the Risk of Cauliflower Infection in Urology - Urology

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Regarding the risk of cauliflower infection?


Hello, doctor.
Recently, at a massage parlor, a male therapist performed manual stimulation on me.
During the process, his hand came into contact with my penis (neither his hand nor my genital area had any wounds).
I am wondering if there is a possibility of contracting genital warts.
Thank you for your response!

Niming, 20~29 year old female. Ask Date: 2018/12/21

Dr. Du Shixi reply Urology


Hello: Cauliflower is a virus that can be transmitted through contact (massage is considered low risk), so the chances are not high.
Wishing you good health.
No risk - masturbation; low risk - mutual masturbation, light kissing, mutual rubbing, sexual activity with condom; moderate risk - deep kissing, oral sex, withdrawal; high risk - sexual activity without any protection, causing wounds or bleeding.

Reply Date: 2018/12/21

More Info


When it comes to understanding the risk of cauliflower infection, commonly referred to as genital warts caused by the human papillomavirus (HPV), it is essential to recognize the transmission routes and the conditions under which the virus can spread. HPV is primarily transmitted through direct skin-to-skin contact, particularly during sexual activities, including vaginal, anal, and oral sex. However, it can also be transmitted through non-penetrative sexual activities, such as mutual masturbation, if there is direct contact with infected areas.

In your case, since you mentioned that there were no cuts or open wounds on either your or the technician's hands or genital areas, the risk of transmission is significantly reduced. HPV requires direct contact with infected skin or mucous membranes to spread. If the technician did not have any visible warts or lesions, and if there was no direct contact with any infected areas, the likelihood of transmission is low.

It's also important to note that HPV can be asymptomatic, meaning that individuals can carry the virus without showing any signs or symptoms. This can make it challenging to determine if someone is infected. However, the absence of visible warts or lesions on both parties during the interaction further decreases the risk of transmission.

Regarding your concerns about the potential for infection, it is crucial to remember that the majority of HPV infections are cleared by the immune system without causing any health issues. However, certain strains of HPV can lead to genital warts or, in some cases, more severe conditions such as cervical cancer or other anogenital cancers. Regular check-ups and screenings, especially for sexually active individuals, are essential for early detection and management of any potential issues.

If you are experiencing any symptoms such as unusual growths, itching, or discomfort in the genital area, it is advisable to consult a healthcare professional for an evaluation. They may perform a physical examination and, if necessary, conduct tests to determine if there is an HPV infection or any other sexually transmitted infection (STI).

In terms of prevention, vaccination against HPV is highly recommended. The HPV vaccine can protect against the most common strains of the virus that cause genital warts and cervical cancer. It is most effective when administered before the onset of sexual activity, but it can still provide benefits to those who are already sexually active.

In summary, while there is a theoretical risk of HPV transmission through the scenario you described, the actual risk appears to be low given the circumstances. Maintaining good hygiene, being aware of any changes in your body, and getting vaccinated are effective strategies to reduce the risk of HPV and other STIs. If you have further concerns or questions, do not hesitate to seek medical advice for personalized guidance.

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Hello, Dr. Du. I am the one who asked about Q1 this afternoon. Regarding your response (Can I be assured that I do not have an infection of genital warts? —> The chances are high, but not 100%), does this mean that I can very likely rule out the possibility of having contracte...


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Hello: It's not a hundred percent, but the chances should be extremely low. So, does that mean that as time goes on, the likelihood of me contracting genital warts also decreases? (Assuming no other sexual activities have occurred) --> Yes, wishing you good health.

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Hello: The cauliflower has been reported to have grown after being in contact for over a year. The toilet paper should normally not have been touched by anyone. Wishing you good health.

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