HPV vaccine, genital warts?
Hello doctor, my girlfriend has received the HPV vaccine, but she had sexual intercourse with another man and then with me.
What is the likelihood that I could contract genital warts?
Xing, 20~29 year old female. Ask Date: 2021/10/01
Dr. Du Shixi reply Urology
Hello: The HPV vaccine is effective in prevention, but it only protects against certain types of HPV.
If unsafe sexual practices occur, females may still be at risk of developing genital warts.
If infected, there is also a possibility of transmission.
Wishing you good health.
Reply Date: 2021/10/01
More Info
The concern regarding the risk of contracting genital warts (also known as condylomata acuminata or "cauliflower warts") after your girlfriend has been vaccinated against HPV is valid and important to address. The HPV vaccine, particularly the nine-valent vaccine (Gardasil 9), is designed to protect against several strains of the human papillomavirus, including the two low-risk types (HPV 6 and 11) that are primarily responsible for the majority of genital warts.
1. Understanding HPV Vaccination: The HPV vaccine is highly effective in preventing infections from the specific strains of HPV it targets. For example, Gardasil 9 protects against HPV types 6 and 11, which are responsible for approximately 90% of genital warts, as well as high-risk types associated with cervical cancer, such as HPV 16 and 18. If your girlfriend has received the vaccine, her risk of contracting and transmitting these specific strains is significantly reduced. However, it is important to note that the vaccine does not provide protection against all HPV types, particularly those that are not included in the vaccine.
2. Risk of Transmission: If your girlfriend has been vaccinated, her likelihood of transmitting HPV types 6 and 11 to you is lower than if she had not been vaccinated. However, if she has been exposed to other strains of HPV from her encounters with other partners, there is still a possibility of transmission of those strains, especially if they are not covered by the vaccine. Additionally, if she has been infected with HPV before receiving the vaccine, she may still carry the virus, which could potentially be transmitted to you.
3. Your Risk of Genital Warts: The risk of you contracting genital warts from your girlfriend depends on several factors, including whether she has been exposed to HPV types that cause warts, whether she has developed any visible warts, and whether she has been vaccinated against those specific strains. If she has no visible signs of genital warts and has been vaccinated, your risk is significantly reduced, but not entirely eliminated.
4. Preventive Measures: To further reduce the risk of HPV transmission, consider the following:
- Condom Use: Using condoms consistently and correctly can help reduce the risk of HPV transmission, although they do not provide complete protection since HPV can be present on areas not covered by a condom.
- Regular Health Check-ups: Both you and your girlfriend should engage in regular health check-ups, including screenings for sexually transmitted infections (STIs) and HPV-related health issues.
- Vaccination: If you have not been vaccinated against HPV, it is advisable to discuss vaccination with your healthcare provider. The vaccine is recommended for males up to age 26 and can still be beneficial for those older than 26, depending on individual health circumstances.
5. Conclusion: While the HPV vaccine significantly reduces the risk of genital warts and other HPV-related diseases, it does not eliminate the risk entirely. Open communication with your partner about sexual health and history, along with preventive measures, can help manage and mitigate risks associated with HPV transmission. If you have concerns about potential exposure or symptoms, consulting with a healthcare provider for personalized advice and potential testing is recommended.
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