Low-Risk HPV: Implications for Men and Fertility Concerns - Urology

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Low-risk HPV


Hello doctor, I am a male and this year I accidentally discovered that I have genital warts and underwent electrosurgery.
When I returned for a follow-up, the doctor said I have a persistent low-risk HPV type 1.
1.
Does this mean I will never be able to have children in my lifetime? 2.
I have read online that many people clear low-risk HPV completely within two years due to their immune response.
Is this true? If so, why did the doctor say it is persistent? I only developed genital warts this year.
Also, does this mean that my girlfriend and I cannot have unprotected sex or oral sex? Or can we go without protection after six months? Thank you, doctor, for your answers.

Tsai, 30~39 year old female. Ask Date: 2020/10/04

Dr. Du Shixi reply Urology


Hello: 1) HPV can recur, but there is no indication of it being persistent; please discuss this with your physician.
2) Some individuals may clear the virus, but it is unpredictable.
If there are lesions, treatment is usually necessary.
It is not recommended to engage in unprotected sex in the short term; practice safe sex.
Wishing you good health.

Reply Date: 2020/10/04

More Info


Low-risk HPV, particularly types 6 and 11, is known primarily for causing genital warts, also referred to as "cauliflower-like" growths. It's important to understand that while low-risk HPV infections can be persistent, they do not typically lead to serious health issues like high-risk HPV types, which are associated with various cancers.
1. Fertility Concerns: The presence of low-risk HPV does not inherently prevent you from having children. Many men with HPV infections, including those with genital warts, can still father children. The reproductive capabilities are generally not affected by the presence of low-risk HPV. If you are concerned about your fertility, it may be beneficial to consult with a fertility specialist who can provide a more comprehensive evaluation.

2. Clearing the Virus: It is true that many individuals with HPV can clear the virus naturally within two years due to their immune system's response. However, some people may experience persistent infections. The term "persistent" in this context means that the virus has not been cleared by the immune system within the expected timeframe. This does not mean that the virus will remain indefinitely, but it does indicate that your body is currently unable to eliminate it. The immune response can vary significantly from person to person, which is why some people may clear the virus while others do not.

3. Safe Sexual Practices: Regarding sexual activity, it is advisable to practice safe sex to reduce the risk of transmitting HPV to your partner. Using condoms can significantly lower the risk of transmission, but it does not eliminate it entirely, as HPV can be present in areas not covered by a condom. If you have visible warts, it is best to avoid sexual contact until they have been treated and resolved. Engaging in unprotected sex, including oral sex, while warts are present can increase the risk of transmission.

4. Duration Before Unprotected Sex: If you and your partner are considering unprotected sex, it is generally recommended to wait until all visible signs of HPV, such as warts, have been treated and cleared. This may take several weeks to months, depending on the treatment and individual response. It is also important to have open communication with your partner about your HPV status and any concerns regarding transmission.

5. Consulting Healthcare Providers: Regular follow-ups with your healthcare provider are crucial. They can monitor your condition, provide guidance on treatment options, and discuss the implications for your sexual health and fertility. If you are considering starting a family, discussing your HPV status with your partner and healthcare provider can help you make informed decisions.

In summary, while low-risk HPV can be a source of concern, it does not necessarily impede your ability to have children. Many individuals clear the virus naturally, and safe sexual practices can help manage the risk of transmission. Always consult with your healthcare provider for personalized advice and treatment options.

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