Should You Get Tested for HPV? Risks and Precautions

Q: Should You Get Tested for HPV? Risks and Precautions

Hello： 1. <br>Instead of worrying, it's better to bring your girlfriend for an HPV test. <br>For males, a sample is taken from the glans penis. <br>For females, if the hymen is no longer intact, a sample is taken from the cervix. <br>If the hymen is still intact, a careful vagina

Should a check-up be done?

Hello Doctor: I have a concern.
Three years ago, I had sexual intercourse without using a condom with my ex-girlfriend.
I am not very clear about her past sexual history, but I believe it is not very complicated; however, I cannot be completely certain and only know that she is not a person with a complex sexual history.
About two years ago, I met my current girlfriend, and we have had genital contact without a condom, but there was no penetration.
After seeing information about the HPV virus and its association with cervical cancer, I am worried that my girlfriend might be at risk of HPV infection, particularly the high-risk types, since it seems that there are often no obvious symptoms after infection.
I am also unsure if I am a carrier of this virus.
I initially thought about getting tested at a hospital, but since my girlfriend is still a virgin, I am unable to undergo a thorough examination.
I have never had a sexually transmitted infection, and my only sexual experience was with my ex-girlfriend.

1.
Given this situation, is it possible for me to have been infected, and what is the likelihood of that?
2.
If I have been infected, will the vaccine that is expected to be available in five years be effective for someone who has been infected for about 6 to 7 years?
3.
Should my girlfriend get tested, or what steps should I take? I would appreciate your guidance.
Thank you.

DaiDai, 20~29 year old female. Ask Date: 2005/08/26

Dr. Li Guanghan reply Obstetrics and Gynecology

Hello: 1.
Instead of worrying, it's better to bring your girlfriend for an HPV test.
For males, a sample is taken from the glans penis.
For females, if the hymen is no longer intact, a sample is taken from the cervix.
If the hymen is still intact, a careful vaginal sample can be taken from the opening to avoid damaging the hymen.
Results will be available in two weeks, with a fee of 1200 NTD plus registration fee for each person.
2.
To prevent future infections, please use condoms properly.
Hsinchu City Hospital, Department of Obstetrics and Gynecology.

Reply Date: 2005/08/26

More Info

When considering whether to get tested for HPV (Human Papillomavirus), it is essential to understand the risks associated with HPV transmission, the implications of infection, and the available preventive measures. Here, I will address your concerns based on the information provided and general medical knowledge regarding HPV.

1. Risk of Infection: HPV is primarily transmitted through skin-to-skin contact during sexual activity, including vaginal, anal, and oral sex. While the risk of transmission increases with the number of sexual partners, it is important to note that HPV can be transmitted even when an infected person does not have visible symptoms or lesions. Given your history of unprotected sexual contact with your previous girlfriend, there is a possibility that you could have been exposed to HPV. However, if your current girlfriend has not engaged in sexual activity, her risk of contracting HPV from you is significantly lower, especially if you have not shown any symptoms or had any further sexual encounters.

2. Vaccination and Timing: The HPV vaccine is effective in preventing certain strains of the virus, particularly types 16 and 18, which are associated with cervical cancer. If you were to get vaccinated now, it would not treat an existing infection but could protect against future infections from the strains covered by the vaccine. The vaccine is most effective when administered before the onset of sexual activity, but it can still provide benefits even after potential exposure. If you have been infected for several years, the vaccine may not be effective against strains you are already infected with, but it can still protect against other strains you have not encountered.

3. Testing Recommendations: It is advisable for both you and your girlfriend to consider HPV testing and vaccination. While your girlfriend is currently a virgin, she may still benefit from the vaccine, as it can protect her from potential future exposure. For you, getting tested for HPV can provide clarity on your status. If you test positive for high-risk HPV types, it is crucial to follow up with appropriate screenings, such as Pap smears or HPV co-testing, to monitor for any changes that could lead to cervical cancer.

4. Understanding HPV and Its Implications: Many HPV infections are transient and resolve on their own without causing any health issues. However, persistent infections with high-risk HPV types can lead to precancerous changes in cervical cells, which is why regular screening is essential for sexually active individuals. If you are concerned about your girlfriend's health, it is important to communicate openly with her about your past and the potential risks involved.

In conclusion, while there is a possibility of HPV transmission based on your sexual history, the actual risk may vary. Vaccination can provide protection against certain strains, and testing can help clarify your HPV status. It is recommended that both you and your girlfriend consult with a healthcare provider to discuss your concerns, the need for testing, and the benefits of vaccination. Regular screenings and open communication are key components in managing sexual health and preventing HPV-related complications.

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