HPV: Can You Fully Cure Genital Warts? - Urology

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A year ago, my girlfriend had genital warts?


Hello Doctor, I would like to ask: I had unprotected sexual intercourse with someone a year ago, and my girlfriend was diagnosed with genital warts a year ago.
However, after treatment and vaccination, the lesions are no longer visible.
Now, a year later, I have no visible genital warts.
I would like to ask: 1.
Can genital warts be completely cured? I am unsure if my girlfriend still has the wart virus in her body.
2.
Since I have not developed any warts in a year, does that mean I do not have the virus, or could I still have the wart virus and potentially transmit it to others after having sexual intercourse?

A Wang, 20~29 year old female. Ask Date: 2018/12/26

Dr. Du Shixi reply Urology


Hello: Genital warts can potentially be cured, but it is not possible to definitively confirm whether they are completely eradicated.
If I have not had any outbreaks of genital warts for a year, does that mean I do not have the virus in my body? Or do I still carry the wart virus and could transmit it to others through sexual contact? --> It does not necessarily mean that the virus is absent.
Engaging in unprotected sexual activity can still pose a risk of transmission, but after a long period, such as 1-2 years, the likelihood is significantly reduced.
Wishing you good health.

Reply Date: 2018/12/26

More Info


Understanding HPV and its implications can be quite complex, especially when it comes to genital warts (commonly referred to as "cauliflower" or "condyloma acuminata"). Let's address your questions systematically.

1. Can genital warts be fully cured?
Genital warts are caused by certain strains of the human papillomavirus (HPV), primarily types 6 and 11. While the visible warts can be treated and removed through various methods such as cryotherapy, laser treatment, or topical medications, the underlying virus may still remain dormant in the body. This means that while the warts may not be present, the virus can potentially reactivate or be transmitted to others. Therefore, while you can achieve a state where the warts are no longer visible, it is important to understand that the virus itself may still be present.

2. Does the absence of visible warts mean the virus is gone?
The absence of visible genital warts for a year is a positive sign, but it does not definitively mean that the HPV virus is no longer in your system. Many individuals can clear the virus naturally over time, especially if they have a healthy immune system. However, some may carry the virus without any symptoms or visible signs. Therefore, it is possible that you could still harbor the virus and, if exposed to the right conditions, could potentially transmit it to a partner.

3. What about your ex-girlfriend?
Regarding your ex-girlfriend, if she underwent treatment and the warts were removed, it is possible that she cleared the visible signs of the infection. However, just like you, she may still carry the virus without any symptoms. Regular follow-ups and HPV vaccinations can help reduce the risk of transmission and the development of new warts.

4. Transmission risks and safe practices
If you are considering engaging in sexual activity with a new partner, it is crucial to communicate openly about your HPV status. Using barrier methods, such as condoms, can significantly reduce the risk of transmission, although they do not eliminate it entirely. HPV can be transmitted through skin-to-skin contact, and areas not covered by a condom can still be at risk.

5. Vaccination and prevention
If you have not yet been vaccinated against HPV, it is highly recommended to consider the HPV vaccine, which can protect against the most common and high-risk strains of the virus. Even if you have been previously infected, the vaccine can help protect against other strains you may not have encountered.

6. Regular screenings
For sexually active individuals, especially those with a history of HPV or genital warts, regular screenings are essential. Women should continue to have Pap smears and HPV tests as recommended by their healthcare provider, as this can help detect any changes early on.

In conclusion, while genital warts can be treated and may not be visible, the underlying HPV virus can remain in the body. It is essential to maintain open communication with partners, practice safe sex, and consider vaccination to reduce the risk of transmission. Regular health check-ups and screenings are also vital in managing your sexual health. If you have further concerns or questions, consulting with a healthcare professional who specializes in sexual health can provide personalized guidance and support.

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