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Hello Dr.
Du, I had vaginal intercourse in July 2018.
In August 2018, I was diagnosed with genital warts.
A DNA test revealed HPV type 43.
I underwent cryotherapy and was prescribed LedaMed.
I also tested negative for HIV, herpes, and syphilis.
In October 2018, I repeated the tests for HIV, herpes, syphilis, and HPV, and the results showed only HPV type 6, with no trace of HPV type 43.
At that time, I had no new genital warts.
In January 2019, I took another HPV test, which came back negative, and I had no new genital warts.
My questions are: 1.
Do I still need to get tested for herpes? I've heard its window period is 3-4 months? 2.
Am I still contagious to others? 3.
I received the HPV vaccine in 2016 (the first dose in July 2016, the second in September 2016, and the third in January 2017), and I have never had any genital wart infections.
I'm confused about why I tested positive for HPV type 6.
Xin fan ren, 30~39 year old female. Ask Date: 2019/02/12
Dr. Du Shixi reply Urology
Hello: 1) You have been tested twice, and the chance of transmission is low; if you're still concerned, you can get tested again.
2) If the test results are negative, there is no risk of transmission.
3) The HPV vaccine cannot provide 100% protection, so you should still practice safe sex.
Wishing you good health.
Reply Date: 2019/02/12
More Info
Hello! Thank you for your questions regarding HPV and its implications, especially concerning genital warts and future risks. Let’s break down your inquiries one by one.
1. Do I still need to get tested for herpes?
Yes, it is advisable to get tested for herpes, especially if you have had any potential exposure or symptoms. The window period for herpes simplex virus (HSV) testing can vary; typically, it is recommended to wait at least 3-4 weeks after potential exposure for accurate results. However, some tests can detect the virus sooner. If you have concerns or symptoms, consult your healthcare provider for the best course of action.
2. Am I still contagious?
Given your history, it seems that you have cleared the HPV 43 type and have tested negative for HPV in subsequent tests. Generally, if you are HPV negative and have no visible warts or symptoms, the risk of transmitting the virus to others is significantly reduced. However, it’s important to note that HPV can remain dormant in the body, and while the risk is low, it’s not entirely zero. Practicing safe sex, such as using condoms, can further reduce the risk of transmission.
3. Why did I test positive for HPV 6 despite being vaccinated?
The HPV vaccine is highly effective but does not cover all HPV types. The vaccine primarily protects against the most common high-risk types (like HPV 16 and 18) and some low-risk types (like HPV 6 and 11). If you received the vaccine after exposure to HPV, it may not prevent the infection from being established. However, since you mentioned that you have not had any new warts and have tested negative for HPV subsequently, it is possible that your immune system has successfully cleared the virus.
In summary, HPV is a complex virus with many strains, and while some can lead to genital warts or cancers, many individuals clear the virus naturally over time. Regular screenings and vaccinations are crucial in managing your health and reducing the risk of transmission.
Additionally, maintaining a healthy lifestyle, including a balanced diet, regular exercise, and avoiding smoking, can help support your immune system, which plays a vital role in managing HPV infections. If you have any further concerns or symptoms, it’s always best to consult with your healthcare provider for personalized advice and management.
Stay informed and proactive about your health, and don’t hesitate to reach out with more questions!
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