HPV Types 58 and 81: What You Need to Know About Risks and Management - Obstetrics and Gynecology

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HPV infection types 58 and 81?


The report from the Pap smear conducted at the end of March indicated a result of 4 (ASC-US).
The doctor recommended HPV screening, and today's report shows high-risk type 58 and low-risk type 81.
The doctor suggested a biopsy.
I have read that there is a significant chance these will resolve on their own within two years, but I still have concerns.

(1) What can I do during this waiting period to help my body recover?
(2) Can I still receive the nine-valent HPV vaccine in the future? Should I wait until I have recovered to get it, or can I get it now?
(3) Can I engage in sexual activity during this time? Is there a risk of transmitting the virus to my partner?

Xiao Ke, 30~39 year old female. Ask Date: 2023/04/20

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, a biopsy can be performed to diagnose any issues.
The effectiveness of vaccination is limited, and sexual activity does not have an impact.
Wishing you good health.

Reply Date: 2023/04/20

More Info


Understanding HPV Types 58 and 81: What You Need to Know About Risks and Management
Human Papillomavirus (HPV) is a common sexually transmitted infection with over 100 different types, some of which are classified as high-risk and others as low-risk. HPV type 58 is considered a high-risk type associated with cervical cancer, while type 81 is categorized as low-risk and is typically linked to benign conditions such as genital warts. Given your recent diagnosis and the recommendations from your healthcare provider, it's understandable to have concerns about managing your health during this time.

1. What Can You Do to Support Your Body During This Waiting Period?
While waiting for further diagnostic procedures, such as a biopsy, it's essential to focus on overall health and well-being. Here are some recommendations:
- Boost Your Immune System: A healthy immune system can help your body fight off infections, including HPV. Focus on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Foods high in antioxidants, such as berries, nuts, and leafy greens, can be particularly beneficial.

- Stay Hydrated: Drinking plenty of water helps maintain overall health and supports bodily functions.

- Regular Exercise: Engaging in regular physical activity can enhance your immune response and reduce stress.

- Avoid Smoking and Limit Alcohol: Smoking is known to weaken the immune system and can increase the risk of HPV-related complications. Limiting alcohol intake can also support your immune health.

- Manage Stress: Chronic stress can negatively impact your immune system. Consider practices such as yoga, meditation, or mindfulness to help manage stress levels.

2. Can You Get the Nine-Valent HPV Vaccine Now?
The nine-valent HPV vaccine (Gardasil 9) is designed to protect against nine HPV types, including the high-risk types 16, 18, and others. While the vaccine is most effective when administered before the onset of sexual activity, it can still provide benefits even after infection with certain HPV types. You can receive the vaccine even if you are currently infected with HPV, as it may help protect against other types you have not yet contracted. However, it is advisable to discuss this with your healthcare provider to determine the best timing for vaccination based on your current health status and treatment plan.

3. Is It Safe to Engage in Sexual Activity During This Period?
Engaging in sexual activity while infected with HPV is a personal decision, but it is essential to consider the potential risks. HPV is highly contagious, and there is a possibility of transmitting the virus to sexual partners. If you choose to engage in sexual activity, consider using barrier methods, such as condoms, to reduce the risk of transmission. However, it's important to note that condoms do not provide complete protection against HPV, as the virus can be present on skin not covered by a condom.

In summary, while HPV infections can be concerning, many individuals with HPV, including high-risk types, may not develop serious health issues. Regular monitoring through Pap smears and follow-up appointments with your healthcare provider is crucial for managing your health. The likelihood of spontaneous regression of HPV infections is significant, particularly in younger individuals, and maintaining a healthy lifestyle can support your immune system in clearing the virus. Always consult with your healthcare provider for personalized advice and recommendations based on your specific situation.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, you have already been infected, and the effectiveness of the vaccine is limited. It is recommended to have a Pap smear every six months, and the rest will be monitored. Wishing you good health.

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