HPV: Symptoms, Treatment, and Prevention Strategies - Urology

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Cauliflower (Condylomata Acuminata)


Hello, doctor.
I would like to ask a question.
In the middle of the month, I started dating a girl, and during our relationship, we had sexual intercourse twice, both times using condoms.
However, I have a wound in the pubic area that resembles folliculitis.
A few days later, I felt some discomfort when using the restroom, and I noticed something similar to herpes on the glans and foreskin.
I asked her if she had any past infections, and she admitted that she had previously been infected with genital warts, but after accompanying her to see a gynecologist, there were no signs of recurrence.
We both underwent testing for HIV and syphilis, as well as RT-PCR testing, because I wanted to know if she had been infected with AIDS beforehand.
Fortunately, both of our results came back negative.
However, I was still concerned, so I also got tested for HPV and found that I was infected with types 18, 31, 58, 66, 68, and 43.
I have not developed any symptoms, so I would like to know how I should treat this.
Should I just wait for symptoms to appear before I can receive treatment, or is there a way to treat or cure it in advance?
I read online that a doctor mentioned I have a non-symptomatic infection, and the recommendation was to boost my immune system.
They suggested that after a few months, I could retest, and if the viral load is zero, it would indicate recovery.
Is this correct? Additionally, I found that the types that typically cause genital warts are types 6 and 11, while most of the types I have are high-risk and can lead to cervical cancer in women, except for type 43.
Could this be the reason why I have not shown any symptoms?
What should I do now regarding treatment? I really do not have any symptoms, and some doctors have said that I might not develop any symptoms at all, but I still want to treat or resolve this as soon as possible.
If my immune system improves and my viral load goes to zero, does that mean I am no longer contagious? After achieving a viral load of zero, can I receive vaccines for the types I have not been infected with, as well as for the types I have already been infected with? Please help me!

Rree, 20~29 year old female. Ask Date: 2018/07/28

Dr. Chen Jiansheng reply Urology


Currently, the clinical examination for human papillomavirus (HPV) primarily relies on visual inspection.
The cervical vaccine is designed to prevent infection rather than treat it.
The normal human immune system is capable of clearing foreign viruses.

Reply Date: 2018/07/28

More Info


Understanding HPV (Human Papillomavirus) is crucial for both prevention and treatment, especially given its association with various health issues, including cervical cancer. Your situation raises several important points regarding HPV infection, symptoms, treatment options, and prevention strategies.


1. Understanding HPV Infection
HPV is a common sexually transmitted infection, and it is important to note that not all HPV infections lead to symptoms or health problems. Many individuals can be infected with HPV and remain asymptomatic, meaning they do not show any signs of the virus. In fact, the immune system can often clear the virus on its own within a couple of years. This is particularly true for low-risk types of HPV, which are less likely to cause serious health issues.

In your case, you mentioned being infected with high-risk HPV types (18, 31, 58, 66, 68, and 43). These types are associated with a higher risk of developing cervical cancer in women, but they do not necessarily cause visible symptoms in men. The absence of symptoms does not mean that the virus is not present; it simply indicates that your body may be managing the infection without any noticeable effects.


2. Treatment Options
Currently, there is no specific antiviral treatment for HPV itself. Instead, the focus is on monitoring and managing any potential health issues that may arise from the infection. Since you are asymptomatic, the best course of action is to maintain a healthy lifestyle to support your immune system. This includes:
- Eating a balanced diet rich in fruits and vegetables.

- Regular exercise.

- Adequate sleep.

- Stress management techniques.

These lifestyle changes can help enhance your immune response, which may assist in clearing the virus over time.

If you develop any symptoms, such as warts or lesions, treatment options are available. For example, genital warts can be treated with topical medications, cryotherapy, or surgical removal. However, since you currently do not have any symptoms, there is no immediate treatment required.


3. Monitoring and Follow-Up
It is advisable to have regular follow-up appointments with your healthcare provider. Typically, HPV testing and monitoring are recommended every 6 to 12 months, especially if you have been diagnosed with high-risk types. Your healthcare provider may suggest a Pap smear or other diagnostic tests to monitor for any changes in cervical cells if you are concerned about the risk of cervical cancer.


4. Vaccination
Regarding vaccination, the HPV vaccine can provide protection against certain strains of the virus, including those that are high-risk. If you have not been vaccinated against HPV types 6, 11, 16, and 18, it may still be beneficial to receive the vaccine, as it can protect against other strains you have not been exposed to. However, the vaccine will not treat existing infections or prevent diseases caused by HPV types you are already infected with.

If your immune system successfully clears the virus, you may consider getting vaccinated after confirming that the virus is no longer detectable. This can provide additional protection against other HPV strains.


5. Conclusion
In summary, while you have tested positive for high-risk HPV types, the absence of symptoms suggests that your body may be managing the infection. Focus on enhancing your immune system and maintaining regular follow-ups with your healthcare provider. If you have any concerns or develop symptoms, seek medical advice promptly. Lastly, consider vaccination for additional protection against other HPV strains, but consult your healthcare provider regarding the timing and appropriateness of vaccination based on your current health status.

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