Can the HPV virus that causes cervical cancer be transmitted to my boyfriend?
Hello Dr.
Du, I was diagnosed with cervical cancer last week and will be undergoing surgery.
I have been with my boyfriend for over a year, during which we have had four instances of sexual intercourse without protection, and we have also performed oral sex on each other.
Three of these instances were last year, and the most recent was last month.
After my diagnosis, I asked my boyfriend to receive the 9-valent HPV vaccine.
We are both concerned about the possibility of him being infected with HPV, which could increase his risk for penile and oropharyngeal cancers.
I would like to ask: (1) What is the likelihood of my boyfriend being infected with high-risk HPV? (2) Since my boyfriend currently has no unusual symptoms, what tests can confirm whether he has an HPV infection in his genital area or throat? (3) If he tests positive for high-risk HPV, are there treatment options available? Thank you.
Ms. Li, 40~49 year old female. Ask Date: 2023/10/29
Dr. Du Shixi reply Urology
Hello: (1) Is the likelihood of my boyfriend being infected with high-risk HPV high? --> If you have HPV, your sexual partner has a chance of being infected.
(2) Since my boyfriend currently has no unusual symptoms, what tests can confirm whether he has an HPV infection in his genital area or throat? --> There are tests available, but these types of tests can only provide reference information.
(3) If high-risk HPV is detected, are there treatment options? --> There are none; most cases require management if lesions develop, and some individuals may clear the HPV infection on their own after a few years due to their immune response.
Wishing you good health.
Reply Date: 2023/10/29
More Info
Cervical cancer is primarily caused by persistent infection with high-risk types of human papillomavirus (HPV), particularly types 16 and 18. Given your situation, it is understandable to be concerned about the potential transmission of HPV to your boyfriend, especially since you have engaged in unprotected sexual activities.
1. Likelihood of Your Boyfriend Contracting High-Risk HPV: Since you have been diagnosed with cervical cancer, it is likely that you have a high-risk HPV strain. HPV is primarily transmitted through skin-to-skin contact during sexual activities, including vaginal, anal, and oral sex. Given that you and your boyfriend have had unprotected sexual encounters, there is a significant risk that he may have been exposed to HPV. Studies suggest that the transmission rate of HPV can be high among sexual partners, especially when there is a history of multiple sexual partners or unprotected sex. Therefore, it is reasonable to conclude that your boyfriend has a heightened risk of contracting high-risk HPV.
2. Testing for HPV in Your Boyfriend: Currently, there are no routine screening tests for HPV in men, unlike the Pap smear for women. However, if your boyfriend is concerned about potential HPV infection, he can consult a healthcare provider for an evaluation. The healthcare provider may perform a visual examination of the genital area and, if necessary, conduct a biopsy of any suspicious lesions. For oral HPV, there are no standard screening tests, but if he has any symptoms such as persistent sore throat, difficulty swallowing, or unusual growths in the mouth or throat, he should seek medical attention. While there are no definitive tests for HPV in men, the presence of warts or lesions can indicate an infection.
3. Treatment Options for High-Risk HPV: If your boyfriend tests positive for high-risk HPV, it is important to note that there is no specific antiviral treatment for HPV itself. Most HPV infections are cleared by the immune system within a couple of years without causing any health problems. However, if he develops any lesions or warts, these can be treated through various methods, including cryotherapy, laser treatment, or surgical removal. Regular monitoring is essential, as persistent high-risk HPV can lead to cancers such as penile cancer or oropharyngeal cancer. Vaccination with the HPV vaccine (like the 9-valent vaccine your boyfriend received) can help protect against the most common high-risk HPV types and is recommended even after exposure, as it can prevent future infections.
In summary, it is crucial for both you and your boyfriend to maintain open communication about your health and any potential risks. Encourage him to seek medical advice for appropriate evaluations and to discuss any symptoms he may experience. Additionally, practicing safer sex methods, such as using condoms, can reduce the risk of HPV transmission in the future. Regular follow-ups and screenings are essential for both partners to monitor any potential health issues related to HPV.
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