Can You Transmit HPV Without Symptoms? the Risks - Urology

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I am not sure if I can transmit genital warts to my partner?


Hello, doctor.
I previously asked you about HPV testing, and now I would like to know more about the situation regarding sexual activity that occurred eight months ago.
I'm not sure if I have the wart virus, and during the testing period, no viral load was detected.
However, you mentioned that the incubation period or asymptomatic cases may not always show up in tests.
Currently, I do not have any visible symptoms of warts, and I'm uncertain if I am infected.
I'm very worried about potentially transmitting it to my partner.
I often see online accounts from women who have warts, but their boyfriends show no symptoms, which makes me anxious.

att, 20~29 year old female. Ask Date: 2024/01/21

Dr. Du Shixi reply Urology


Hello: It's unclear whether there is a virus; I can only say that if there is a virus, it is possible, but the likelihood is much lower than having a lesion.
Wishing you good health.

Reply Date: 2024/01/21

More Info


Human Papillomavirus (HPV) is a common sexually transmitted infection that can affect both men and women. It is important to understand that HPV can be transmitted even when an infected person does not exhibit any symptoms. This asymptomatic transmission is a significant factor in the spread of the virus, as many individuals may be unaware that they are carrying the virus and can unknowingly pass it on to their partners.

HPV has over 100 different types, with around 14 of them classified as high-risk for causing cancer, including HPV types 16 and 18, which are responsible for the majority of cervical cancer cases. Other high-risk types, such as HPV 51, can also lead to various cancers, including penile cancer, as mentioned in your previous inquiry regarding your boyfriend's diagnosis.
The incubation period for HPV can vary widely; it can take several weeks to years for symptoms to appear, if they ever do. Many people who are infected with HPV will clear the virus naturally within two years without any treatment. However, during this time, they can still transmit the virus to their sexual partners. This is why regular screenings and vaccinations are crucial in managing HPV risks.

In your case, since you have undergone testing and the results were negative for HPV, it is reassuring, but it is essential to remember that HPV can sometimes be undetectable in tests, especially if the viral load is low or if the infection is in a dormant state. The absence of visible symptoms, such as genital warts (commonly associated with low-risk HPV types), does not guarantee that you are free from the virus.
If you are concerned about the possibility of transmitting HPV to your partner, it is advisable to have open and honest discussions with them about your health status and any concerns you may have. Communication is key in any relationship, especially when it comes to sexual health. Additionally, consider discussing with your healthcare provider the possibility of getting the HPV vaccine if you have not done so already. The vaccine can help protect against the most common high-risk HPV types and is recommended for individuals up to age 26, and in some cases, up to age 45.

Moreover, practicing safe sex, such as using condoms, can reduce the risk of HPV transmission, although it does not eliminate it entirely since HPV can infect areas not covered by a condom. Regular check-ups and screenings, including Pap smears for women, are essential for early detection of any changes in cervical cells that could indicate the presence of high-risk HPV.

In summary, while it is possible to transmit HPV without showing symptoms, maintaining open communication with your partner, getting vaccinated, and adhering to regular health screenings are effective strategies to manage and mitigate the risks associated with HPV. If you have ongoing concerns, consider consulting with a healthcare professional who can provide personalized advice based on your specific situation.

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