How to Prevent and Manage HPV and STIs in Family Settings - Urology

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If a family member has cauliflower, how can it be prevented and treated?


Hello, doctor.
As the title suggests, my uncle is unmarried and has a habit of seeking sexual services.
This should place him in a high-risk group for sexually transmitted infections (STIs), right? Additionally, he sometimes does not wash his hands after using the restroom, especially when drinking alcohol, which I find very unsanitary.
I have some questions:
1.
If he has genital warts or other STIs, I might come into contact with things he has touched.
If I wash my hands with antibacterial soap and dry them before using 75% alcohol to disinfect, is there still a possibility of contracting genital warts or other STIs through this contact before I masturbate?
2.
If he touches public items like doorknobs and I touch them too, could I get infected if I have a cut on my hand? Should I wash my hands immediately after touching something he has touched, or is it unreasonable to ask my elders not to touch things?
3.
I usually pay attention to hygiene before using the restroom and always wash my hands.
I use my own toilet in my room and never the shared one in the living room, and I wash my clothes separately.
Is there anything else I should be aware of regarding infection risks?
I apologize for not being able to make a special appointment to ask a doctor these questions, as I don't want to waste medical resources, so I'm using this website to consult a physician.
Thank you!

TT, 20~29 year old female. Ask Date: 2019/01/08

Dr. Du Shixi reply Urology


Hello: 1) Genital warts are primarily transmitted through sexual contact, and cases of contact transmission are relatively rare.
Of course, disinfection can provide an additional layer of protection (as for other sexually transmitted infections, they are definitely transmitted through sexual contact, so there's no need to worry).
2) Unless he has the virus on his hands, there will be no contact transmission.
3) No need to pay attention to anything else.
Wishing you good health.

Reply Date: 2019/01/08

More Info


When it comes to preventing and managing Human Papillomavirus (HPV) and other sexually transmitted infections (STIs) in family settings, it is essential to understand the transmission routes, risk factors, and effective preventive measures. Your concerns regarding potential exposure to HPV and other STIs through contact with an individual who may engage in high-risk behaviors are valid and warrant careful consideration.

1. Understanding Transmission Risks: HPV is primarily transmitted through direct skin-to-skin contact during sexual activities, including vaginal, anal, and oral sex. It can also be spread through genital contact without penetration. While HPV is not typically transmitted through surfaces or objects, there is a theoretical risk if an infected person has recently touched a surface and then another person comes into contact with it, especially if there are open wounds or mucous membranes involved. However, the likelihood of contracting HPV or other STIs through casual contact with surfaces, such as doorknobs or toilet seats, is extremely low.

2. Personal Hygiene Practices: Your practice of washing your hands with antibacterial soap and using alcohol-based hand sanitizer before engaging in any intimate activities is a good preventive measure. It significantly reduces the risk of transmitting infections through hand-to-genital contact. However, it is important to note that HPV is not typically spread this way. The primary concern would be if there were direct contact with infected areas or fluids.

3. Handling Shared Spaces: If your relative touches shared surfaces, the risk of transmission through those surfaces is minimal. If you have cuts or abrasions on your hands, it is wise to wash your hands thoroughly after touching shared items. Regular hand hygiene is crucial in preventing the spread of many infections, not just STIs. If you are particularly concerned about exposure, maintaining a clean environment and practicing good hygiene will help mitigate risks.

4. Additional Precautions: Since you are already taking steps to maintain personal hygiene and limit exposure to shared items, consider the following additional measures:
- Vaccination: If you are eligible, getting the HPV vaccine can significantly reduce your risk of contracting HPV and its associated health issues.

- Regular Health Check-ups: Regular screenings for STIs, including HPV, can help in early detection and management. Discuss with your healthcare provider about appropriate screenings based on your risk factors.

- Communication: If you are concerned about your relative's behaviors, having an open conversation about safe practices and the importance of hygiene may encourage better habits.

5. Managing Anxiety and Concerns: It is understandable to feel anxious about potential exposure to STIs, especially in a family setting. Educating yourself about the transmission routes and preventive measures can empower you to take appropriate actions. If you have specific health concerns or symptoms, seeking medical advice is always a good idea, even if it feels like a burden on healthcare resources.

In conclusion, while your relative's behaviors may place him at risk for STIs, the likelihood of you contracting HPV or other infections through indirect contact is low, especially with your diligent hygiene practices. Continue to prioritize personal hygiene, consider vaccination, and maintain open communication about health practices within your family. If you have ongoing concerns, consulting a healthcare professional for personalized advice would be beneficial.

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