HPV Warts: Risks and Precautions in Urology - Urology

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Viral warts issue


1.
Hello doctor, I have a colleague who underwent cryotherapy for a viral wart on his hand about 2-3 weeks ago.
Today, he touched my arm with his hand after the treatment.
Is there a possibility that I could get infected?
2.
Or does having undergone cryotherapy mean he is no longer contagious?
3.
Would a brief touch like that pose a risk of infection?
4.
My arm has a cut but it is not bleeding, just a mark from being cut.
Is there a possibility of exposure to infection?
5.
If a wart on the hand comes into contact with the genital area, could it lead to genital warts?
6.
If someone has a wart on their hand, is it safe to masturbate? Could it infect the genital area?
7.
If there are no symptoms yet but I am concerned about possible infection, is it okay to masturbate? Could I be infected without symptoms and then transmit it to the genital area, resulting in genital warts?
8.
Should I avoid masturbation if symptoms do appear later?
9.
If I have a wart on my hand but still want to masturbate, what precautions can I take to avoid infecting the genital area?

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

Dr. Du Shixi reply Urology


Hello: Whether transmission occurs depends on two conditions: 1) the viral load, and 2) the presence of suitable skin.
Certain types of wart viruses (over 100 types) tend to prefer specific skin types.
1.
If previously treated, the chances are minimal.
2.
Theoretically, there should be no virus or an extremely low amount.
3.
Types of contact vary; light contact is generally considered safe.
4.
It is essential to assess whether there is a virus present and if the skin is suitable.
5.
There is a possibility (but with different types, the chance of infection is lower).
6.
For reference, see the protective measures for safe behavior at epaper.ctust.edu.tw/upload_files/test/11830459729.doc.
7.
If infected, the virus is present, and there is a chance of transmission.
8.
If warts appear on the hands, treatment is necessary; it is nearly impossible to avoid contact with one's own skin completely.
9.
For reference, see the protective measures for safe behavior at epaper.ctust.edu.tw/upload_files/test/11830459729.doc.
Wishing you good health.

Reply Date: 2019/08/20

More Info


Understanding HPV (Human Papillomavirus) and its associated risks, particularly concerning warts and potential transmission, is crucial for maintaining sexual health and preventing infections. HPV is a common sexually transmitted infection, with many strains, some of which can lead to warts, while others are associated with various cancers.
1. Transmission Risk from Contact: If your colleague had a wart on their hand that was treated with cryotherapy (freezing), the risk of transmission through casual contact, such as a brief touch, is relatively low. HPV is primarily transmitted through direct skin-to-skin contact, especially during sexual activity. After treatment, the wart may no longer be infectious, but it is essential to consider that the virus can still be present in the skin surrounding the treated area until it is entirely cleared. Therefore, while the risk is minimal, it is not zero.

2. Infectious Period Post-Treatment: After cryotherapy, the treated area may still harbor the virus until the skin fully heals. This healing process can take several weeks. Thus, while the immediate risk of transmission decreases significantly after treatment, it is advisable to maintain caution until the area is completely healed.

3. Injury and Infection Risk: If your arm has a minor cut or scratch but is not actively bleeding, the risk of HPV transmission through that route is still low. HPV typically requires direct contact with infected skin or mucous membranes for transmission. However, any break in the skin can increase susceptibility to infections in general, so it's wise to keep any wounds clean and covered.

4. Warts and Genital Transmission: If you touch a wart on your hand and then touch your genitals, there is a theoretical risk of transferring the virus. However, the likelihood of this leading to the development of genital warts (often referred to as "cauliflower-like" growths) depends on several factors, including the strain of HPV and the condition of your skin. Genital warts are typically caused by HPV types 6 and 11, which are different from those that cause common hand warts.

5. Masturbation with Warts: If you have warts on your hands, it is advisable to avoid direct contact with your genitals during masturbation. This precaution helps minimize the risk of transferring the virus. If you choose to masturbate, consider using a barrier method, such as a condom or a glove, to reduce the risk of transmission.

6. Concerns About Asymptomatic Infection: If you are worried about having been infected but do not show any symptoms, it is still possible to engage in masturbation. However, if you have concerns about potential transmission, it may be prudent to refrain from direct contact with your genitals until you can consult a healthcare provider for advice and possibly testing.

7. Preventive Measures: If you have warts and wish to masturbate, using a barrier method is the best way to prevent potential transmission to your genitals. Additionally, maintaining good hygiene practices, such as washing your hands thoroughly before and after any sexual activity, can further reduce the risk of spreading HPV or other infections.

8. Consulting a Healthcare Provider: If you have concerns about HPV, warts, or any symptoms that may arise, it is essential to consult a healthcare provider. They can offer guidance on testing, treatment options, and preventive measures, including the HPV vaccine, which can protect against the most common cancer-causing strains of the virus.

In summary, while the risk of HPV transmission through casual contact is low, it is essential to be cautious, especially if there are any open wounds or if you have warts. Practicing safe hygiene, using barriers during sexual activity, and consulting with a healthcare provider for personalized advice are key steps in managing your health regarding HPV.

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