HPV and Safe Practices After Genital Warts Treatment - Urology

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Postoperative care for cauliflower (condylomata acuminata)


1.
Two years ago, I had genital warts in the vulvar area, which were treated with electrosurgery.
I have had follow-up visits and have not experienced a recurrence, but I am unsure if there is still a viral load in my body.
Does this mean I still have HPV?
2.
Recently, after two years, I had a French kiss (with tongue) and kissed the chest of a guy I like.
Is it possible to transmit genital warts through kissing?
3.
There was no oral sex or actual sexual intercourse, but both of us touched each other's private areas over our clothes and rubbed against each other while wearing outer clothing.
Is there a risk of transmitting genital warts in this scenario?
4.
After electrosurgery, how long should I wait before engaging in safe sexual intercourse? If there has been no recurrence, how long after treatment can both partners perform oral sex? Can the male partner perform oral sex on the female partner, or should we avoid it altogether?
5.
In addition to the annual Pap smear, should HPV testing also be done every year?
6.
Why do some individuals have HPV without visible lesions?
7.
If someone has had genital warts treated but has not had a recurrence, can they still have a viral load of HPV? Does this mean they can never have unprotected sex or have children?
8.
Will there be a risk of transmission during the process of childbirth in the future? I lead a disciplined private life, but I am troubled by my ex-boyfriend's situation and truly want to achieve complete healing.
I appreciate your time in answering these questions.
Thank you.

Wu, 30~39 year old female. Ask Date: 2022/10/18

Dr. Du Shixi reply Urology


Hello:
1.
Two years ago, I had genital warts (condylomata acuminata) in the external genital area and underwent electrosurgery.
I have had several follow-up visits since then without recurrence, but I am unsure if there is still a viral load in my body.
Does this mean I still have warts? -- Generally, if there has been no recurrence for six months, it is relatively safer, but it is difficult to determine the presence of viral load.
2.
Recently, after two years, I had a French kiss (tongue kissing) and kissed the chest of a guy I like.
Is it possible to transmit genital warts through kissing? -- If there is sufficient viral contact, and if the immune system is not strong enough, along with skin that is more susceptible to infection, there is a possibility of transmission of sexually transmitted infections.
3.
There was no oral sex or actual sexual intercourse, but we touched each other's private areas over our clothes and rubbed against each other while wearing outer pants.
Can genital warts be transmitted this way? -- No.
4.
After electrosurgery, how long should I wait before engaging in safe sexual activity? After treatment with no recurrence, how long can both partners perform oral sex? Can the male partner perform oral sex on the female partner? -- At least six months after examination with no recurrence.
Since there is always some risk after infection, I personally recommend avoiding oral sex for a short period.
5.
Besides the annual Pap smear, should HPV testing also be done every year? -- No, HPV testing is not necessary every year; the Pap smear is sufficient.
6.
Why do some people have HPV without visible lesions? -- It depends on individual constitution.
7.
If someone has had genital warts treated but has no recurrence, can they still have a viral load of HPV? Does this mean they can never have unprotected sex or have children? -- It is advisable to monitor for a period of time.
8.
Is there a risk of transmission during childbirth in the future? -- It is rare, but if there is a sufficient viral load, there is a possibility.
It is best to discuss this with an obstetrician.
Wishing you good health.

Reply Date: 2022/10/18

More Info


Understanding HPV and Safe Practices After Genital Warts Treatment
Human Papillomavirus (HPV) is a common sexually transmitted infection that can lead to various health issues, including genital warts and, in some cases, cervical cancer. After undergoing treatment for genital warts, such as electrosurgery, it is essential to understand the implications for future sexual health and practices. Here are answers to your questions based on current medical knowledge.

1. Presence of HPV After Treatment: After treatment for genital warts, it is possible that the HPV virus may still be present in the body, even if there are no visible warts. The virus can remain dormant in the skin or mucosal tissues. Regular follow-ups with your healthcare provider are crucial to monitor any potential recurrence of warts or other HPV-related issues.

2. Transmission Through Kissing: HPV is primarily transmitted through direct skin-to-skin contact, particularly during sexual activities. While there is a theoretical risk of transmission through kissing, especially if there are lesions or warts in the oral cavity, the risk of transmitting genital warts through kissing (including French kissing) is considered low. However, it is always best to practice caution and communicate openly with your partner about your health status.

3. Risk of Transmission Through Indirect Contact: Engaging in activities such as touching each other’s private areas through clothing does not typically pose a significant risk for HPV transmission. The virus requires direct skin-to-skin contact for transmission. However, it is essential to maintain good hygiene and be cautious, as HPV can survive on surfaces for a limited time.

4. Resuming Sexual Activity After Treatment: After successful treatment for genital warts, it is generally recommended to wait until you have been free of warts for at least a few weeks before resuming sexual activity. This allows time for any potential residual virus to diminish. It is advisable to discuss with your healthcare provider when it is safe to resume sexual activities, including oral sex.

5. Frequency of HPV Testing: The recommendation for HPV testing frequency can vary based on individual risk factors and medical history. Generally, women are advised to have Pap smears every three years and HPV testing every five years, depending on their age and health history. It is essential to follow your healthcare provider's recommendations regarding testing frequency.

6. HPV Without Visible Lesions: It is possible for individuals to test positive for HPV without having any visible lesions or symptoms. This is because the virus can remain dormant in the body. The immune system may suppress the virus, preventing it from causing any noticeable issues.

7. Living with HPV: Having had genital warts does not mean you will never have unprotected sex or have children. Many individuals with HPV lead healthy sexual lives. However, it is crucial to communicate with your partner about your HPV status and consider using protection, such as condoms, to reduce the risk of transmission. Regular check-ups and monitoring are essential.

8. Pregnancy and HPV: The risk of transmitting HPV to a child during childbirth is very low. However, if you have active genital warts during delivery, there may be a risk of transmission. It is essential to discuss your HPV status with your healthcare provider during pregnancy to ensure appropriate monitoring and care.

In conclusion, while having HPV can be concerning, many individuals manage their health effectively with regular check-ups and open communication with partners. It is essential to maintain a proactive approach to your sexual health and consult with your healthcare provider for personalized advice and treatment options.

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