the Risks of HPV and Sexual Activity After Treatment - Urology

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Hello, Doctor.
I have a few questions regarding genital warts.

1.
If my partner has had genital warts and has undergone electrosurgery, is there still a risk of me contracting the virus if we engage in genital rubbing through underwear to satisfy sexual needs?
2.
If there is no recurrence of genital warts three months after electrosurgery, is it safe to resume sexual intercourse normally (even without a condom)?
Thank you again for your answers.

Kse, 20~29 year old female. Ask Date: 2020/09/07

Dr. Du Shixi reply Urology


Hello: 1) No.
2) The longer the time passes, the lower the risk.
However, women may develop issues in the vagina, so it is important to confirm with a gynecologist through an internal examination.
Therefore, I personally do not recommend engaging in unsafe sexual practices.
Wishing you good health.

Reply Date: 2020/09/07

More Info


When it comes to understanding the risks associated with HPV (Human Papillomavirus) and sexual activity after treatment, it is essential to consider several factors, including the nature of HPV, the treatment received, and the ongoing risks of transmission.

1. Risk of Transmission Through Clothing: Engaging in sexual activity, even if it involves rubbing against each other while wearing underwear, can still pose a risk of HPV transmission. HPV is primarily spread through skin-to-skin contact, particularly in the genital area. While the risk may be lower compared to direct contact, it is not entirely negligible. If your partner has a history of genital warts (condylomata), there is a possibility that the virus could still be present on the skin, even after treatment. Therefore, while the risk is reduced, it is not eliminated.

2. Resuming Sexual Activity After Treatment: After undergoing treatment for genital warts, such as electrosurgery, it is generally recommended to wait for a period before resuming sexual activity. The three-month mark you mentioned is often considered a reasonable timeframe. If there have been no signs of recurrence during this period, many healthcare providers may consider it safe to resume sexual activity, including unprotected intercourse. However, it is crucial to understand that HPV can remain dormant in the body, and even if there are no visible signs of warts, the virus can still be present and transmissible. Therefore, discussing the situation with your healthcare provider is essential to assess your specific risk and make informed decisions.

3. Ongoing Monitoring and Prevention: Even after treatment, regular follow-up appointments with your healthcare provider are essential. This may include Pap smears and HPV testing to monitor for any changes in cervical health, especially for women. Vaccination against HPV can also be a preventive measure, as it protects against the most common high-risk and low-risk strains of the virus. If you or your partner have not been vaccinated, it is worth discussing with your healthcare provider.

4. Communication with Partners: Open communication with your partner about HPV and its implications is vital. Discussing sexual health, previous infections, and treatment history can help both partners make informed decisions about their sexual activity. It is also important to consider using barrier methods, such as condoms, to reduce the risk of transmission, even if one partner has been treated.

5. Psychological Considerations: The emotional and psychological aspects of dealing with HPV and its implications for sexual health should not be overlooked. Many individuals experience anxiety or concern about transmission and the potential for future health issues. Seeking support from healthcare professionals, counselors, or support groups can be beneficial in navigating these feelings.

In conclusion, while the risk of HPV transmission can be reduced after treatment, it is not entirely eliminated. Engaging in sexual activity after treatment should be approached with caution, and regular follow-ups with healthcare providers are essential for monitoring health. Open communication with partners and considering preventive measures, such as vaccination and barrier methods, can further help manage the risks associated with HPV.

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