the Transmission and Symptoms of Genital Warts - Urology

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The transmission rate of cauliflower?


1.
What is the shortest and longest incubation period for genital warts (condyloma acuminata)?
2.
Last August, I had unprotected oral sex with a stranger and protected vaginal intercourse with my regular partner.
On April 28 of this year, I noticed itching and a slight burning sensation on my glans, suspecting it was due to friction during sex.
On April 30, I had unprotected oral sex with another stranger and protected vaginal intercourse.
That evening, after showering (using a newly purchased body wash), I felt a significant increase in burning sensation in my genital area.
Upon inspection, I noticed small red bumps near the glans and urethral opening.
The next day, I visited a clinic where the doctor suggested that the symptoms were due to excessive sexual activity and irritation from the unfamiliar body wash.
Is it possible that I could have been infected with genital warts immediately after engaging in unprotected oral sex on that day due to damaged surface skin?
3.
Is it also possible that I was infected last August and only now showing symptoms?
4.
If the answer to the third question is yes, could my regular partner have been infected during the period from last year to this year, even without showing symptoms (is there a risk of transmission during the incubation period)?
5.
As of May 7, the red bumps are still present, have not noticeably increased in size, are not painful, and the burning sensation has decreased compared to last week, with no discharge.
Is there still a possibility of being infected with genital warts given these symptoms? Additionally, on May 7, I visited the hospital outpatient department, and the doctor mentioned that the lesions were too small to determine if there was an infection with genital warts.

QQ78, 20~29 year old female. Ask Date: 2020/05/08

Dr. Du Shixi reply Urology


Hello: 1) The shortest and longest incubation periods: an average of 3 months, but it can range from a few weeks to several years (Clinical Spectrum and Treatment Guidelines for Sexually Transmitted Diseases).
2) It is often inflammatory, and warts do not appear immediately.
3) It is possible.
4) It is possible, but it depends on the strength of the virus and one's own immune resistance.
5) The premise is that if the partner has warts, you are at risk, so safe sex practices and observation are necessary.
Wishing you good health.

Reply Date: 2020/05/08

More Info


Genital warts, caused by certain strains of the human papillomavirus (HPV), are a common sexually transmitted infection (STI). Understanding their transmission, symptoms, and the timeline of infection is crucial for managing and preventing the spread of this condition. Let’s address your questions one by one.

1. Incubation Period: The incubation period for genital warts can vary significantly. The shortest incubation period is typically around 3 weeks, while the longest can extend up to several months or even years. This variability is due to the immune response of the individual and the specific strain of HPV involved. Some people may carry the virus without showing any symptoms for a long time, which complicates the understanding of when the infection was acquired.

2. Potential for Immediate Infection: Given your description of the events, it is possible to contract HPV during unprotected oral sex, especially if there are micro-abrasions or injuries to the skin. However, the symptoms of genital warts typically do not appear immediately after exposure. If you had a skin injury, it could create a pathway for the virus, but the appearance of warts or other symptoms would still depend on the incubation period. The symptoms you experienced, such as burning and redness, could also be attributed to irritation from the new body wash or friction from sexual activity rather than an immediate HPV infection.

3. Delayed Onset of Symptoms: Yes, it is possible that you could have been infected in August and only now be showing symptoms. HPV can remain dormant in the body for an extended period, and symptoms may not manifest until the immune system is compromised or under stress. This means that even if you were infected last year, the virus could have remained inactive until recently.

4. Transmission to Partners: If you were indeed infected with HPV last August, there is a possibility that your fixed partner could have been exposed, even if they do not show symptoms. HPV can be transmitted even when an infected person does not have visible warts or other symptoms. The virus can be present on the skin and can be passed on through skin-to-skin contact in the genital area.

5. Current Symptoms and Infection Risk: The fact that the red, swollen area has not increased in size and is not painful, along with the absence of discharge, suggests that it may not be an active infection of genital warts. However, it is still possible to have HPV without visible symptoms. The best course of action is to consult a healthcare provider for a thorough examination. They may recommend a biopsy or other diagnostic tests to determine the nature of the lesions.

In summary, genital warts can have a variable incubation period, and symptoms may not appear immediately after exposure. It is crucial to maintain open communication with sexual partners and to seek medical advice for any concerning symptoms. Regular check-ups and HPV vaccinations can also help reduce the risk of transmission and the development of genital warts. If you have further concerns or symptoms persist, please consult a healthcare professional for personalized advice and treatment options.

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