HPV: What to Do When Your Partner Has Warts

Boyfriend discovered cauliflower?

Hello, doctor.
My boyfriend underwent an HPV test in mid-March and was found to have HPV type 11.
At that time, a urologist examined him and found no lesions, advising that we could engage in sexual activity with condoms.
Recently, I noticed two raised lesions near the base of his hair follicles, and he visited a different urologist who diagnosed them as genital warts and immediately performed cryotherapy.
I have only had sexual intercourse with this boyfriend, while my other sexual encounters were limited to oral sex about a year ago.
My boyfriend's last partner was nearly four years ago.
I would like to ask: 1.
I received the first dose of the nine-valent HPV vaccine in early March; will it provide any protection? 2.
Currently, I do not observe any abnormalities in my vulva; should I see a gynecologist for further examination? 3.
Is it possible for genital warts to be present only in the vagina without any lesions on the vulva? 4.
We have been together for almost three years and have been each other's only sexual partners; is it possible for the virus to remain dormant for such a long time?

T, 20~29 year old female. Ask Date: 2021/04/28

Dr. Du Shixi reply Urology

1.
I received the first dose of the nine-valent HPV vaccine for cervical cancer at the beginning of March.
Will I have any protection? --> According to the document, on the sixth line from the bottom of the first page, it states that GARDASIL 9 has not been proven to prevent diseases caused by HPV types that individuals have already been infected with due to sexual activity.
2.
Currently, there are no foreign objects observed in the vulva.
Should I go to a gynecologist for further examination? --> A gynecological examination is recommended, and you should inform the doctor that your boyfriend has been diagnosed with genital warts.
3.
Is it possible for genital warts to only appear in the vagina and not in the vulva? --> Yes, it is possible.
4.
We have been together for almost three years and are each other's only sexual partners.
Is it possible for the virus to remain dormant for that long? --> It's difficult to say.
Wishing you good health.

Reply Date: 2021/04/28

More Info

Understanding HPV and Its Implications for You and Your Partner
Human Papillomavirus (HPV) is a common sexually transmitted infection that can lead to various health issues, including genital warts and certain types of cancer. Given your situation, it's essential to address your concerns comprehensively.

1. Vaccination and Protection: You mentioned receiving the first dose of the nine-valent HPV vaccine in early March. This vaccine is designed to protect against several high-risk HPV types, including those that can cause cervical cancer and genital warts. However, it’s important to note that the vaccine provides optimal protection when administered before exposure to the virus. Since your boyfriend has been diagnosed with HPV type 11, which is associated with genital warts, the vaccine may not provide immediate protection against this specific strain. Nonetheless, continuing with the vaccination schedule is advisable, as it can protect you from other HPV types.

2. Need for Further Examination: Since you have not observed any abnormalities in your external genitalia, it may not be immediately necessary to see a gynecologist. However, regular check-ups are crucial, especially if you have concerns about potential HPV-related changes. A gynecological examination can provide peace of mind and ensure that any potential issues are addressed early. If you notice any new symptoms, such as unusual growths, changes in discharge, or discomfort, you should seek medical attention promptly.

3. Location of Warts: Genital warts can appear in various locations, including the vulva, vagina, cervix, and even the anal region. It is possible for warts to be present in the vagina without being visible externally. If your boyfriend has been diagnosed with warts, it is prudent to monitor for any signs or symptoms in yourself and to maintain open communication with your healthcare provider.

4. Virus Latency: HPV can indeed remain dormant in the body for extended periods, sometimes even years, before manifesting symptoms. This latency can make it challenging to determine when the virus was contracted. Given that you and your boyfriend have been together for nearly three years and have been each other's only sexual partners during this time, it is plausible that the virus could have been present before your relationship began or that he contracted it from a previous partner.
In conclusion, while HPV is a common infection, understanding its implications and maintaining open communication with your partner and healthcare providers is crucial. Regular screenings, vaccination, and safe sexual practices, including the use of condoms, can significantly reduce the risk of transmission and complications associated with HPV. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized advice and support.

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