HPV and Safe Practices After Genital Warts Treatment

Genital warts

My partner was diagnosed with genital warts at the end of August 2023 and underwent laser removal of the lesions.
Since the wound has healed, there have been no visible new lesions.
In early February 2024, an HPV DNA test (urine sample) was conducted, and the results were all negative.
I also visited a gynecologist at the end of August 2023 to inform them of my partner's condition and underwent a Pap smear and HPV DNA test.
The Pap smear results were within normal limits.
The HPV DNA test only detected type 52, and the doctor indicated that there was no infection with genital warts.
(Since the end of August 2023, we have not engaged in sexual intercourse and have both received the 9-valent vaccine.) I would like to ask you a few questions: 1.
Do the above tests confirm that I am not infected? 2.
What else can I do? 3.
How long should I wait before engaging in sexual intercourse with my partner? 4.
Is it safe to have unprotected sex with my partner?

Niming, 30~39 year old female. Ask Date: 2024/02/14

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, if there are no visible warts, it should not have an impact.
Wishing you good health.

Reply Date: 2024/02/14

More Info

Understanding HPV and Safe Practices After Genital Warts Treatment
Human Papillomavirus (HPV) is a common sexually transmitted infection that can lead to various health issues, including genital warts and, in some cases, cervical cancer. Your situation, where your partner was diagnosed with genital warts and subsequently treated, raises important questions about your own health and safety practices moving forward.

1. Are the tests sufficient to confirm that I am not infected?
The tests you underwent, including the HPV DNA test and the Pap smear, provide valuable insights into your HPV status. The negative results from the HPV DNA test indicate that you do not have detectable levels of the virus at this time. Additionally, a normal Pap smear suggests that there are no significant cervical cell changes, which is reassuring. However, it is important to note that HPV can remain dormant in the body, and not all strains are tested in standard screenings. Therefore, while your current tests are encouraging, they do not completely rule out the possibility of past or future infections. Regular follow-up screenings as recommended by your healthcare provider are essential for ongoing monitoring.

2. What else can I do?
To further protect yourself and your partner, consider the following steps:
- Vaccination: Since you and your partner have already received the 9-valent HPV vaccine, you are taking a proactive step in preventing future infections from the most common high-risk and low-risk HPV types. Completing the vaccination series is crucial for maximum protection.

- Regular Check-ups: Continue to have regular gynecological exams and Pap smears as recommended by your healthcare provider. This will help in early detection of any changes that may occur.

- Healthy Lifestyle: Maintaining a healthy immune system can help your body manage and suppress any potential HPV infections. This includes a balanced diet, regular exercise, adequate sleep, and stress management.

3. When is it safe to resume sexual activity with my partner?
It is generally advisable to wait until both partners have been cleared of any visible warts and have had negative HPV test results before resuming sexual activity. Since your partner has undergone treatment and has no visible lesions, and you have tested negative for HPV, you may consider resuming sexual activity. However, it is recommended to consult with your healthcare provider for personalized advice based on your specific situation.

4. Is it safe to have unprotected sex with my partner?
Engaging in unprotected sex carries a risk of HPV transmission, especially if there are any lingering viral particles that are not detectable by current testing methods. While your partner has been treated and you have tested negative, it is wise to use protection, such as condoms, to reduce the risk of any potential transmission. Condoms do not provide 100% protection against HPV, as the virus can be present on skin not covered by a condom, but they significantly lower the risk of transmission.

In conclusion, while your current test results are reassuring, ongoing vigilance is essential. Regular screenings, maintaining a healthy lifestyle, and practicing safe sex are key components in managing HPV risks. Always consult with your healthcare provider for tailored advice and to address any concerns you may have. Communication with your partner about HPV and safe practices is also crucial in fostering a healthy relationship moving forward.

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