HPV Types: Are They Related to Warts? Your Questions Answered

HPV report issues?

Hello, doctor.
I recently had an HPV test, and the report indicated that I tested positive for HPV type 43 with three positive results.
I asked the doctor if this is related to genital warts, and he replied that all HPV viruses are associated with genital warts.
Is that true? He asked if I had any growths, and I mentioned that I sometimes feel a bump that resembles a pimple while showering, but I can't see anything when I look in the mirror.
The size of this bump varies; for example, it tends to be larger during my menstrual period.
He said that this is likely not genital warts.
During a previous examination, I mentioned a bump on my vulva, but he said he couldn't see anything and mentioned that women can have some normal obstructive issues in that area (I forgot what he specifically said).
Since I received the report over the phone, he advised me to come in for a follow-up, but I find his explanation a bit strange.
I'm really scared and wondering if I should seek a second opinion.
Is HPV type 43 associated with genital warts? How can I determine if that bump is genital warts? Please, doctor, I need your advice.

Shan, 20~29 year old female. Ask Date: 2017/04/01

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, I apologize for not being able to provide a diagnosis based on your description.
Whether or not you have genital warts can be determined through a pelvic examination.
The correlation between type 43 and genital warts is relatively low.
If you are still experiencing discomfort, I recommend consulting a gynecologist.
Wishing you good health.

Reply Date: 2017/04/01

More Info

Human Papillomavirus (HPV) is a group of more than 200 related viruses, some of which can lead to warts, while others are associated with various cancers, including cervical cancer. Understanding the different types of HPV and their implications is crucial for managing health risks effectively.

1. HPV Types and Warts: Among the HPV types, types 6 and 11 are classified as low-risk and are primarily responsible for causing genital warts, also known as condylomata acuminata or "cauliflower-like" lesions. On the other hand, high-risk HPV types, such as 16 and 18, are linked to the development of cancers, including cervical, anal, and oropharyngeal cancers. The HPV type you mentioned, type 43, is less commonly discussed in relation to warts. While it is categorized as a low-risk type, it is not typically associated with the development of visible warts like types 6 and 11. Therefore, it is essential to consult with a healthcare provider for a thorough evaluation.

2. Symptoms and Diagnosis: The presence of a bump or lesion in the genital area can be concerning. However, not all bumps are indicative of HPV or warts. Many individuals have benign skin conditions, such as sebaceous cysts or folliculitis, which can appear as small bumps. If you have a bump that changes in size, especially in relation to your menstrual cycle, it may be hormonal or related to other benign conditions. A healthcare provider can perform a physical examination and, if necessary, a biopsy to determine the nature of the bump.

3. Transmission and Immunity: HPV is primarily transmitted through skin-to-skin contact, particularly during sexual activity. Most sexually active individuals will contract HPV at some point in their lives, but the immune system often clears the virus within two years without causing any health issues. In cases where the virus persists, it can lead to complications, including warts or cancer. Vaccination against HPV is highly recommended for both males and females to prevent the most common and high-risk types of HPV.

4. Follow-Up and Treatment: If you are concerned about the bump you have noticed, it is advisable to follow up with your healthcare provider for a more detailed examination. They may recommend a visual inspection, and if necessary, a biopsy to rule out HPV-related lesions. Treatment options for genital warts include topical medications, cryotherapy, and surgical removal, depending on the size and number of warts.

5. Psychological Impact: It is completely normal to feel anxious or scared about potential HPV infections or the implications of your diagnosis. Open communication with your healthcare provider is essential. If you feel uncomfortable with the answers provided or the level of care, seeking a second opinion is a reasonable step. Your health and peace of mind are paramount.

In conclusion, while HPV type 43 is not typically associated with warts, it is essential to have any unusual bumps evaluated by a healthcare professional. Regular screenings and vaccinations can significantly reduce the risk of HPV-related health issues. If you have further questions or concerns, do not hesitate to reach out to your healthcare provider for guidance and support.

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