HPV: Recurrence Risks and Treatment Options for Women

Is cauliflower recovering?

Hello Doctor: In August 2018, I was diagnosed with HPV types 11 and 16, and I had visible warts.
After undergoing two rounds of electrosurgery, they did not recur.
In 2020, I was tested again and found to be negative for HPV 11, but HPV 16 was still present.
In October 2022, HPV 16 was still detected.
I would like to ask the doctor:
1.
Since I have not had any warts for three years and my HPV 11 test is negative, is there a chance of recurrence when my immune system is compromised?
2.
Given that HPV 16 has been present from 2018 to now, is it possible for HPV 16 to cause warts?
3.
Recently, I noticed a small white bump on the outer side of my labia.
In late November, during a gynecological examination, the doctor said it was a skin tag.
I found very few pictures of skin tags online; could you please explain what a skin tag is?
4.
I am concerned that the bump is still too small for the doctor to diagnose correctly, and I worry about transmitting it to my current boyfriend (as warts can be contagious).
However, I had an HPV test in early October, which only showed HPV 16 as positive.

5.
I have been experiencing recurrent infections of Candida albicans, and the doctor has prescribed suppositories.
I asked if oral medication could be prescribed, but the doctor said suppositories are sufficient.
Why is oral medication not prescribed? Can I purchase fluconazole over the counter to take?
Thank you very much for your assistance!

Ww, 20~29 year old female. Ask Date: 2022/12/04

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it has been 3 years, so it is unlikely to recur.
If you are still concerned, you can visit another obstetrician-gynecologist for an examination to confirm if there are any issues.
The treatment for candidiasis primarily involves the use of suppositories.
If there are any problems, it is best to consult a physician.
Wishing you good health.

Reply Date: 2022/12/04

More Info

Understanding HPV (Human Papillomavirus) is crucial, especially for women who have experienced recurrent infections or lesions. Your concerns about HPV, particularly regarding types 11 and 16, are valid, and I will address your questions based on current medical knowledge.

1. Recurrence of HPV and Condyloma: It is indeed possible for HPV to remain dormant in the body and reactivate, especially when the immune system is compromised. While you have not had any visible lesions (condyloma) for three years, the presence of HPV16 indicates that the virus is still in your system. Stress, illness, or other factors that weaken your immune response can potentially lead to a recurrence of lesions. Regular monitoring and maintaining a healthy lifestyle can help support your immune system.

2. HPV16 and Condyloma: HPV16 is classified as a high-risk type associated with cervical cancer and other anogenital cancers, but it is not typically associated with the development of condyloma (genital warts). Condyloma is primarily caused by low-risk HPV types, such as HPV6 and HPV11. However, it is important to note that HPV can behave unpredictably, and while HPV16 is not known for causing warts, it is still essential to monitor any changes in your health.

3. Understanding "Line Body": The term "line body" is not commonly used in medical terminology, and it may refer to a benign growth or lesion that your doctor identified during the examination. It is essential to follow up with your healthcare provider for clarification and possibly further evaluation if you have concerns about its nature. If it is a small, benign lesion, it may not pose any risk, but monitoring it for changes is advisable.

4. Transmission Concerns: Your concern about transmitting HPV to your partner is understandable. HPV is primarily transmitted through skin-to-skin contact, and while HPV16 is not associated with visible warts, it can still be transmitted. If you are currently HPV16 positive, it is advisable to discuss this with your partner and consider using protection during sexual activity to reduce the risk of transmission.

5. Recurrent Yeast Infections: Chronic yeast infections can be frustrating. While topical treatments (like suppositories) are effective for many, oral antifungal medications like fluconazole can be prescribed for more severe or recurrent cases. If your doctor has recommended topical treatments, it may be because they believe they are sufficient for your condition. However, if you feel that your situation warrants a different approach, discussing the option of oral medication with your healthcare provider is a good idea. Self-medicating with over-the-counter fluconazole without consulting your doctor may not be advisable, especially if you have ongoing symptoms.

In summary, it is essential to maintain regular check-ups with your healthcare provider, especially given your history with HPV. Keeping an open line of communication with your doctor about your concerns and treatment options is crucial. Additionally, focusing on a healthy lifestyle, including a balanced diet, regular exercise, and stress management, can help support your immune system in managing HPV and other health issues. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized advice.

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