HPV: My Experience with Warts and Cervical Cancer - Dermatology

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Troubled me?


Six months ago, I developed some small white spots on the skin of my penis, about four or five in total.
After a diagnosis by a physician, they were identified as viral warts.
Following cryotherapy treatment by the doctor, they have healed.
I advised my girlfriend to get checked as well, and she was diagnosed with early-stage cervical cancer.
After undergoing surgery to remove her uterus and lymph nodes, she is now resting at home.

My concern is that I came across medical journals indicating that my girlfriend may have contracted cervical cancer due to the human papillomavirus (HPV).
I am wondering if I could have contracted the viral warts from HPV (this is just my suspicion; can HPV in women lead to men developing viral warts?).
Over the past six months, I have also noticed red spots appearing on my scrotum and in the groin area, but they typically disappear on their own after a month or two.
Are these spots that have developed over the past six months also warts? For your information, I have not had any other sexual partners besides my girlfriend, so my infection with warts is likely related to her.

Kevin, 20~29 year old female. Ask Date: 2001/03/01

Dr. Jin Lianchun reply Dermatology


Hello, sir:
1.
There are several dozen types of human papillomavirus (HPV), and the types that can cause genital warts in males include types 6, 11, 16, 18, 31, 33, and 35.
The potential causes of cervical cancer in females are quite numerous, including the frequency of sexual intercourse, number of pregnancies, HPV infection, and genetic factors.
Therefore, your question cannot be definitively answered; it is possible that you contracted HPV in a public place and then transmitted it to your girlfriend.
2.
Warts generally do not disappear on their own and are typically not red in color.
Wishing you a speedy recovery.

Reply Date: 2001/03/01

More Info


Your experience with HPV and its implications for both you and your girlfriend is understandably concerning. Let's break down your questions and provide clarity on the relationship between HPV, genital warts, and cervical cancer.


Understanding HPV and Its Transmission
Human Papillomavirus (HPV) is a group of more than 200 related viruses, of which about 40 can be transmitted through direct sexual contact. Some types of HPV are classified as low-risk, which can cause genital warts, while others are high-risk and are associated with various cancers, including cervical cancer.

1. Transmission of HPV: Yes, HPV can be transmitted between sexual partners. If your girlfriend was diagnosed with cervical cancer, it is likely that she was infected with a high-risk strain of HPV, such as HPV 16 or 18. These strains are known to cause cervical cancer. If you had genital warts, it is possible that you were infected with a low-risk strain of HPV, which can cause warts but is not typically associated with cancer.

2. Your Symptoms: The red spots you mentioned on your scrotum or inner thigh could be various things, including folliculitis, irritation, or even low-risk HPV-related warts. If they disappear after a month or two, they may not be warts, as warts typically persist longer without treatment. However, it is crucial to consult a healthcare provider for an accurate diagnosis.


HPV and Genital Warts
- Genital Warts: These are caused by low-risk HPV types. They appear as small, flesh-colored or gray swellings in the genital area. They can be treated through various methods, including cryotherapy (freezing), topical treatments, or surgical removal.

- Cervical Cancer: This is primarily caused by persistent infection with high-risk HPV types. Regular Pap smears and HPV testing are essential for early detection and prevention of cervical cancer.


Your Concerns
1. Did you get warts from your girlfriend?: It is plausible that you contracted the virus from her, especially if she had a low-risk HPV strain that caused her cervical changes. However, it is also possible that you had a separate exposure to HPV prior to your relationship.

2. Are the red spots warts?: Without a proper examination, it is difficult to determine the nature of these spots. If they are recurring and you have concerns, it is advisable to see a dermatologist or urologist for a thorough evaluation.


Recommendations
- Follow-Up Care: Since your girlfriend has undergone surgery for cervical cancer, it is crucial for her to have regular follow-ups with her healthcare provider to monitor her recovery and any potential recurrence.

- Your Health: You should also consider getting a thorough examination for your symptoms. If you have had any new lesions or changes in your genital area, it is important to seek medical advice.

- Vaccination: If you haven't been vaccinated against HPV, consider discussing the HPV vaccine with your healthcare provider. The vaccine can protect against the most common high-risk and low-risk HPV types.

- Safe Practices: Moving forward, practicing safe sex, including the use of condoms, can help reduce the risk of transmitting HPV and other sexually transmitted infections (STIs).


Conclusion
HPV is a complex virus with various implications for both men and women. While it can lead to genital warts in men, it is the high-risk strains that pose a significant risk for cervical cancer in women. Regular medical check-ups, open communication with your partner about sexual health, and preventive measures such as vaccination are essential steps in managing your health and reducing the risk of HPV-related complications. If you have any further questions or concerns, do not hesitate to reach out to a healthcare professional.

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