Genital Warts: Symptoms, Duration, and HPV Vaccine Insights - Urology

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Hello Doctor, I would like to ask if I have contracted genital warts (I had a circumcision surgery when I was younger).
Here is the link: https://imgur.com/a/03w39V2.
Do I need to seek medical attention? Based on your clinical experience, how long does it typically take for genital warts to appear? (I read online that it can range from 3 weeks to 8 months.) Additionally, how long can the virus survive in human secretions before being expelled from the body (for example, in a cup with un-dried secretions)? (Vaginal secretions, semen) Also, what is the efficacy of the 9-valent HPV vaccine in preventing genital warts, and how long does this protection last? Thank you, Doctor.

Nìmíng zhě, 10~19 year old female. Ask Date: 2022/04/06

Dr. Du Shixi reply Urology


Hello: This platform cannot replace a physician's examination, assessment, or testing.
1) If there are changes such as an increase in size or number, please consult a doctor.
Based on your clinical experience, how long does it generally take for genital warts to appear? (I saw online that it can range from 3 weeks to 8 months) --> There are reports of cases exceeding one year.
In my personal clinical experience, the duration varies.
Additionally, how long can the HPV virus survive in human secretions before being expelled from the body (for example, in a cup containing secretions that have not dried)? (Vaginal secretions, semen) --> A few hours, not too long.
Also, after receiving the 9-valent vaccine (Gardasil 9), what is the estimated efficacy in preventing genital warts, and how long does this protection last? --> It only protects against certain types of HPV, and the duration of protection varies by individual.
Practicing safe sex is more reliable.
For reference, please see https://www.hpa.gov.tw/Pages/List.aspx?nodeid=1799 and file:///C:/Users/hmisa.MIL/Downloads/Gardasil+9_%E4%BB%BF%E5%96%AE%E9%A8%8E%E7%B8%AB%E7%AB%A0-110-08-25.pdf.

Reply Date: 2022/04/06

More Info


Genital warts, medically known as condylomata acuminata, are caused by certain strains of the human papillomavirus (HPV), particularly HPV types 6 and 11. These warts can appear as small, flesh-colored or gray growths in the genital area, and they can vary in size and shape. If you suspect that you have genital warts, it is advisable to consult a healthcare provider for an accurate diagnosis and appropriate treatment.

In terms of the timeline for the appearance of genital warts after exposure to the virus, it is indeed variable. While some individuals may notice warts developing within three weeks of exposure, others may not see any symptoms for several months, or even up to eight months or longer. This variability is due to the fact that HPV can remain dormant in the body for an extended period before manifesting as visible warts.

Regarding the survival of the virus outside the body, HPV is not highly resilient in the environment. The virus does not survive long outside of human tissue. In laboratory settings, HPV can be detected in bodily fluids for a limited time, but it is generally believed that the virus does not remain infectious in dried secretions. Therefore, while it may be present in vaginal secretions or semen, it is unlikely to survive for more than a few hours to a couple of days outside the body, especially in non-ideal conditions.

As for the HPV vaccine, specifically the 9-valent HPV vaccine (Gardasil 9), it provides protection against nine HPV types, including those that cause the majority of cervical cancers and genital warts. The vaccine is highly effective in preventing infections from these HPV types, and studies have shown that it can reduce the incidence of genital warts by approximately 90% among vaccinated individuals. The protective effect of the vaccine is expected to last for at least 5 to 10 years, and ongoing research is being conducted to determine the long-term efficacy.

It is important to note that while the vaccine significantly reduces the risk of developing genital warts and HPV-related cancers, it does not treat existing infections or warts. Therefore, if you already have genital warts, vaccination will not eliminate them, and you should seek treatment options available through your healthcare provider.

In conclusion, if you suspect you have genital warts, it is essential to consult a healthcare professional for a proper evaluation and treatment plan. The HPV vaccine is a valuable preventive measure that can significantly reduce the risk of genital warts and HPV-related diseases, but it is most effective when administered before exposure to the virus. Regular check-ups and discussions with your healthcare provider can help you stay informed about your sexual health and the best preventive strategies available.

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