the Transmission Risk of Genital Warts After Treatment - Urology

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Cauliflower (Condylomata Acuminata)


Hello doctor, I had genital warts five years ago, and after being treated with electrocautery, I had a follow-up appointment six months later with no recurrence.
It has not recurred since then.
Is there still a risk of transmission? If I engage in sexual activity, is there still a chance of transmitting the virus? Thank you.

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

Dr. Du Shixi reply Urology


Hello: It shouldn't be a problem, but please practice safe sex.
Wishing you good health.

Reply Date: 2023/12/20

More Info


Genital warts, caused by certain strains of the human papillomavirus (HPV), can be a source of concern for many individuals, especially regarding their transmissibility after treatment. In your case, having undergone treatment five years ago and not experiencing any recurrence since then is a positive sign. However, it is essential to understand the nuances of HPV transmission and the implications for sexual activity.

Firstly, it is important to note that while treatment can remove visible warts, it does not eliminate the virus from the body. HPV can remain dormant in the skin and mucous membranes, which means that even if you do not have visible warts, the virus can still be present. This is particularly relevant for certain strains of HPV that are known to cause genital warts (primarily HPV types 6 and 11).
The risk of transmission of HPV after treatment is not entirely eliminated. Studies suggest that individuals who have been treated for genital warts can still potentially transmit the virus to sexual partners, even in the absence of visible warts. The likelihood of transmission is generally lower if there are no active lesions, but it is not zero. This is particularly true if the virus is still present in the body, as HPV can be shed from the skin even when no symptoms are apparent.

When engaging in sexual activity, it is advisable to take precautions to minimize the risk of transmission. Using barrier methods, such as condoms, can significantly reduce the risk of spreading HPV and other sexually transmitted infections (STIs). However, it is important to note that condoms do not provide complete protection, as HPV can be present in areas not covered by the condom.

In your case, since you have not had a recurrence of genital warts for five years, the risk of transmission may be lower, but it is still prudent to discuss this with your sexual partner. Open communication about past infections and the potential risks involved is crucial in maintaining a healthy sexual relationship.

Additionally, it is worth considering vaccination against HPV if you have not already done so. The HPV vaccine is effective in preventing infection from the most common high-risk and low-risk strains of the virus, including those that cause genital warts. Vaccination can provide an additional layer of protection for both you and your partner.

In summary, while the absence of visible genital warts for five years is a positive indicator, it does not guarantee that the virus is completely gone or that there is no risk of transmission. Engaging in safe sex practices, maintaining open communication with partners, and considering HPV vaccination are all important steps to take. If you have further concerns or questions, consulting with a healthcare provider who specializes in sexual health can provide personalized guidance and support.

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