HPV: Transmission, Recurrence, and Safe Practices After Treatment - Surgery

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Cauliflower recurrence infection?


Hello, Doctor! Two years ago, I had a genital warts infection in my anal area, and after undergoing electrosurgery, I have not had a recurrence since then.
I later received the vaccine (although it may have been too late).
I would like to ask the doctor the following questions:
1.
Two years ago, I had only one sexual partner, and he did not show any visible lesions.
Can you tell me if someone without visible lesions can still be contagious? Or is it possible that my initial infection source was not through sexual contact (though that seems unlikely)?
2.
Given my current situation, is there still a possibility of lifelong recurrence?
3.
If I engage in sexual activity now, is there a risk of transmitting the virus to others?
Thank you very much for your answers!

Xiao A, 20~29 year old female. Ask Date: 2020/06/21

Dr. Ke Fangxu reply Surgery


1.
Even if there are no visible lesions, it is still possible to be a carrier and have infectious anal warts, which are typically transmitted through sexual activity.

2.
Yes, there is a possibility of recurrence when the immune system is weakened.

3.
If you have previously had anal warts, you should engage in safe sexual practices and be sure to use condoms.

Reply Date: 2020/06/21

More Info


Understanding HPV (Human Papillomavirus) is crucial for both personal health and public awareness. Your questions touch on several important aspects of HPV, including transmission, recurrence, and safe practices after treatment. Let’s address each of your concerns in detail.

1. Transmission from Asymptomatic Partners: It is indeed possible for individuals to transmit HPV even when they do not exhibit visible symptoms or lesions. HPV can be present in the skin or mucous membranes without causing any noticeable signs, which means that a partner who appears healthy can still carry the virus and potentially transmit it during sexual contact. This characteristic of HPV is one reason why it is so prevalent; many individuals may not know they are infected. While sexual activity is the most common route of transmission, HPV can also be spread through skin-to-skin contact in the genital area, which means that non-penetrative sexual activities can also pose a risk.

2. Risk of Recurrence: After treatment for HPV-related conditions, such as genital warts (condylomata acuminata), there is always a possibility of recurrence. The virus can remain dormant in the body, and factors such as a weakened immune system, stress, or other health issues can trigger a reactivation of the virus. While many individuals may clear the virus naturally over time, some may continue to harbor it, leading to potential future outbreaks. Regular follow-ups with a healthcare provider are essential for monitoring any changes and managing health effectively.

3. Transmission During Sexual Activity: If you are currently HPV-positive, there is a risk of transmitting the virus to new sexual partners. Even if you have not had any visible symptoms or recurrences since your treatment, the virus can still be present in your body. It is advisable to practice safe sex, including the use of condoms, to reduce the risk of transmission. However, it is important to note that condoms do not provide complete protection against HPV, as the virus can be present on skin areas not covered by the condom.

Additional Considerations:
- Vaccination: You mentioned receiving the HPV vaccine after your initial infection. While the vaccine is most effective when given before the onset of sexual activity, it can still provide benefits even after exposure to certain HPV types. The vaccine can help protect against other strains of HPV that you may not have been exposed to, reducing the risk of future infections and related health issues.


- Monitoring and Follow-Up: Regular check-ups with your healthcare provider are crucial. They can perform necessary screenings and tests to monitor for any changes or potential recurrences of HPV-related conditions. Depending on your history and risk factors, your doctor may recommend specific intervals for follow-up examinations.

- Healthy Practices: Maintaining a healthy lifestyle can support your immune system, which plays a vital role in controlling HPV infections. A balanced diet, regular exercise, adequate sleep, and stress management can all contribute to overall health and potentially reduce the risk of HPV-related complications.

In conclusion, while HPV can be a complex and sometimes concerning issue, understanding its transmission, the potential for recurrence, and safe practices can empower you to manage your health effectively. Always consult with a healthcare professional for personalized advice and recommendations based on your specific situation.

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