HPV: Risks, Symptoms, and Testing for Women - Obstetrics and Gynecology

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Cauliflower Questions


(1) If I used my friend's towels 4-5 times while visiting her house at the end of September and I'm unsure if I touched my private areas with them, what is the likelihood of transmission?
(2) If I had a popped pimple on my back at that time and used her towel, could I develop warts on my back?
(3) I had a test done at the end of December, and the results were negative.
Should I get tested again in three months?
(4) I have a small bump next to my vaginal opening.
I saw a doctor who said it was a pimple, but it hasn't gone away after a few weeks and hasn't changed in size or quantity.
Could this be genital warts? Should I see a doctor again?
(5) If I come into contact with genital warts, can I wash them off with body wash?
(6) Since I learned about my friend's condition, I have been staying up late almost every day, but I haven't experienced any symptoms.
Does this mean I can rule out the likelihood of getting infected?

yī yī y, 10~19 year old female. Ask Date: 2019/02/04

Dr. Huang Jianzhong reply Obstetrics and Gynecology


(1) I found out at the end of October that my friend has genital warts, and they only appeared in November.
I visited her house to shower at the end of September and used her towels 4-5 times, but I'm not sure if I wiped my intimate areas with them.
What is the likelihood of transmission? Answer: The likelihood of transmission is low.

(2) If I had a popped pimple on my back at that time and used her towel, would I develop warts on my back? Answer: No, you would not.
(3) I had a test done at the end of December, and the results were negative.
Should I get tested again after three months? Answer: No, you do not need to get tested again.
(4) There is a small bump next to my vaginal opening.
I saw a doctor who said it was a pimple, but it hasn't gone away after a few weeks and hasn't changed in size or number.
Could this be genital warts? Should I see a doctor again? Answer: The doctor said it is a pimple, not genital warts, so you do not need to see a doctor again.
(5) If I come into contact with genital warts, can I wash them off with body wash? Answer: Yes, you can wash them off.
(6) Since I found out about my friend's condition, I have been staying up late almost every day, but I haven't experienced any issues.
Does this mean I can rule out the likelihood of getting genital warts? Answer: Genital warts are related to immune function.
Staying up late without any issues does not completely rule out the possibility of transmission.

Reply Date: 2019/02/04

More Info


Understanding HPV (Human Papillomavirus) is crucial, especially for women, as it is linked to various health issues, including genital warts and cervical cancer. Let's address your questions one by one, providing insights into the risks, symptoms, and testing related to HPV.

1. Transmission Risk from Shared Towels: The likelihood of contracting HPV from using a friend's towel is relatively low. HPV is primarily transmitted through direct skin-to-skin contact during sexual activities. While it is theoretically possible to contract HPV from contaminated surfaces or items, the virus does not survive long outside the human body. If you did not have direct contact with the genital area while using the towel, the risk of transmission is minimal.
2. Risk of Infection from Broken Skin: If you had a broken pimple on your back and used the same towel, the risk of HPV transmission to that area is still low. HPV typically requires direct contact with infected skin or mucous membranes. However, if the towel was contaminated and you had an open wound, there is a slight risk, but it is not a common route of transmission for HPV.

3. Follow-Up Testing After Negative Results: If you had an HPV test that returned negative results, it is generally recommended to follow up with your healthcare provider based on their advice. The timing for follow-up testing can vary depending on individual risk factors and the type of HPV test performed. Typically, if you are at average risk and have had a negative result, your doctor may suggest retesting in three to five years. However, if you have concerns or symptoms, it’s best to consult your healthcare provider sooner.

4. Concerns About a Small Bump: If you have a small bump near the vaginal opening that has not changed in size or number over a few weeks, it may not be HPV-related, especially if a doctor has already assessed it as a pimple. However, if you are concerned about the possibility of it being genital warts (which are caused by certain strains of HPV), it is advisable to return to your healthcare provider for further evaluation. They may perform a visual inspection or additional tests to determine the nature of the bump.

5. Cleaning Hands After Contact with Warts: Washing your hands with soap and water, or using body wash, is effective in removing HPV from your skin. While HPV can be present on surfaces, thorough handwashing can significantly reduce the risk of transmission. It’s important to maintain good hygiene, especially after potential exposure to HPV.

6. Lifestyle Factors and HPV Risk: While lifestyle factors such as sleep, stress, and overall health can influence your immune system, they do not directly eliminate the risk of HPV infection. HPV can remain dormant in the body for years, and many people may carry the virus without showing symptoms. Regular check-ups and screenings are essential for early detection and management of any potential issues.

In summary, while the risk of contracting HPV from shared towels or minor skin contact is low, it is essential to maintain good hygiene practices and consult with healthcare providers for any concerns. Regular screenings and vaccinations (like the HPV vaccine) are effective preventive measures against HPV-related diseases. If you have any persistent symptoms or concerns, don’t hesitate to seek medical advice for peace of mind and appropriate care.

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