Can You Still Test Positive for HPV After Previous Warts Treatment? - Urology

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Is it still possible to test positive after having had warts?


Hello doctor, I had warts two years ago, and they have healed after using medication.
I haven't had any recurrences.
If I go to the hospital for a rapid test, will there still be a positive reaction for warts?

Mr. Lin, 20~29 year old female. Ask Date: 2017/05/19

Dr. Xu Wencang reply Urology


Unable to perform blood tests, but still requires detailed monitoring for any recurrence.

Reply Date: 2017/05/19

More Info


When it comes to HPV (human papillomavirus) and its association with genital warts (also known as condylomata acuminata), it's important to understand the nature of the virus and how it behaves in the body.
Firstly, HPV is a viral infection that can remain dormant in the body for long periods. Even after successful treatment of visible warts, the virus can still be present in a latent form. This means that while the warts may have disappeared and you may not have any symptoms, the virus could still be detectable in your body.
1. Testing After Treatment: If you were treated for genital warts two years ago and have not had any recurrences, it is possible that you could still test positive for HPV, particularly if the strain that caused your warts is still present in your system. Most HPV tests focus on high-risk strains associated with cervical cancer, but some tests can detect low-risk strains that cause warts. If you undergo a screening test, it may still show a positive result for HPV, even if you do not have any visible warts.

2. Immune Response: Many individuals with HPV will clear the virus naturally over time due to their immune system's response. Studies suggest that about 70-90% of HPV infections are cleared by the immune system within two years. However, this varies from person to person. If you have not had any symptoms or visible warts for two years, it is possible that your body has cleared the virus, but this is not guaranteed.

3. Future Testing: If you choose to get tested, the results will depend on the type of test performed. A Pap smear or HPV test may show the presence of the virus, but it does not necessarily indicate that you are contagious or that you will have a recurrence of warts. If you test positive for HPV after treatment, it is important to discuss with your healthcare provider what this means for your health and any necessary follow-up actions.

4. Preventive Measures: If you have not already done so, consider getting the HPV vaccine. The vaccine is effective in preventing the strains of HPV that are most commonly associated with genital warts and cervical cancer. Even if you have been previously infected with one strain, the vaccine can still protect against other strains you may not have encountered.

5. Monitoring and Follow-Up: Regular follow-up with your healthcare provider is essential, especially if you have a history of HPV-related issues. They may recommend periodic screenings to monitor for any changes or recurrences.

In conclusion, while it is possible to test positive for HPV after treatment for genital warts, it does not necessarily mean that you are still contagious or that you will experience further outbreaks. The best course of action is to maintain open communication with your healthcare provider, who can guide you through the testing process and help you understand your results in the context of your overall health.

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