Why Do Genital Warts Recur After Treatment? HPV Risks - Urology

Share to:

Recurrent genital warts?


Hello doctor, last November I experienced itching in the genital area and discovered that I had growths near my anus and genital area, which were diagnosed as genital warts through a biopsy.
At that time, most of the lesions were located on the sides of my labia, with one side having a row of clustered bumps and the other side having two bumps.
After treatment with topical medication and cryotherapy, I was healed by mid-January.
In April, I underwent HPV testing and a cervical cancer screening, both of which returned negative results.
I thought this meant that the virus had been cleared from my body.
However, two days ago, I felt itching around my anus and upon inspection, I noticed a small, pointed growth at the anal opening.
I immediately consulted a gynecologist, who believed the symptoms did not resemble genital warts and suspected it was merely a friction-related irritation.
Nevertheless, I was still concerned and sought a second opinion from a dermatologist, who promptly diagnosed it as genital warts and administered cryotherapy.
I would like to ask, given that I had already undergone HPV testing and that my original lesions had not recurred for almost a year, why have new growths appeared? What kind of tests can I undergo to confirm that there is no HPV virus in my body?

coco, 20~29 year old female. Ask Date: 2017/12/10

Dr. Du Shixi reply Urology


Hello: HPV virus testing can be referenced, and it's not very difficult to say that it is not present; this is a characteristic of warts.
There are many types of HPV viruses, and you can look them up online.
It is generally not possible to test for all types, and there may also be variations in sampling.
Wishing you good health.

Reply Date: 2017/12/10

More Info


Genital warts, caused by the human papillomavirus (HPV), can indeed recur after treatment, and understanding the reasons behind this recurrence is crucial for managing your health.
Firstly, it’s important to recognize that HPV is a very common virus, with many different strains. While some strains can lead to genital warts (like HPV types 6 and 11), others are associated with higher risks of cervical cancer (like HPV types 16 and 18). The body’s immune system plays a significant role in controlling and clearing HPV infections. In many cases, individuals can clear the virus naturally over time, but this process can take months or even years.
In your case, even though you had successful treatment for genital warts and negative HPV tests afterward, it’s possible that the virus remained dormant in your body. HPV can have a long incubation period, and it may not always be detectable through standard testing methods. This means that even if you test negative for HPV, the virus could still be present at low levels, potentially leading to the development of new warts later on.

Another factor to consider is that the immune response to HPV can vary significantly from person to person. Some individuals may have a robust immune response that helps them clear the virus effectively, while others may have a weaker response, making them more susceptible to recurrences. Stress, illness, or other factors that compromise the immune system can also contribute to the reactivation of the virus.

Regarding your specific situation, the appearance of new warts after a period of being clear could indicate that the virus was not entirely eradicated or that you were re-exposed to the virus, possibly from a partner who may still carry the virus. It’s also worth noting that even if your partner has been treated for HPV, they can still carry the virus and potentially transmit it to you.

To determine whether HPV is still present in your body, you may consider the following steps:
1. Follow-Up Testing: While there is no definitive test to confirm the complete absence of HPV, regular follow-up with HPV testing and Pap smears (for women) is essential. These tests can help monitor for any changes in cervical cells that might indicate the presence of HPV.

2. Consult a Specialist: If you have concerns about recurrent warts or HPV, consulting with a specialist in infectious diseases or a gynecologist with expertise in HPV can provide more tailored advice and testing options.

3. Consider Vaccination: If you haven’t already, consider getting the HPV vaccine. While it won’t treat existing infections, it can protect against other strains of HPV that you may not have been exposed to yet.

4. Maintain a Healthy Lifestyle: Strengthening your immune system through a balanced diet, regular exercise, adequate sleep, and stress management can help your body fight off infections, including HPV.

5. Communication with Partners: Open communication with sexual partners about HPV and safe sex practices is crucial. Using condoms can reduce the risk of transmission, but they do not eliminate it entirely since HPV can be present in areas not covered by condoms.

In summary, the recurrence of genital warts after treatment can be attributed to various factors, including the possibility of dormant virus, individual immune response, and potential re-exposure. Regular monitoring and maintaining a healthy lifestyle are key components in managing HPV and reducing the risk of future outbreaks. If you have ongoing concerns, don’t hesitate to reach out to your healthcare provider for further evaluation and support.

Similar Q&A

Understanding the Risk of Recurrence After HPV Treatment

Hello, I was diagnosed with genital warts in April last year, completed treatment by the end of September, and received my first dose of the quadrivalent vaccine in October. I finished all three doses of the vaccine by April this year. I have been returning for follow-up visits, ...


Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the chance of recurrence is very low, so please rest assured. If possible, an annual check-up is fine. Wishing you good health.

[Read More] Understanding the Risk of Recurrence After HPV Treatment


Understanding HPV: Concerns About Recurrence and Transmission to Your Baby

Hello, doctor. I had genital warts in 2009, which were treated successfully, but they recurred in 2012 and were treated again. It has been three years since then, and I would like to know if there are still viruses in my body after treatment. I have heard that the body can automa...


Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, the lesion from 2012 could potentially be a recurrence or a reinfection. The primary mode of transmission is through sexual contact, while other indirect contact methods you mentioned are less likely. Currently, there are tests available to check...

[Read More] Understanding HPV: Concerns About Recurrence and Transmission to Your Baby


Understanding Recurrence vs. New Infection of Genital Warts: Key Insights

Hello, doctor. I would like to ask a question. About ten years ago, I was diagnosed with genital warts and underwent treatment. I continued to follow up at the clinic every three months. I also have regular Pap smears and pelvic exams every year, and there have been no recurrence...


Dr. Ke Fangxu reply Surgery
Recurrence or new infections may depend on whether there is a history of exposure. Although it is said that if warts do not recur for two years after treatment, one can be considered cured, this does not mean that they will never recur in a lifetime. If new lesions appear, treatm...

[Read More] Understanding Recurrence vs. New Infection of Genital Warts: Key Insights


Three Months Without Recurrence: HPV Concerns After Sexual Activity

Hello, doctor. My genital warts have not recurred for three months. I have received the second dose of the nine-valent vaccine. I recently had sexual intercourse with my partner, and due to insufficient foreplay, a previously treated area with podophyllotoxin became raw and bled ...


Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, I hope not. Wishing you good health.

[Read More] Three Months Without Recurrence: HPV Concerns After Sexual Activity


Related FAQ

Genital Warts

(Urology)

Viral Warts

(Urology)

Genital Warts Transmission

(Urology)

Genital Warts

(Surgery)

Hpv Infection

(Urology)

Hpv Vaccine

(Urology)

Hpv

(Dermatology)

Risk Of Sexually Transmitted Infections

(Urology)

Pubic Lice

(Urology)

Glans Penis

(Urology)