Can You Get Genital Warts Without Sexual Experience? Your Concerns - Obstetrics and Gynecology

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Can you get genital warts without having sexual experience?


Hello Doctor: I would like to ask you a few questions.
I have never had sexual experience, and of course, I do not have a sexual partner, but I have noticed what seems to be a growth on my inner labia for about a year.
I usually do not feel anything, but after visiting a gynecologist several times, I was told it might be a pseudocondyloma.
Each time I experience mucosal irritation, the growth becomes slightly painful.
Last week, I visited the doctor again, and after a biopsy, I was told it is condyloma.
(1) Is this situation possible? (2) I am currently using wart removal cream, and my entire vulva is red and swollen...
Is this normal? (3) Do I need to replace my intimate clothing with new ones? I am very concerned about transmitting it to my family.
Thank you.

Ailen, 40~49 year old female. Ask Date: 2021/10/22

Dr. Wu Xianghui reply Obstetrics and Gynecology


1.
Cauliflower is classified as a close-contact infectious disease, primarily transmitted through sexual intercourse, with a few cases transmitted via personal hygiene products contaminated with residual bodily fluids.
2.
Normal.
3.
It is recommended to wash intimate clothing separately.

Reply Date: 2021/10/22

More Info


Hello, thank you for reaching out with your concerns. It’s understandable to have questions about genital warts, especially given your situation of having no sexual experience. Let’s address your questions one by one.

1. Can you get genital warts without sexual experience?
Genital warts are caused by certain strains of the human papillomavirus (HPV), which is primarily transmitted through sexual contact. However, it is important to note that HPV can also be transmitted through skin-to-skin contact in the genital area, which means that it is theoretically possible to contract HPV without penetrative sexual intercourse. For instance, if you have had any form of intimate contact, including touching or rubbing against an infected area, there is a risk of transmission. Additionally, HPV can sometimes be dormant in the body for years, so it’s possible to have the virus without any visible symptoms for a long time.

2. Is it normal to experience redness and swelling while using topical treatments like podophyllin?
When using treatments such as topical medications for genital warts, it is common to experience some degree of irritation, including redness and swelling. These treatments work by destroying the wart tissue, which can lead to inflammation in the surrounding area. However, if the redness and swelling are severe or accompanied by significant pain, it is important to consult your healthcare provider. They can assess whether the reaction is a normal part of the treatment process or if it indicates an allergic reaction or infection.

3. Should you replace your intimate clothing?
When dealing with genital warts or any sexually transmitted infection (STI), it is a good practice to maintain good hygiene. While HPV is not transmitted through clothing, it is advisable to wash any clothing that has come into contact with the affected area, especially underwear. If you are concerned about transmission to family members, it is prudent to ensure that your personal items are kept separate and washed regularly. However, HPV is primarily transmitted through direct skin-to-skin contact, so the risk of transmission through clothing is very low.

In addition to addressing your specific questions, it’s important to consider the emotional and psychological aspects of dealing with a diagnosis like this. Many individuals experience anxiety or distress upon learning they have a sexually transmitted infection, even if they have not been sexually active. It may be beneficial to speak with a mental health professional or a counselor who specializes in sexual health to help navigate these feelings.

Furthermore, it’s essential to follow up with your healthcare provider regarding your treatment and any ongoing symptoms. Regular check-ups can help monitor the situation and ensure that the treatment is effective. If you have any concerns about your health or the treatment process, do not hesitate to reach out to your doctor for guidance.

In conclusion, while it is less common to contract genital warts without sexual experience, it is not impossible. The treatment you are undergoing may cause some irritation, which is typically normal, but should be monitored. Maintaining good hygiene practices is important, and seeking support for any emotional distress is equally vital. Please take care of yourself, and don’t hesitate to seek further medical advice as needed.

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