Recurrence of Genital Warts: Key Questions Answered - Obstetrics and Gynecology

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Cauliflower recurrence issue?


Doctor, I have an infection of genital warts on my labia and vaginal opening, which has been treated with electrocautery.
My boyfriend has also been checked by a urologist and currently shows no symptoms.
The urologist told him to observe for a month, and if there are no issues, then he is considered fine.

1.
Can my boyfriend be considered uninfected under these circumstances?
2.
What is the definition of recurrence of genital warts? Can they recur in the anal area, oral cavity, or throat? I have been experiencing a foreign body sensation in my throat recently and am worried it might also be genital warts.
I underwent laryngoscopy, and the doctor said there were no growths.

3.
Does this mean I can rule out the possibility of genital warts in my throat, or should I have regular laryngoscopy follow-ups?
4.
What is HPV testing? Do I need to undergo this test?

Amy, 20~29 year old female. Ask Date: 2019/05/15

Dr. Huang Jianzhong reply Obstetrics and Gynecology


The labia and vaginal opening are infected with genital warts, and I have undergone electrosurgical treatment.
My boyfriend has also been examined by a urologist and currently shows no symptoms.
The urologist told my boyfriend to observe for a month, and if there are no issues, then he is considered fine.

1.
Can my boyfriend be considered uninfected?
Answer: Yes.
2.
What is the definition of recurrence of genital warts?
Answer: Recurrence refers to the reappearance of genital warts, which can occur in the anal area, oral cavity, or throat.


Answer: Yes, it can.
I have recently experienced a sensation of a foreign body in my throat and am worried it might also be genital warts.
I have undergone a laryngoscopy, and the doctor said there were no growths.
3.
Does this mean I can rule out the possibility of having genital warts in my throat, or should I have regular follow-up laryngoscopies?
Answer: You can rule it out.
4.
What is HPV testing?
Answer: It tests for HPV types.
5.
Do I need to undergo this test?
Answer: Yes, you need to.

Reply Date: 2019/05/15

More Info


Understanding the recurrence of genital warts, also known as condylomata acuminata, is crucial for both patients and healthcare providers. Genital warts are caused by certain strains of the human papillomavirus (HPV), which is a sexually transmitted infection. Here, I will address your questions and provide additional insights into the nature of HPV and genital warts.

1. Can my boyfriend be considered uninfected?
Your boyfriend's situation is somewhat complex. While he has been examined and currently shows no symptoms, it is important to understand that HPV can remain dormant in the body without causing visible symptoms. The fact that he has no symptoms and has been advised to observe for a month is a common practice, but it does not definitively mean he is uninfected. HPV can be asymptomatic, and it is possible for him to carry the virus without showing any signs. Therefore, while he may not have an active infection, he could still potentially transmit the virus.

2. What is the definition of recurrence of genital warts?
Recurrence of genital warts refers to the reappearance of warts after they have been treated. This can happen because the HPV virus remains in the body even after the visible warts are removed. Recurrences can occur weeks, months, or even years after the initial treatment. It is also important to note that while genital warts primarily appear in the genital area, HPV can affect other areas, including the anal region, throat, and mouth, depending on the type of sexual contact.

3. Can I rule out the possibility of warts in my throat?
Given that you have undergone a laryngoscopy and the doctor found no lesions, it is reasonable to conclude that there are no visible warts in your throat at this time. However, HPV can sometimes be difficult to detect, and not all infections lead to visible symptoms. If you continue to experience an unusual sensation in your throat, it would be prudent to follow up with your healthcare provider. Regular check-ups may be beneficial, especially if you have concerns or if symptoms persist.

4. What is HPV testing, and do I need it?
HPV testing typically involves a laboratory test that detects the presence of high-risk HPV types that are associated with cervical cancer and other HPV-related diseases. For women, HPV testing is often done alongside a Pap smear as part of routine cervical cancer screening. For men, there is currently no approved HPV test, but if you have concerns about your health or potential HPV-related issues, discussing this with your healthcare provider is advisable. Depending on your medical history and risk factors, they may recommend HPV testing or monitoring.

In summary, while your boyfriend may not show symptoms, it is essential to remain vigilant about HPV, as it can be asymptomatic. Recurrences of genital warts can happen, and while your throat has been examined, ongoing symptoms should be monitored. HPV testing can provide additional information, especially for women, and discussing your concerns with a healthcare provider can help guide your next steps. Remember, maintaining open communication with your partner and healthcare provider is key to managing HPV and its implications effectively.

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