Confusion Over HPV Diagnosis: Asymptomatic Genital Warts - Obstetrics and Gynecology

More Info

---

It sounds like you’re experiencing a lot of confusion and concern regarding your recent HPV diagnosis and the subsequent findings of genital warts (condyloma acuminata) despite having no visible symptoms. Let’s break down your situation and clarify some of the key points regarding HPV, its manifestations, and the diagnostic process.


Understanding HPV and Genital Warts
Human Papillomavirus (HPV) is a group of more than 200 related viruses, of which some types are known to cause genital warts, while others are associated with cervical cancer. HPV types 6 and 11 are most commonly linked to genital warts, while types 16 and 18 are associated with higher risks of cervical cancer. You mentioned being diagnosed with HPV type 59, which is considered a high-risk type, but it is less commonly associated with visible warts.


Asymptomatic Presentation
It is entirely possible to have HPV and not exhibit any symptoms. Many individuals with HPV do not develop visible warts or any other symptoms. The virus can remain dormant in the body for years, and during this time, it may still be transmissible to sexual partners. The absence of visible symptoms does not mean that the virus is not present or that it is not causing changes at the cellular level.


Diagnostic Process
When you underwent a Pap smear and were found to have abnormal results, it prompted further testing, including HPV typing and a colposcopy with biopsy. The biopsy is a crucial step in diagnosing the presence of warts or other lesions. Even if you do not see any external signs, the biopsy can reveal changes in the tissue that are indicative of HPV infection, including the presence of warts.

The term "external genital lesions" can sometimes be used to describe findings that may not be visible on the surface but are present in the deeper layers of the skin or mucosa. This is why your doctor may have referred to "external lesions" even if you do not see any obvious warts.


Treatment Recommendations
Your doctor’s recommendation for laser treatment is a common approach for managing genital warts. The laser can effectively remove warts that are not visible externally but may still be present in the tissue. It’s important to follow through with the treatment as recommended, as it can help prevent the potential spread of the virus and the development of more significant lesions.


Partner Considerations
Since you mentioned having a fixed sexual partner, it’s essential for both of you to be aware of the HPV status. Even if your partner does not exhibit symptoms, they may still carry the virus. It might be beneficial for your partner to consult a healthcare provider for an evaluation and possible testing, especially if they have any concerns.


Conclusion
In summary, your situation is not uncommon, and many individuals with HPV experience similar confusion regarding their diagnosis and treatment. The key points to remember are that HPV can be asymptomatic, and diagnostic procedures like biopsies can reveal underlying issues that are not visible externally. Following your doctor’s recommendations for treatment is crucial for managing the condition effectively. If you have further concerns or questions, don’t hesitate to discuss them with your healthcare provider, as they can provide personalized guidance based on your specific situation.