HPV: Can You Transmit Warts After Vaccination? - Urology

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Cauliflower (Condylomata Acuminata)


Hello doctor, I would like to ask two questions: 1.
I previously had genital warts; can I transmit the infection to women who have received the HPV vaccine? (with sexual intercourse) 2.
I haven't had a recurrence for about six months.
If I engage in sexual intercourse, can I still transmit the infection to others?

Hak, 20~29 year old female. Ask Date: 2018/07/12

Dr. Du Shixi reply Urology


Hello: The transmission of cauliflower (genital warts) is related to the viral load of HPV and the partner's immune resistance.
Additionally, the HPV vaccine only targets certain types of HPV and does not provide protection against all strains, meaning it is not 100% effective.
If you have concerns, it is still advisable to practice safe sex.

Reply Date: 2018/07/12

More Info


When it comes to understanding Human Papillomavirus (HPV) and its transmission, especially in the context of vaccination and previous infections, there are several important points to consider.

1. Transmission of Warts After Vaccination: If you have previously been infected with HPV and developed genital warts (commonly caused by HPV types 6 and 11), it is important to understand that the HPV vaccine, such as Gardasil 9, is designed to protect against certain strains of the virus. However, if you have already been infected with a strain that the vaccine covers, the vaccine will not cure the existing infection or eliminate the warts. Therefore, if you engage in sexual activity with a partner who has been vaccinated, there is still a possibility of transmitting the virus if you are still harboring the infection. The vaccine does not prevent the transmission of HPV strains that you are already infected with.

2. Risk of Transmission After Six Months Without Recurrence: If you have not had any recurrence of genital warts for about six months, it is a positive sign that your immune system may have effectively cleared the virus. However, it is crucial to note that HPV can remain dormant in the body, and even if warts are not present, the virus can still be transmissible. Engaging in sexual activity during this period could still pose a risk of transmission, albeit potentially lower than during an active outbreak.
In summary, while the HPV vaccine provides significant protection against certain strains of the virus and can reduce the risk of developing new infections, it does not eliminate the risk of transmitting existing infections. If you have a history of HPV-related warts, it is advisable to discuss your situation with a healthcare provider, who can provide personalized guidance based on your health history and the specifics of your case.


Additional Considerations:
- Vaccination Benefits: Even if you have had HPV in the past, getting vaccinated can still be beneficial. The vaccine can protect against other strains of HPV that you may not have been exposed to, thereby reducing your risk of future infections and related complications, such as cervical cancer.

- Regular Screening: For sexually active individuals, especially those with a history of HPV, regular screenings (such as Pap smears and HPV tests) are essential. These screenings can help detect any changes in cervical cells early, allowing for timely intervention if necessary.

- Communication with Partners: It is important to communicate openly with sexual partners about your HPV status. This transparency can help both partners make informed decisions regarding sexual health and safety.

- Immune Response: The body's immune response plays a crucial role in clearing HPV infections. Factors such as overall health, stress levels, and lifestyle choices can influence immune function. Maintaining a healthy lifestyle can support your immune system in managing HPV.

In conclusion, while vaccination against HPV is a powerful tool in preventing the spread of the virus and its associated diseases, it does not negate the importance of being aware of your own HPV status and the potential for transmission. Regular medical consultations and screenings are key components of managing your sexual health effectively.

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