the Risks of HPV Transmission in Urology Cases - Urology

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Cauliflower transmission issues?


Hello, doctor.
I recently had a half-set procedure (0.5) done, during which the lady performed oral sex on me (with a condom) and stimulated my nipples.
If the other party had a virus, what is the likelihood of transmission in this scenario? Additionally, regarding genital warts (condyloma), is there a risk of transmission only when coming into contact with the lesions, or could there still be a possibility of infection if the lesions have resolved but there is contact with the other person's bodily fluids? I plan to get tested and receive the 9-valent vaccine in about three weeks.

Cai Xiansheng, 20~29 year old female. Ask Date: 2021/12/25

Dr. Du Shixi reply Urology


Hello: If the area of contact with the other person does not have any visible warts, the risk is low.
You can refer to the classification of sexual behavior risk levels: safe methods include masturbation, hugging, and touching areas other than the genitals; low-risk methods include mutual masturbation, light kissing, and mutual rubbing with condom use; moderate-risk methods include deep kissing, oral sex, and withdrawal before ejaculation; high-risk methods include unprotected intercourse and intercourse that causes cuts or bleeding.
Wishing you good health.

Reply Date: 2021/12/25

More Info


When it comes to understanding the risks of HPV transmission, especially in the context of urology and sexual health, it's essential to consider several factors, including the type of HPV, the nature of the sexual activities involved, and the overall health of both partners.

Firstly, HPV, or human papillomavirus, is primarily transmitted through direct skin-to-skin contact, particularly during sexual activities. While condoms significantly reduce the risk of transmission, they do not provide complete protection since HPV can infect areas not covered by the condom. In your case, since you mentioned that the sexual partner performed oral sex while using a condom, the risk of HPV transmission through that specific act is lower, but not entirely eliminated. If the partner has HPV, there is still a potential risk if there was any contact with infected areas or bodily fluids.

Regarding your question about "cauliflower" or genital warts, these are caused by low-risk HPV types, primarily HPV 6 and 11. Transmission can occur even if the visible warts are not present, as the virus can still be shed from the skin or mucous membranes. If the partner had previously been diagnosed with genital warts but they have since resolved, there is still a possibility of transmission through contact with their bodily fluids, especially if there are micro-abrasions or cuts in the skin.

The likelihood of contracting HPV from the described activities can vary. If the partner is actively shedding the virus, the risk increases. However, if they are not showing any symptoms and have no visible warts, the risk is lower but not negligible. It's also important to note that many individuals with HPV do not exhibit symptoms and may unknowingly transmit the virus.

As for your plan to get tested and receive the 9-valent HPV vaccine, this is a proactive approach. The vaccine is effective in preventing infection from the most common high-risk and low-risk HPV types, including those that cause genital warts and cervical cancer. It is recommended for both males and females and can significantly reduce the risk of HPV-related diseases.

In summary, while the risk of HPV transmission in your scenario is present, it is influenced by various factors, including the presence of the virus in your partner, the type of sexual activity, and the use of protection. Regular screenings and vaccinations are crucial in managing HPV risks. If you have concerns about potential exposure or symptoms, it is advisable to consult with a healthcare provider for personalized advice and testing options. They can guide you on the best practices for prevention and treatment, ensuring both you and your partner maintain optimal sexual health.

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