Risk of cauliflower infection
(1) If a person had sexual intercourse with someone they met on a dating app in November of the previous year, and the partner used their chest and hands (with ejaculation and condom use), if there are no symptoms now, can it be assumed that they are disease-free?
(2) In the case where it is confirmed that the partner had no lesions at the time and there was no fluid contact (or if a condom was used), is it easy for both parties to contract genital warts through other body parts reaching climax?
(3) Can genital warts be contracted through friction over clothing to climax?
(4) If two people bathe together and rub against each other, can they contract genital warts?
(5) Regarding the HPV 9-valent vaccine, how effective is it in providing protection? Additionally, does receiving the vaccine potentially stimulate the growth of HPV? Thank you for your answers, doctor.
Niming, 20~29 year old female. Ask Date: 2024/04/21
Dr. Du Shixi reply Urology
Hello:
(1) If a patient had sexual intercourse with someone they met on a dating app in November of the previous year, where ejaculation occurred with a condom used, and there have been no symptoms since then, can it be assumed that they are disease-free? ---> It should be assumed so, but there is a small chance of infection if more than a year has passed.
(2) In a situation where it is confirmed that the partner has no lesions and there is no fluid exchange (or if a condom is used), is there a high risk of contracting genital warts through other body parts during climax? ---> The risk is low.
(3) Can genital warts be contracted through friction while fully clothed? ---> No, it cannot.
(4) If two people bathe together and rub against each other, is there a risk of contracting genital warts? ---> There is a possibility if one has lesions.
(5) Regarding the HPV 9-valent vaccine, how effective is it in providing protection? Also, does receiving the vaccine increase the risk of HPV growth? ---> It should not.
Wishing you good health.
Reply Date: 2024/04/21
More Info
Understanding the risks associated with cauliflower ear and other sexually transmitted infections (STIs) is crucial for maintaining sexual health. Let's address your questions one by one, while also providing some context about the infections and preventive measures.
1. Risk Assessment After Sexual Encounter: If you engaged in sexual activity with someone you met through a dating app and used a condom during intercourse, the risk of contracting STIs, including HPV (which can lead to cauliflower ear or genital warts), is significantly reduced. Condoms are effective barriers against many STIs when used correctly. If you have not experienced any symptoms since that encounter, it is reasonable to consider that you may not have contracted an infection. However, it is important to remember that some STIs can remain asymptomatic for long periods. Regular screening is recommended, especially if you have multiple partners.
2. Non-Penetrative Sexual Activities: Engaging in non-penetrative sexual activities, such as using body parts to stimulate each other, can still pose a risk for STIs if there is skin-to-skin contact with infected areas. HPV is primarily spread through direct skin-to-skin contact, and while the risk is lower without direct genital contact, it is not zero. If there are no visible lesions or symptoms, the risk is lower, but it is not completely eliminated.
3. Clothing and Friction: Rubbing against each other through clothing is generally considered a low-risk activity for transmitting STIs, including HPV. The virus typically requires direct skin contact to spread effectively. However, if there are any open sores or lesions on the skin, the risk could increase.
4. Shared Bathing: Bathing together and engaging in mutual body contact can also be low risk for STI transmission, provided there are no open wounds or visible infections. HPV is not transmitted through water, and the likelihood of transmission through casual contact in a shower is minimal. However, it is always wise to be cautious and aware of any potential symptoms.
5. HPV Vaccination: The HPV 9-valent vaccine (Gardasil 9) is designed to protect against nine strains of the virus, including those most commonly associated with cervical cancer and genital warts. Studies have shown that the vaccine is highly effective in preventing infections from these strains, providing up to 90% protection when administered before exposure to the virus. Importantly, the vaccine does not induce HPV infections; rather, it helps the immune system recognize and fight off the virus if exposed in the future. It is recommended for preteens and young adults, but adults up to age 45 may also benefit from vaccination.
In conclusion, while the risks of contracting STIs through non-penetrative activities and casual contact are lower, they are not entirely absent. Regular screenings, open communication with partners, and vaccination are key components of a proactive sexual health strategy. If you have any concerns or experience symptoms, it is advisable to consult a healthcare provider for appropriate testing and guidance.
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