HPV: How Can You Get It Without Infidelity? - Urology

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Can cauliflower be contracted without engaging in risky behavior?


1.
I have not engaged in sexual intercourse with any other partners for four years.
Currently, I have a girlfriend with whom I have been in a relationship for three years.
Recently, I was diagnosed with genital warts (my first time).
She firmly insists that she has not been with any other men, and I have not had any one-night stands or visited sex workers.
Why did I still contract this?
2.
I have undergone electrosurgery treatment.
My partner has not shown any symptoms.
Does she need to get tested?
3.
My girlfriend and I often stay at motels for rest or accommodation.
Is this also a potential route for transmission?

Ka Erwen, 30~39 year old female. Ask Date: 2004/05/02

Dr. Liu Jianting reply Urology


"More checks are never a bad thing!" Cauliflower (a colloquial term for genital warts) can potentially remain dormant for a period before manifesting, and even after electrosurgery, there is still a possibility of recurrence.
Remember, "safe sex" not only involves each other but also includes the surrounding environment!

Reply Date: 2004/05/02

More Info


Understanding HPV: How Can You Get It Without Infidelity?
Human Papillomavirus (HPV) is a common sexually transmitted infection that can be transmitted through skin-to-skin contact, primarily during sexual activity. It is important to understand that HPV can be contracted even in monogamous relationships, and there are several factors that could explain how you might have contracted the virus despite your claims of fidelity.

1. Transmission Without Infidelity: HPV can remain dormant in the body for years without showing any symptoms. This means that even if you have not had sexual contact with anyone else for four years, it is possible that you were infected with HPV prior to your current relationship. The virus can lay dormant and not cause any visible symptoms until later. Additionally, HPV can be transmitted through non-penetrative sexual activities, such as oral sex or genital touching, which may not be considered traditional sexual intercourse. Therefore, it is plausible that either you or your partner could have had the virus before your relationship began, and it remained undetected until now.

2. Partner Testing: Since you have been diagnosed with genital warts (often referred to as "cauliflower" due to their appearance), it is advisable for your partner to get tested, even if she does not show any symptoms. HPV is often asymptomatic, meaning that many individuals may carry the virus without knowing it. Regular screenings and examinations can help in identifying any potential infections early, which is crucial for both your health and your partner's health.

3. Environmental Transmission: While HPV is primarily transmitted through sexual contact, there is a common misconception that it can be contracted from surfaces like toilet seats or bedding. The likelihood of contracting HPV from inanimate objects is extremely low. The virus requires direct skin-to-skin contact to spread effectively. However, if you and your partner frequently visit places like motels, it is essential to maintain good hygiene practices. While the risk of transmission in such environments is minimal, it is still wise to be cautious and ensure cleanliness to avoid other infections.

In summary, HPV is a complex virus that can be contracted in various ways, and its presence does not necessarily imply infidelity. It is crucial to communicate openly with your partner about sexual health and consider regular screenings for both of you. If your partner is concerned, she should consult a healthcare provider for testing and advice.
Moreover, HPV can often resolve on its own, but if you have been treated for genital warts, it is essential to follow up with your healthcare provider to monitor your health and discuss any further steps, including vaccination options that can protect against other strains of HPV.
Lastly, practicing safe sex, including the use of condoms, can significantly reduce the risk of HPV transmission, although it does not eliminate the risk entirely due to the nature of skin-to-skin contact. Vaccination against HPV is also a highly effective preventive measure, and it is recommended for both males and females to protect against the most common and high-risk strains of the virus.

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