Two Years Later: Assessing Urological Health After Safe Sexual Practices - Urology

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Cauliflower for two years?


Two years ago, my boyfriend put his fingers inside my vagina in an outdoor setting after he had taken off his pants.
Since there have been no lesions or symptoms after two years, can I rule out an infection? Additionally, if I have been practicing safe sex, is it necessary to undergo HPV testing, and is it true that cervical testing may not be accurate if taken from outside the vagina?

Nìmíng, 10~19 year old female. Ask Date: 2017/04/16

Dr. Du Shixi reply Urology


Hello: If it is a female, warts may be present in the vagina without any symptoms.
Therefore, if there is any suspicion, a gynecological examination is necessary.
Please consult a gynecologist regarding HPV testing.

Reply Date: 2017/04/16

More Info


When assessing urological health after engaging in sexual practices, particularly two years after the last encounter, it is important to consider several factors. Based on your description, if you have not experienced any symptoms or health issues in the two years following the incident, and you have undergone regular screenings for sexually transmitted infections (STIs) with negative results, the likelihood of having contracted an infection is quite low. However, it is essential to understand that some infections can remain asymptomatic for extended periods, and certain STIs, such as HIV, can have a window period where they may not be detectable immediately after exposure.

1. Infection Risk Assessment: Given that you mentioned engaging in safe sexual practices, such as using condoms, the risk of contracting STIs is significantly reduced. However, it is crucial to remember that while condoms are effective in reducing the risk of many STIs, they do not provide 100% protection against all infections, particularly those transmitted through skin-to-skin contact, such as HPV (human papillomavirus) and herpes. Since you have not experienced any symptoms or health issues in the two years following the encounter, it is reasonable to conclude that the risk of infection is low, but not entirely eliminated.

2. HPV Testing: Regarding HPV testing, it is recommended for women to undergo regular cervical cancer screenings, which typically include Pap smears and HPV tests. The HPV test is usually performed on cervical cells collected during a Pap smear, which is done through a speculum examination of the vagina and cervix. If you are concerned about HPV, it is advisable to discuss this with your healthcare provider. They can guide you on the appropriate timing and type of testing based on your sexual history and risk factors.
3. Regular Health Check-ups: Even if you have not experienced any symptoms, it is still a good practice to have regular health check-ups, including STI screenings, especially if you have new sexual partners. The Centers for Disease Control and Prevention (CDC) recommends that sexually active individuals get tested for STIs at least once a year, and more frequently if they have multiple partners or engage in high-risk behaviors.

4. Communication with Partners: It is also important to communicate openly with your sexual partners about STI testing and sexual health. This can help ensure that both you and your partners are aware of each other's health status and can make informed decisions about sexual practices.

5. Conclusion: In summary, while the absence of symptoms and negative test results over two years suggest a low likelihood of infection, it is still advisable to maintain regular health screenings and consult with a healthcare provider about HPV testing and any other concerns you may have. Your health and well-being are paramount, and proactive measures can help ensure that you remain healthy moving forward.

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