Is It Possible to Be Cured After 10 Years Without Recurrence?

I would like to inquire if it is possible to be considered cured or if the likelihood of recurrence is very low after a long period without relapse?

Hello doctor, about 10 years ago I was infected with genital warts, and after treatment with electrosurgery, I have not had a recurrence for almost 10 years.
During these 10 years, I also received the cervical cancer vaccine.
Is there still a chance of recurrence? If there has been no recurrence during pregnancy, can I have a natural birth or is a cesarean section the only option? Additionally, does the cervical cancer vaccine have a time limit for booster shots, or is it sufficient to have received it once?

Lin, 30~39 year old female. Ask Date: 2022/02/13

Dr. Chen Jiansheng reply Urology

The probability is very low; I haven't heard of any need for a booster shot.

Reply Date: 2022/02/13

More Info

When it comes to the recurrence of HPV-related conditions, such as genital warts (often referred to as "cauliflower" due to their appearance), it's important to understand a few key points. First, if you have not experienced any recurrence of genital warts for approximately ten years after treatment, it is a positive sign. The likelihood of recurrence decreases significantly over time, especially if you have maintained a healthy immune system and have not been re-exposed to the virus.
Human Papillomavirus (HPV) is a common sexually transmitted infection, and while many strains are harmless, some can lead to warts or even cervical cancer. The fact that you have received the HPV vaccine is also beneficial. The vaccine is designed to protect against the most common high-risk strains of HPV that can lead to cervical cancer, as well as some strains that cause genital warts.
Regarding your question about the possibility of recurrence, while it is less likely after such a long period without symptoms, it is not entirely impossible. HPV can remain dormant in the body, and factors such as a weakened immune system or new sexual partners can potentially lead to a recurrence. However, if you have been vigilant about your health and have not had any new exposures, the risk is significantly reduced.

As for pregnancy, having a history of genital warts does not automatically necessitate a cesarean section (C-section). Many women with a history of genital warts have successful vaginal deliveries, especially if there are no active lesions at the time of delivery. However, if there are visible warts in the birth canal during labor, a C-section may be recommended to reduce the risk of transmitting the virus to the baby. It is essential to discuss your specific situation with your healthcare provider, who can assess your condition and provide personalized advice.

Regarding the HPV vaccine, it is important to note that the vaccine provides long-lasting protection, but it does not eliminate existing infections. If you have completed the vaccination series, you generally do not need to receive additional doses. However, it is advisable to stay updated with your healthcare provider regarding any new recommendations or guidelines related to HPV vaccination, as research continues to evolve.

In summary, while the chances of recurrence after ten years without symptoms are low, it is not impossible. Maintaining regular check-ups with your healthcare provider, especially during pregnancy, will help ensure both your health and that of your baby. The HPV vaccine offers long-term protection, and if you have completed the series, additional doses are typically not necessary. Always consult with your healthcare provider for personalized advice and recommendations based on your medical history.

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