HPV Infection Risks and Safe Practices in Relationships - Urology

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The probability of HPV infection?


1.
A non-detectable viral load generally indicates that the individual is not infectious.
However, it is important to note that certain strains of HPV can still be present even when the viral load is undetectable.
2.
The risk of infection depends on various factors, including the presence of any active lesions, the specific HPV strains involved, and the nature of sexual contact.
While the risk may be lower due to the absence of detectable virus and vaccination, it is not zero.
3.
Engaging in safe sexual practices, such as using condoms during vaginal intercourse, can reduce the risk of transmission.
However, since oral sex was performed without a condom, there is still a potential risk of HPV transmission.
It is advisable to discuss these concerns with a healthcare provider for personalized guidance.

tom, 20~29 year old female. Ask Date: 2024/03/01

Dr. Du Shixi reply Urology


Hello: 1.
Does an undetectable viral load mean no transmissibility? --> Not 100%, but if the virus is undetected, it should be much safer.
2.
Is my risk of infection high? --> If the sexual partner has been thoroughly tested and has not had an outbreak for several months, the risk is low.
3.
Can I still engage in safe sexual activity? --> Yes, wishing you good health.

Reply Date: 2024/03/01

More Info


When it comes to understanding HPV (human papillomavirus) infection risks and safe practices in relationships, it's essential to consider several factors, especially when one partner has a history of HPV-related conditions, such as genital warts (often referred to as "cauliflower" due to their appearance).
1. Does a non-detectable viral load mean no transmissibility?
A non-detectable viral load in a partner who has previously been treated for HPV-related conditions generally indicates that the virus is not currently active in their system. However, it's important to note that HPV can remain dormant in the body for extended periods. Even if the viral load is undetectable, there is still a possibility of transmission, particularly if the partner had a history of high-risk HPV types. Therefore, while the risk may be lower, it is not entirely absent.

2. What is the likelihood of me getting infected?
The likelihood of contracting HPV from a partner with a history of the virus depends on several factors, including the type of sexual activity, the presence of any lesions, and the use of protection. In your case, since you mentioned that vaginal intercourse is protected with a condom, this significantly reduces the risk of transmission during that activity. However, oral sex without a condom poses a higher risk, as HPV can be transmitted through skin-to-skin contact in the genital area. The risk of infection is present, but it can be mitigated by practicing safer sex methods, such as using condoms for all sexual activities.

3. Can I still engage in safe sexual practices?
Yes, you can still engage in safe sexual practices. Using condoms during vaginal intercourse is a highly effective way to reduce the risk of HPV transmission. However, since oral sex was performed without protection, it is advisable to discuss this openly with your partner. Consider using dental dams or flavored condoms during oral sex to further minimize risk. Additionally, regular health check-ups and HPV vaccinations can provide further protection. The HPV vaccine is effective in preventing the types of HPV that most commonly cause genital warts and cervical cancer, and it is recommended for both males and females.

In summary, while a non-detectable viral load suggests a lower risk of transmission, it does not eliminate the possibility entirely. Engaging in protected sexual practices, including the use of condoms for vaginal intercourse and considering barriers for oral sex, can help reduce the risk of HPV transmission. Regular screenings and vaccinations are also essential components of maintaining sexual health. If you have further concerns or experience any symptoms, consulting a healthcare provider for personalized advice and testing is always a good idea.

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