HPV Transmission Risks and Safe Practices in Relationships - Internal Medicine

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Hello doctor, my girlfriend had a small growth on her genital area earlier this year.
I accompanied her to see a gynecologist, and after a biopsy, it was identified as condyloma.
She told me that I am her first sexual partner, and I am also a first-time partner.
After accompanying her for the examination, I was found to be fine.
I reassured her that it might be due to her frequent visits to hot springs, which could have led to an infection.
I don't mind; I just want her to receive proper treatment.
We haven't engaged in sexual intercourse for the past six months, and I've been managing on my own.
Recently, during a follow-up appointment, the doctor said there was no recurrence and that there shouldn't be any issues.
I would like to ask the doctor about my concerns.
I believe that sexual activity can transmit infections, but what about sharing a washing machine? I think using detergent should mitigate the risk, as my girlfriend has been using the washing machine quite a bit.
She tends to be a bit lazy, and since I thought she might not wash her clothes often, I've been hand-washing my own during this time.
Is there a risk associated with using the same washing machine? As for sexual activity, the doctor mentioned it would be fine as long as I use protection.
I'm considering waiting a full year before resuming sexual activity.
Thank you.

yt, 20~29 year old female. Ask Date: 2020/08/31

Dr. Hong Yuanbin reply Internal Medicine


Hello,
1.
The most common cause of cauliflower-like lesions is a sexually transmitted infection; however, it can also be transmitted through casual contact or contact with contaminated clothing, making it difficult to directly identify the source of infection.

2.
If your physician confirms during a follow-up visit that there are no lesions, the likelihood of infection should be very low.
However, using condoms during sexual intercourse can indeed minimize the risk of mutual transmission.

3.
As for washing clothes in a washing machine, the risk of infection is likely low.
Thank you for your question.

Reply Date: 2020/08/31

More Info


Understanding HPV Transmission Risks and Safe Practices in Relationships
Human Papillomavirus (HPV) is a common sexually transmitted infection (STI) that can affect both men and women. It is important to understand the transmission risks associated with HPV, especially in the context of intimate relationships, and to adopt safe practices to minimize these risks.

In your situation, your girlfriend has been diagnosed with genital warts (cauliflower-like growths), which are caused by certain strains of HPV. It is commendable that you have been supportive of her during this time and have encouraged her to seek medical treatment. The fact that she has undergone treatment and has been cleared of any recurrence is a positive sign. However, it is crucial to remain vigilant about the potential for transmission, especially since you have not engaged in sexual activity during her treatment.

HPV is primarily transmitted through direct skin-to-skin contact during sexual activity, including vaginal, anal, and oral sex. The use of condoms significantly reduces the risk of transmission, but it does not eliminate it entirely, as HPV can infect areas not covered by the condom. Therefore, while using condoms is an effective preventive measure, it is still possible to contract HPV even when practicing safe sex.

Regarding your concerns about shared laundry facilities, it is important to note that HPV is not transmitted through inanimate objects or surfaces. The virus does not survive long outside the human body, and the likelihood of contracting HPV from a shared washing machine or laundry items is extremely low. Cleaning agents and the washing process itself further reduce any potential risk. Therefore, you can feel reassured that using a shared washing machine does not pose a significant risk of HPV transmission.

In terms of your relationship moving forward, it is wise to take a cautious approach. Since you have not engaged in sexual activity during this period, it may be beneficial to continue this practice until you feel confident about your girlfriend's health status. Regular follow-ups with her healthcare provider and monitoring for any signs of recurrence are essential. If you decide to resume sexual activity, using condoms consistently will help protect both of you from potential transmission.

Additionally, you may want to consider getting vaccinated against HPV if you have not already done so. The HPV vaccine is effective in preventing the most common high-risk strains of the virus and can significantly reduce your risk of developing HPV-related health issues in the future.

It is also important to maintain open communication with your girlfriend about your concerns and any precautions you both wish to take. Discussing your feelings and establishing mutual understanding can strengthen your relationship and ensure that both of you feel comfortable and safe.

In summary, while HPV is a concern in intimate relationships, understanding how it is transmitted and taking appropriate precautions can help mitigate risks. Engaging in safe sexual practices, maintaining regular health check-ups, and considering vaccination are all proactive steps you can take to protect yourselves. If you have any further questions or concerns, consulting with a healthcare professional can provide you with personalized guidance and support.

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