If the other person has a sexually transmitted infection, will I definitely get infected as well?
Hello doctor, I would like to ask you about a situation.
About two weeks after having sexual relations with a woman, she developed small red swollen lesions in the genital area.
After a doctor's examination, it was confirmed to be genital warts.
I found online that genital warts are highly contagious, have a long incubation period, averaging two to three months, and can even last up to six months.
I have been to the hospital for a check-up, and the doctor mentioned that if there are no visible lesions, it is not possible to detect the virus through blood tests.
If I had sexual relations with my wife before the lesions appeared, could I transmit the virus to her? So, I would like to ask, in this case, am I definitely at risk of being infected with genital warts?
Nèi xīn jiān'áo de wàiyù nánrén, 30~39 year old female. Ask Date: 2013/12/08
Dr. Li Xinyi reply Urology
This is the most tormenting question for men: (Will I transmit the virus to my partner? Am I definitely going to get infected with genital warts?) The answer is that both are possible, but it is uncertain when it might happen.
However, it is also possible that nothing will happen.
The only thing to do is to: monitor carefully, monitor carefully, monitor carefully...
Reply Date: 2013/12/08
More Info
The concern about HPV (human papillomavirus) transmission, especially in the context of genital warts (also known as condylomata acuminata), is quite valid. HPV is a sexually transmitted infection that can be transmitted through skin-to-skin contact during sexual activity. There are over 100 types of HPV, with some being classified as low-risk (like HPV types 6 and 11, which cause genital warts) and others as high-risk (such as HPV types 16 and 18, which are associated with various cancers).
In your case, since your partner has been diagnosed with genital warts, there is indeed a risk of transmission. HPV can be present in the genital area even when there are no visible symptoms, which means that it is possible to transmit the virus even if your partner does not have visible warts at the time of sexual contact. The incubation period for HPV can vary significantly; while some individuals may develop warts within a few weeks, others may not show symptoms for months or even years.
To address your specific questions:
1. Transmission Risk: If you had sexual contact with your partner before she developed visible warts, there is a possibility that you could have been exposed to the virus. HPV can be transmitted even when no symptoms are present. Therefore, while you may not "definitely" get HPV, the risk is certainly there.
2. Testing and Diagnosis: As you mentioned, HPV is not typically detectable through standard blood tests. The most common way to diagnose HPV is through visual inspection of warts or through specific HPV testing (usually done via a Pap smear for women). Men do not have a routine HPV test, so if you are concerned about your status, you may want to consult a healthcare provider for further evaluation.
3. Preventive Measures: If you are concerned about HPV transmission, using condoms can reduce the risk, although it does not eliminate it entirely since HPV can infect areas not covered by a condom. Additionally, vaccination against HPV (such as the Gardasil vaccine) can provide protection against the most common high-risk and low-risk types of HPV, including those that cause genital warts.
4. Monitoring and Follow-Up: If you are concerned about potential infection, it is advisable to monitor for any symptoms, such as the appearance of warts or other unusual changes in your genital area. Regular check-ups with a healthcare provider can help in early detection and management of any potential issues.
5. Long-term Considerations: If you do contract HPV, it is important to note that many HPV infections are cleared by the immune system within a couple of years. However, some infections can persist and may lead to complications, including genital warts or, in the case of high-risk types, cervical or other cancers. Regular health screenings, such as Pap smears for women, are crucial for monitoring any changes.
In conclusion, while there is a significant risk of HPV transmission if your partner has genital warts, it is not guaranteed that you will become infected. Taking preventive measures, seeking medical advice, and maintaining regular health check-ups are essential steps in managing your sexual health and reducing the risk of HPV-related complications.
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