Concerns About HPV and Future Family Planning: Expert Advice - Urology

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Cauliflower issue


Hello, doctor.
About eight months ago, I had unprotected oral sex with someone, and since then, I have had no warts upon examination during follow-up visits.
Additionally, I have undergone DNA testing about three times, all of which were negative.
Now, I have a girlfriend with whom I am considering marriage.
We always use condoms during sexual intercourse, but I am concerned about the potential for HPV to manifest later and possibly transmit it to her.
Furthermore, there is also a risk of transmission if we have children after marriage.
Therefore, I would like to ask if you have any good advice.
Thank you.
🙏

John, 20~29 year old female. Ask Date: 2020/05/26

Dr. Du Shixi reply Urology


Hello: Theoretically, the chance of contracting cauliflower (genital warts) is very low.
As for the impact on childbirth, it may be best to consult an obstetrician.
Wishing you good health.

Reply Date: 2020/05/26

More Info


When it comes to concerns about HPV (human papillomavirus) and future family planning, it's essential to understand both the nature of the virus and the implications it may have on your life and relationships. HPV is a common sexually transmitted infection, with many strains that can affect individuals differently. Some strains can lead to health issues such as genital warts or even cancers, while others may not cause any symptoms at all.
First and foremost, it's important to acknowledge that HPV is extremely prevalent. In fact, most sexually active individuals will contract HPV at some point in their lives, often without even knowing it. The body’s immune system typically clears the virus on its own within a couple of years. However, in some cases, the virus can persist and lead to complications, including the development of warts or, in high-risk types, cervical cancer.

Given your situation, where you have had multiple negative DNA tests for HPV, this is a positive sign. It suggests that your body has likely cleared the virus, or that you were not infected with a strain that would lead to detectable levels. However, it is crucial to continue monitoring your health, especially since you are considering marriage and starting a family.

Here are some recommendations to consider:
1. Regular Check-ups: Continue to have regular check-ups with your healthcare provider. This includes Pap smears for women and HPV testing as recommended. For men, while there is no routine HPV test, being aware of any changes in your genital area is important.

2. Vaccination: If you have not already been vaccinated, consider getting the HPV vaccine. The vaccine can protect against several strains of HPV, including those that cause most cervical cancers and genital warts. Even if you have been exposed to some strains, the vaccine can still provide protection against others.

3. Safe Sexual Practices: Continue to practice safe sex. Using condoms can significantly reduce the risk of transmitting HPV and other sexually transmitted infections, although it does not eliminate the risk entirely. Open communication with your partner about sexual health is also crucial.

4. Discuss with Your Partner: It’s important to have an open and honest conversation with your girlfriend about your HPV status and any concerns you may have. This can help alleviate anxiety and build trust in your relationship. Discussing sexual health openly can also lead to better mutual understanding and decision-making regarding your sexual practices.

5. Family Planning: When it comes to planning for children, HPV is not typically transmitted during childbirth. However, if you have concerns about potential transmission, discussing these with a healthcare provider can provide clarity and reassurance. They can guide you on the best practices for a healthy pregnancy and delivery.

6. Mental Health: The psychological impact of HPV and concerns about transmission can be significant. It may be beneficial to speak with a counselor or therapist who specializes in sexual health to address any anxiety or guilt you may be feeling.

In conclusion, while HPV is a common concern, it is manageable with the right approach. Regular medical check-ups, vaccination, safe sexual practices, and open communication with your partner are key steps in ensuring both your health and the health of your future family. Always consult with a healthcare professional for personalized advice and to address any specific concerns you may have.

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