Molluscum Contagiosum: Risks, Prevention, and Testing - Urology

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Molluscum contagiosum


Hello, doctor.
I would like to ask about the following situation: during my first sexual encounter with my partner (without a condom), I noticed the presence of warts and immediately stopped to wash up.
My partner has been diagnosed with molluscum contagiosum and is currently undergoing treatment.

1.
I used vaginal cleansing tablets afterward.
Are these effective in killing bacteria?
2.
Since we only had that one encounter, lasting less than 5 minutes, is the risk of infection still high?
3.
What tests should I undergo to check for infection?
4.
I completed the three doses of the HPV vaccine a year ago, and after three weeks, I have not developed any lesions.
Does this vaccine effectively reduce the risk of infection?
Thank you for your clarification, doctor!

Q, 20~29 year old female. Ask Date: 2023/12/11

Dr. Du Shixi reply Urology


Hello:
1.
Does using vaginal cleansing tablets afterwards effectively kill bacteria? --> It should not be related.

2.
If there was only that one sexual encounter lasting less than 5 minutes, is the risk of infection still high? --> Any sexual activity carries a risk.

3.
What tests should I undergo to check for infection? --> A gynecological examination is essential.

4.
I completed the three doses of the HPV vaccine a year ago, and it has been three weeks since then without any lesions appearing.
Does this vaccine effectively reduce the risk of infection? --> Yes, but it is not 100% effective.

Wishing you good health.

Reply Date: 2023/12/11

More Info


Molluscum contagiosum is a common viral skin infection caused by a poxvirus, characterized by small, raised, pearl-like bumps on the skin. It is primarily spread through direct skin-to-skin contact, including sexual contact, and can also be transmitted indirectly through contaminated objects. Given your situation, let’s address your questions one by one.

1. Effectiveness of Vaginal Cleansing Tablets: While vaginal cleansing products may help maintain hygiene, they are not effective in killing viruses like the one that causes molluscum contagiosum. These products are typically designed to balance pH or reduce odor rather than to act as antiviral agents. Therefore, relying on them for protection against viral infections is not advisable.

2. Risk of Infection After Brief Contact: The risk of transmission of molluscum contagiosum can vary based on several factors, including the presence of visible lesions and the duration of contact. Even a brief encounter can pose a risk, especially if there was direct contact with the lesions. However, the likelihood of transmission is generally higher with prolonged contact or if the lesions are actively shedding the virus. Since you mentioned that the contact lasted less than five minutes and was a single occurrence, the risk may be lower, but it is not negligible.

3. Recommended Tests for Infection: If you are concerned about potential infection, it is advisable to consult a healthcare provider. They may recommend a physical examination of your skin for any signs of molluscum contagiosum. In some cases, a biopsy or scraping of the lesion may be performed to confirm the diagnosis. Additionally, if you have any concerns about other sexually transmitted infections (STIs), your healthcare provider may suggest testing for those as well.

4. HPV Vaccine and Its Effectiveness: The HPV vaccine is designed to protect against certain strains of the human papillomavirus, which is different from the virus that causes molluscum contagiosum. While the HPV vaccine is effective in reducing the risk of HPV-related diseases, it does not provide protection against molluscum contagiosum. However, having received the HPV vaccine is beneficial for your overall sexual health and can help prevent HPV-related complications in the future.

In summary, while the risk of infection from a single brief encounter may be lower, it is not zero. It is essential to monitor for any signs of infection, such as the appearance of new lesions, and to consult a healthcare provider for appropriate testing and guidance. Practicing safe sex, including the use of condoms, can significantly reduce the risk of transmitting or acquiring sexually transmitted infections, including molluscum contagiosum. If you have any further concerns or questions, do not hesitate to reach out to a healthcare professional for personalized advice.

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