HPV Transmission Risks and Prevention Strategies - Otolaryngology

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HPV infection issues


Hello Doctor: I had sexual intercourse (without a condom) with a patient who has precancerous cervical lesions, and I later learned about their condition.
There was also oral sex involved.
I would like to ask: 1.
Is there a risk of contracting the HPV virus in the genital area or orally? If so, what preventive measures or screenings should be undertaken for early treatment? 2.
What are the possible early symptoms if infected? 3.
Which specialty should I consult to receive the best diagnosis and treatment? Thank you! I sincerely appreciate your time and assistance, and I wish you all the best.

zì zuò zì shòu, 40~49 year old female. Ask Date: 2011/04/30

Dr. Ye Dawei reply Otolaryngology


Dear Sir/Madam: A1: It is possible.
A2: Please go to the urology department for blood screening.
A3: Itching, pain, and discharge.
A4: Urology.
Dr.
Yeh Da-Wei, Head of the ENT Department at Hsinchu Hospital.

Reply Date: 2011/04/30

More Info


Understanding HPV Transmission Risks and Prevention Strategies
Human Papillomavirus (HPV) is a common sexually transmitted infection (STI) that can affect both men and women. It is important to understand the risks associated with HPV transmission, especially in the context of sexual activity with an infected partner. In your case, you have engaged in sexual activity with a partner diagnosed with precancerous cervical lesions, and you are understandably concerned about the potential for transmission.

1. Transmission Risks: Yes, there is a possibility of contracting HPV through sexual contact, including vaginal, anal, and oral sex. HPV can be transmitted even when an infected person does not have visible symptoms or warts. The virus can be present on the skin or mucous membranes in the genital area, and contact with these areas can lead to transmission. Additionally, oral sex can also pose a risk for oral HPV infection, which may lead to oropharyngeal cancers.

2. Prevention and Screening: To reduce the risk of HPV transmission, the following strategies are recommended:
- Vaccination: The HPV vaccine is highly effective in preventing the most common high-risk types of HPV. It is recommended for preteens but can be given up to age 45. Vaccination can protect both you and your partner from future infections.

- Regular Screening: Women should have regular Pap smears and HPV tests as part of their gynecological care. These screenings can help detect any changes in cervical cells early, allowing for timely intervention.

- Safe Sex Practices: Using condoms consistently and correctly can reduce the risk of HPV transmission, although they do not provide complete protection since HPV can infect areas not covered by a condom.

3. Initial Symptoms of Infection: Many people with HPV do not experience any symptoms, and the infection can resolve on its own. However, some may develop genital warts or, in more severe cases, changes in cervical cells that could lead to cervical cancer. If you were to experience symptoms, they might include:
- Genital warts (small bumps or groups of bumps in the genital area)
- Itching or discomfort in the genital area
- Abnormal vaginal bleeding
- Pain during intercourse
4. Consulting a Specialist: Given your concerns and the potential exposure to HPV, it is advisable to consult with a healthcare provider who specializes in sexual health or gynecology. They can provide appropriate screening, discuss vaccination options, and recommend follow-up care based on your individual risk factors and health history.

In summary, while there is a risk of HPV transmission through sexual contact, understanding the preventive measures and engaging in regular health screenings can significantly reduce this risk. It is also essential to maintain open communication with your partner regarding sexual health and any potential risks. If you have further questions or concerns, do not hesitate to reach out to a healthcare professional for personalized advice and support.

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