

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