Genital Warts: Recurrence and Transmission Risks Explained - Dermatology

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Cauliflower (Condylomata Acuminata)


Five years ago, I had genital warts on my penis, and after undergoing electrosurgery, I returned for a follow-up six months later with no recurrence.
It has not reappeared since.
Is there still a possibility of recurrence? I read information from the health department stating that the body can naturally clear the virus within 1 to 2 years, and I also found articles from UK government agencies stating that the body can clear the virus in 2 years.
Is this true? If I have contact with someone now, is there still a risk of transmission if they directly touch the area?

J, 30~39 year old female. Ask Date: 2023/12/18

Dr. Wu Yuxin reply Dermatology


It is true.
If there has been no recurrence for five years, then it should be considered as recovered.

Reply Date: 2023/12/18

More Info


Genital warts, caused by certain strains of the human papillomavirus (HPV), are a common sexually transmitted infection. Understanding the recurrence and transmission risks associated with genital warts is crucial for both individuals who have experienced this condition and their partners.

Firstly, regarding the possibility of recurrence, it is important to note that while many individuals may experience a single outbreak of genital warts, the virus can remain dormant in the body even after the warts have been treated. In your case, since you had the warts treated five years ago and have not experienced any recurrence since, it is possible that your immune system has effectively managed the virus. Studies indicate that the body can clear HPV infections over time, typically within 1 to 2 years for many individuals. This aligns with the information you found from health authorities, which suggests that the immune system can eliminate the virus in a significant number of cases.

However, it is essential to understand that while the risk of recurrence diminishes over time, it is not entirely eliminated. Some individuals may experience recurrent outbreaks, especially if their immune system is compromised or if they are exposed to the virus again. Therefore, while the likelihood of recurrence is low after several years without symptoms, it is not impossible.

Now, regarding transmission risks, HPV is primarily spread through direct skin-to-skin contact during sexual activity. If you have not had any visible warts or symptoms for five years, the risk of transmitting the virus to a partner is significantly reduced, but it is not entirely absent. HPV can be asymptomatic, meaning that even if you do not have visible warts, the virus could still be present in your body. If you engage in sexual activity with a new partner, there is a possibility of transmission, particularly if they have not been vaccinated against HPV or have not previously been exposed to the virus.

To mitigate the risk of transmission, it is advisable to practice safe sex, including the use of condoms, which can help reduce the likelihood of spreading HPV, although they do not provide complete protection since HPV can infect areas not covered by a condom. Furthermore, discussing HPV vaccination with your partner can be beneficial. The HPV vaccine is effective in preventing infection from the most common strains of the virus that cause genital warts and cervical cancer.

In summary, while the chances of recurrence of genital warts after five years without symptoms are low, the virus can remain dormant in the body. The body can often clear the virus within 1 to 2 years, but this varies among individuals. If you engage in sexual contact, there is still a risk of transmission, albeit reduced. It is essential to maintain open communication with partners about sexual health and consider preventive measures such as vaccination and safe sex practices to minimize risks. If you have further concerns or experience any new symptoms, consulting a healthcare provider is advisable for personalized guidance and support.

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