HPV: Concerns About Transmission and Treatment - Dermatology

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Cauliflower issue


Hello, Doctor.
I have the following four questions:
1.
I had a small lesion during my first outbreak, which I immediately had treated with electrosurgery.
Last week, I noticed a recurrence with two or three small lesions (the timing is close, and I'm not sure if they appeared before or after a friend visited my home...).
My friend stayed overnight and wore a pair of shorts that I had previously worn.
She was wearing underwear, and I didn't give her the shorts immediately; I had worn them a few days prior.
Is there a risk of her getting infected from this? I'm really worried.
2.
Is there a possibility that the virus could be present on the blankets I used? I remember that during the summer (the incubation period), I slept naked twice and often only wore underwear to bed.
How should I handle my bedding? If I wash them in the washing machine, could I infect others?
3.
I have performed oral sex on a male partner.
Is there a risk of developing oral warts? At that time, I did not have any sores in my mouth.
Also, if my friend eats food that I have consumed, could I transmit the virus to her? I'm really afraid of harming my friends and family...
4.
I received my first dose of the quadrivalent vaccine on December 8, and I am currently applying a topical ointment for treatment.
After applying the ointment, if I wash my hands thoroughly and then touch my nose (as I suspect I might be coming down with a cold and have a runny nose), is there a risk of infecting my nose?
I apologize for having so many questions, and I hope you can help clarify these concerns.
Thank you.

Lisa, 20~29 year old female. Ask Date: 2014/12/11

Dr. Wu Yuxin reply Dermatology


Cauliflower only transmits through direct contact or exposure to secretions from the affected lesions.
Therefore, underwear and oral sex can potentially transmit the infection, but the risk from wearing underwear for several days is lower.
The chances of transmission through eating or bedding are very small.

Reply Date: 2014/12/11

More Info


Understanding HPV (Human Papillomavirus) and its implications can be quite complex, especially when it comes to concerns about transmission and treatment. Here’s a comprehensive response to your questions, addressing each point with relevant medical knowledge.

1. Transmission through Clothing: HPV is primarily transmitted through direct skin-to-skin contact, particularly during sexual activity. While it is theoretically possible for HPV to be present on clothing, the virus does not survive long outside the human body. If your friend wore your shorts several days after you wore them, the likelihood of transmission is very low. HPV requires a moist environment to survive, and the fabric of clothing is not conducive to this. However, it’s always best to practice good hygiene and avoid sharing personal items like underwear or swimwear.

2. Handling Bedding: Similar to clothing, the risk of HPV transmission through bedding is minimal. If you have been diagnosed with HPV and are concerned about your bedding, washing your sheets and pillowcases in hot water should effectively eliminate any potential virus. Regular laundering is a good practice, especially if you have had any active lesions. It’s important to note that HPV is not transmitted through inanimate objects like bedding, but maintaining cleanliness is always advisable.

3. Oral Transmission: HPV can be transmitted through oral sex, and certain strains can lead to oral warts or even oropharyngeal cancers. If you performed oral sex on a partner who has HPV, there is a possibility of transmission, especially if they have visible warts or lesions. However, the presence of HPV in the mouth does not always lead to symptoms or visible lesions. As for sharing food, while the risk is low, it is still advisable to avoid sharing utensils or food with someone who has an active HPV infection to minimize any potential risk.

4. Post-Treatment Hygiene: After applying topical treatments for HPV, washing your hands thoroughly is essential before touching your face or any mucous membranes, such as your nose. This practice helps prevent any potential transfer of the medication or the virus to sensitive areas. If you suspect you might be getting a cold, it’s wise to maintain good hygiene, including washing your hands frequently and avoiding touching your face.

In addition to addressing your specific concerns, it’s important to understand that HPV is a common virus, and many people will contract it at some point in their lives. Most HPV infections resolve on their own without causing any health issues. However, persistent infections with high-risk HPV types can lead to serious conditions, including cervical cancer and other anogenital cancers.

Vaccination is a crucial preventive measure. The HPV vaccine can protect against the most common high-risk types of HPV and is recommended for preteens and young adults. Since you mentioned receiving the HPV vaccine, this is a positive step towards reducing your risk of future infections.

If you have ongoing concerns about HPV or its transmission, it’s advisable to consult with a healthcare provider. They can provide personalized advice based on your medical history and current health status. Regular check-ups and screenings, such as Pap smears for women, are essential for monitoring any potential changes related to HPV.

In summary, while your concerns about transmission are valid, the risk in the scenarios you described is relatively low. Maintaining good hygiene practices and following up with your healthcare provider for any further questions or concerns is the best course of action.

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