Impact of Cervical Vaccination and HPV Testing on Genital Warts Recurrence

Q: Impact of Cervical Vaccination and HPV Testing on Genital Warts Recurrence

Hello： You can refer to the package insert at https：//info.fda.gov.tw/mlms/H0001D.aspx?Type=Lic&LicId=600010011. <br>I have completed treatment for vulvar warts and am currently monitoring for any recurrence. <br>Would receiving the cervical cancer vaccine at this time help preve

Treatment of cervical warts includes the administration of the cervical cancer vaccine and HPV screening?

1.
If I have completed treatment for vulvar warts and am currently monitoring for any recurrence, would receiving the cervical cancer vaccine help prevent recurrence? Or is it better to wait and see if there is no recurrence before getting vaccinated?
2.
I am considering getting a Pap smear and HPV test soon.
If there is a recurrence of warts, is there a possibility that the examination process could push the virus into the cervix or vagina?
3.
Which type of HPV and Pap smear test is recommended for higher accuracy?

Niming, 20~29 year old female. Ask Date: 2022/04/15

Dr. Du Shixi reply Urology

Hello: You can refer to the package insert at https://info.fda.gov.tw/mlms/H0001D.aspx?Type=Lic&LicId=600010011.
I have completed treatment for vulvar warts and am currently monitoring for any recurrence.
Would receiving the cervical cancer vaccine at this time help prevent recurrence? Or should I wait for a period of observation, and if there is no recurrence, would vaccination be more effective then? --> According to the package insert: The nine-valent vaccine prevents nine types of HPV and has no therapeutic effect.
Therefore, getting vaccinated can prevent you from contracting HPV types you have not yet acquired, but it will not treat those you already have.
2.
I am considering getting a Pap smear and HPV test soon.
If there is a recurrence of warts, is there a possibility that the testing process could push the virus into the cervix or vagina? --> Please consult the physician performing the test, most likely a gynecologist.
3.
Which type of HPV and Pap smear test has a higher accuracy? --> Generally, they are quite similar; please consult your testing physician for more details.

Reply Date: 2022/04/15

More Info

When considering the impact of cervical vaccination and HPV testing on the recurrence of genital warts, it is essential to understand the nature of HPV (human papillomavirus) and how it interacts with the body, particularly in relation to vaccination and testing.

1. Impact of Vaccination on Recurrence of Genital Warts: The HPV vaccine, particularly the Gardasil 9, is designed to protect against the most common high-risk HPV types that can lead to cervical cancer (such as types 16 and 18) and low-risk types that cause genital warts (types 6 and 11). If you have already been treated for genital warts, receiving the vaccine may help prevent future infections from these specific types of HPV. However, it is important to note that the vaccine does not treat existing infections or warts. Therefore, while vaccination can provide protection against new infections, it does not guarantee that previously treated warts will not recur. It is generally recommended to wait and observe for a period after treatment to see if any warts return before getting vaccinated, as this allows for a clearer assessment of the treatment's effectiveness.

2. Safety of HPV Testing with Existing Warts: Regarding the concern of HPV testing and cervical smears in the presence of genital warts, it is unlikely that the testing process would push the virus into the cervix or vagina. HPV is typically localized to the area where warts are present, and the act of taking a sample for testing is designed to minimize any risk of spreading the virus. However, if there are active lesions, it is advisable to inform the healthcare provider performing the test, as they may take additional precautions or recommend a different approach to testing.

3. Recommended HPV and Cervical Smear Tests: For accurate testing, both HPV testing and Pap smears are essential components of cervical cancer screening. The Pap smear detects abnormal cells in the cervix, while HPV testing identifies the presence of high-risk HPV types. The combination of both tests is often referred to as co-testing and is recommended for women over the age of 30. For younger women, Pap smears alone may be sufficient, depending on individual risk factors and guidelines from health authorities. If you have a history of genital warts, discussing with your healthcare provider about the most appropriate testing strategy for your situation is crucial.

In summary, while the HPV vaccine can help prevent future infections and potentially reduce the risk of recurrence of genital warts, it does not treat existing conditions. Observing for recurrence after treatment before vaccination is advisable. HPV testing and Pap smears are safe even in the presence of warts, and both tests are important for comprehensive cervical health screening. Always consult with your healthcare provider for personalized advice based on your medical history and current health status.

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