Can You Test for HPV Without Symptoms? Risks and Timing - Urology

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Can a person be tested for genital warts without showing any symptoms?


Hello doctor, I would like to ask if it is possible to test for genital warts (condyloma) even if there are no visible symptoms on the genital area.
Is it only possible to know if symptoms appear? I had unprotected sexual intercourse with a female friend on February 20, and I just learned on April 17 that she is receiving treatment for genital warts.
I have read a lot online about the incubation period for genital warts, which can vary but averages around three months.
I feel quite anxious since it has only been two months, but I have no symptoms.
Should I see a urologist now, or should I wait until symptoms appear? Additionally, I read that the risk of transmission is highest when symptoms are present; if the other person has no symptoms, does that mean I am less likely to be infected? Thank you for clarifying these concerns, doctor.

A-Jia, 30~39 year old female. Ask Date: 2020/04/17

Dr. Du Shixi reply Urology


Hello: Testing can be done, but if there are no lesions, the accuracy may not be guaranteed.
For men, if there are no lesions, there aren't many treatment options available.
As for women, if the lesions are located inside the vagina rather than on the vulva and there are no symptoms, the external appearance of women may appear normal, but that does not mean it is safe.
If both partners are not monogamous, it is advisable to use condoms.
Wishing you good health.
If a man has any protrusions or enlargements on the genitals or perineum, he should seek medical attention.
Wishing you good health.

Reply Date: 2020/04/17

More Info


When it comes to HPV (human papillomavirus) testing and understanding the associated risks, it's important to clarify several points regarding the nature of HPV, its transmission, and the testing process.


Testing for HPV Without Symptoms
1. Can You Test for HPV Without Symptoms?
Yes, you can test for HPV even if you do not have any visible symptoms. HPV testing is typically performed through a Pap smear or HPV DNA test, which can detect the presence of the virus in cervical cells. However, for men, there is no routine HPV test available like there is for women. Instead, healthcare providers may perform a visual examination or biopsy if there are any suspicious lesions. In your case, since you have had unprotected sexual contact with someone who has since been diagnosed with genital warts (caused by HPV), it is advisable to consult a healthcare provider for an evaluation, even in the absence of symptoms.

2. Understanding HPV's Incubation Period
The incubation period for HPV can vary significantly. While some strains may show symptoms within a few weeks, others can remain dormant for months or even years. The average time for the appearance of genital warts is about three months, but this can vary widely. Therefore, just because you do not have symptoms now does not mean you are free from infection.

3. Should You See a Urologist Now?
Given your recent exposure and the fact that your partner has been diagnosed with genital warts, it would be prudent to see a urologist or a healthcare provider specializing in sexual health. They can provide guidance on whether testing is necessary and what steps you should take next. Early intervention can help manage any potential issues before they develop further.


Transmission Risks
1. Transmission Without Symptoms
It is true that the risk of transmission is generally higher when symptoms are present, such as visible warts. However, HPV can still be transmitted even when an infected person does not show any signs or symptoms. This is because the virus can be present on the skin or mucous membranes, and asymptomatic individuals can still shed the virus.

2. Risk Assessment
If your partner had no visible symptoms at the time of your encounter, the risk of transmission may be lower, but it is not zero. HPV is highly contagious, and the absence of symptoms does not guarantee that the virus is not present. Therefore, it is essential to remain vigilant and consider regular check-ups, especially if you have had potential exposure.


Conclusion
In summary, while you may not have any visible symptoms, it is still possible to test for HPV and assess your risk following potential exposure. Consulting with a healthcare provider is the best course of action to determine if testing is necessary and to discuss any concerns you may have. Regular screenings and awareness of your sexual health are crucial in managing the risks associated with HPV. Remember, practicing safe sex, including the use of condoms, can significantly reduce the risk of HPV transmission, but it does not eliminate it entirely. Vaccination against HPV is also an effective preventive measure and is recommended for both males and females to protect against the most common strains associated with genital warts and cervical cancer.

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