the Infectious Nature of Cauliflower Warts: Key Questions Answered

The infectiousness of cauliflower?

I discovered I had genital warts in March of this year.
After starting treatment with topical medication, there was no improvement, so I went to a large hospital where the doctor applied medication and prescribed antibiotics.
After the lesions were cleared, the doctor said I didn't need to return for follow-up.
Now, they have recurred.
I would like to ask: 1.
If I use condoms (safe sex), is there still a risk of transmitting the virus to my partner? 2.
How long should I wait before engaging in sexual activity to ensure I won't transmit the virus to my partner? 3.
I read online that the HPV virus causing genital warts can resolve in 1-2 years for most people, depending on their immune system.
Is this true? What should I do at this point? (I have already made an appointment.)

Mr. Hsu, 20~29 year old female. Ask Date: 2020/11/03

Dr. Ke Fangxu reply Surgery

Theoretically, applying topical medication combined with taking antibiotics cannot cure genital warts unless the topical treatment is a specific antiviral cream for condyloma acuminatum; however, there is still a risk of recurrence.
1.
If condoms are used consistently, theoretically, transmission should not occur.
2.
If sexual intercourse occurs without condoms, there is a theoretical lifelong risk of transmission, as some patients may remain asymptomatic carriers even after visible lesions have healed.
3.
It is not guaranteed; if the immune system is normal and the lesions are very small, there is a possibility of resolution, but most lesions tend to grow larger.
To eliminate genital warts, electrosurgery is generally recommended as it is more likely to achieve a definitive cure.

Reply Date: 2020/11/03

More Info

Cauliflower warts, also known as genital warts, are caused by certain strains of the human papillomavirus (HPV). Understanding the infectious nature of this condition is crucial for both personal health and the health of potential partners. Here are the answers to your questions based on current medical knowledge.

1. Using Condoms and Risk of Transmission: While using condoms can significantly reduce the risk of transmitting HPV, it does not eliminate it entirely. This is because HPV can infect areas not covered by a condom. Therefore, if you have visible warts or are experiencing a recurrence, there is still a risk of transmission to your partner, even with condom use. It is advisable to avoid sexual activity until the warts are completely treated and resolved.

2. When is it Safe to Resume Sexual Activity?: The general recommendation is to wait until all visible signs of warts have disappeared and you have completed any prescribed treatment. This can vary from person to person, but it is essential to consult with your healthcare provider for personalized advice. They can assess your condition and determine when it is safe for you to engage in sexual activity without risking transmission to your partner.

3. Natural Resolution of HPV: It is true that many individuals with HPV may clear the virus naturally within 1 to 2 years, depending on their immune system's strength. However, this does not apply to everyone, and some may experience persistent infections that can lead to warts or other complications. Regular follow-ups with your healthcare provider are essential to monitor your condition and manage any recurrences effectively.

4. Current Management and Next Steps: Since you have already sought medical attention and are following up with a healthcare provider, it is crucial to adhere to their recommendations. If you are experiencing a recurrence of warts, your doctor may suggest additional treatments, such as topical medications, cryotherapy, or other interventions. Maintaining a healthy lifestyle, including a balanced diet, regular exercise, and stress management, can also support your immune system in fighting off the virus.

In summary, while condoms can reduce the risk of HPV transmission, they do not eliminate it. It is best to avoid sexual activity until all warts are treated and resolved. HPV can often clear on its own, but individual experiences vary, so ongoing communication with your healthcare provider is vital for managing your health. If you have further concerns or questions, do not hesitate to reach out to your doctor for guidance tailored to your specific situation.

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