HPV Type 32: Implications for Health and Relationships - Urology

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Detection of HPV type 32 in the genital area?


I engaged in risky sexual behavior on July 14.
Two days later, I started feeling discomfort, unsure if it was psychological or a real infection, as I constantly felt like there was residual urine in my glans and that it might drip out at any moment.
It was very uncomfortable.
Ten days later, I went to a testing facility to get tested for all STDs, and the results showed that I tested positive for HPV type 32.
The technician informed me that this is associated with genital warts, and I was truly shocked.
During this time, I visited clinics and a major hospital, underwent urinalysis and uroflowmetry, and was told that there was no infection in my urethra.
Recently, the sensation of residual urine in my glans or penis has improved somewhat.

The key point is that when I asked both the clinic and the major hospital, they told me that HPV type 32 has nothing to do with my sensation of residual urine.
When I inquired about the classification of type 32 and whether it really has a high probability of causing genital warts, they all said that this test result should not be taken seriously.
What? Not to take it seriously? I tested positive for type 32 on my genitals and I'm told not to worry? Later, I went to a second testing facility, which also used a swab, but this time they told me to just swab the glans and the urethral opening.
The first facility swabbed the entire penis and scrotum, but the second facility found nothing.
I'm going crazy.

I want to ask:
1.
What category does HPV type 32 belong to? Is the probability of developing genital warts really high?
2.
Does my wife need to be tested? Should I separate my clothes and towels from my family?
3.
Please, doctor, give me a response.
My psychological stress is immense.
What exactly is HPV type 32?

Xiao Yi, 30~39 year old female. Ask Date: 2019/08/16

Dr. Chen Jiansheng reply Urology


HPV has many types, and its survival in the natural environment is not strong.
It is primarily transmitted through intimate contact, so there is no need to be overly anxious.
The presence of HPV in epithelial cells does not necessarily mean that warts will develop, as most infections are cleared by the body's immune system.

Reply Date: 2019/08/16

More Info


Understanding HPV, particularly HPV Type 32, is crucial for both individual health and the dynamics of intimate relationships. Human Papillomavirus (HPV) is a group of more than 200 related viruses, with some types classified as high-risk and others as low-risk. HPV Type 32 is considered a low-risk type, which means it is less likely to cause serious health issues like cancer compared to high-risk types such as HPV 16 and 18. However, low-risk types can still lead to conditions like genital warts, also known as condylomata acuminata or "cauliflower warts."
1. HPV Type 32 Classification: HPV Type 32 is categorized as a low-risk HPV type. While it is associated with the development of genital warts, the likelihood of developing warts from this specific type varies among individuals. The presence of HPV Type 32 does not guarantee that warts will develop, but it does indicate a potential risk. It's important to note that many individuals with low-risk HPV types may not exhibit any symptoms or health issues at all.

2. Implications for Your Partner: If you have been diagnosed with HPV Type 32, it is advisable for your partner to undergo testing as well. HPV is primarily transmitted through skin-to-skin contact during sexual activity, and while condoms can reduce the risk of transmission, they do not provide complete protection since HPV can be present on areas not covered by a condom. Open communication with your partner about HPV status is essential for mutual understanding and health management.

3. Hygiene and Precautions: Regarding hygiene, it is wise to maintain separate personal items such as towels and undergarments to minimize any potential risk of transmission. While HPV is not spread through casual contact like sharing towels, maintaining good hygiene practices is always beneficial, especially when dealing with any sexually transmitted infections (STIs).

4. Psychological Impact: The psychological burden of an HPV diagnosis can be significant. It's common to experience anxiety or stress regarding the implications of the virus, especially when considering its association with genital warts and potential transmission to partners. It is important to seek support, whether through counseling, support groups, or discussions with healthcare providers who can provide accurate information and reassurance.

5. Follow-Up and Monitoring: Regular follow-up with healthcare providers is crucial. While HPV infections often resolve on their own, monitoring for any changes or symptoms is important. If you or your partner develop any unusual symptoms, such as warts or changes in genital appearance, it is essential to seek medical advice promptly.

6. Treatment Options: If warts do develop, there are various treatment options available, including topical treatments, cryotherapy, or surgical removal. Discussing these options with a healthcare provider can help determine the best course of action based on individual circumstances.

7. Education and Awareness: Understanding HPV and its implications can empower you and your partner to make informed decisions about your sexual health. Educating yourselves about HPV, its transmission, and preventive measures, such as vaccination, can help alleviate concerns and promote a healthier relationship.

In summary, while HPV Type 32 is a low-risk type associated with genital warts, it is important to approach the situation with awareness and proactive health management. Open communication with your partner, regular medical check-ups, and maintaining good hygiene practices are key steps in navigating the implications of an HPV diagnosis. If you have further concerns or questions, do not hesitate to reach out to a healthcare professional for personalized guidance and support.

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