HPV Treatment and Safe Practices for Sexual Health

Q: HPV Treatment and Safe Practices for Sexual Health

Q1： Genital warts may not necessarily resolve on their own, especially if there is ongoing risky behavior. <br>It is recommended to always use protection. <br> <br>Q2： The factors for genital warts are indeed present, and there is still a possibility of contracting them, especial

Cauliflower Concerns

Hello, doctor.
I am a gay man and would like to ask you a few questions.

Q1: After treatment for genital warts, should I always use protection during sexual intercourse at the treatment site?
Q2: I received treatment for genital warts and completed it three months ago without any regrowth.
Does this mean that there are no factors for genital warts in other areas of my body when engaging in sexual activity? I have read that "genital warts tend to recur only around the treated area." For example, if I have genital warts in the anal area but not on the genital area, can I still potentially transmit the virus to someone else if my genital area comes into contact with their anal area?
Q3: This issue arose this week.
After completing electrosurgery treatment in September 2015, I did not notice any signs of growth at the treatment site during self-examination until February 2016.
However, this week I experienced itching at the treatment site, which has spread beyond that area.
The itching occurs with skin friction around the treatment site.
I am currently applying a topical ointment to relieve the itching.
For additional context, prior to electrosurgery, I sought treatment from a traditional Chinese medicine practitioner using "Huayu Water" at the visible site, which caused discomfort and pain.
After the last application of Huayu Water, I realized that it could not treat internal areas, which led me to opt for electrosurgery.

Q4: Before I was diagnosed, I had sexual intercourse with a partner, but in different areas.
The areas we engaged with were not the same as the area where I developed genital warts.
Should my partner also get checked?

Keranwu, 20~29 year old female. Ask Date: 2016/02/02

Dr. Li Xinyi reply Urology

Q1: Genital warts may not necessarily resolve on their own, especially if there is ongoing risky behavior.
It is recommended to always use protection.

Q2: The factors for genital warts are indeed present, and there is still a possibility of contracting them, especially in moist mucosal areas.

Q3: Genital warts may not necessarily resolve on their own.
You are not yet cured.

Q4: It is difficult to answer.
Generally, people get checked because they have symptoms...
It is important to self-examine.
If there are any concerns, seek medical attention.

Reply Date: 2016/02/02

More Info

Understanding HPV Treatment and Safe Practices for Sexual Health
Human Papillomavirus (HPV) is a common sexually transmitted infection that can lead to various health issues, including genital warts (commonly referred to as "cauliflower" or "condyloma acuminata") and certain types of cancer, such as cervical cancer. As a member of the LGBTQ+ community, it’s essential to understand how to manage your sexual health effectively, especially after being treated for HPV-related conditions. Here are some insights regarding your questions:
Q1: Should I always use protection during sexual activity after treatment for genital warts?
Yes, it is highly advisable to use protection, such as condoms, during sexual activity even after successful treatment for genital warts. While treatment can remove visible warts, it does not eliminate the virus from your body. HPV can remain dormant in the skin and may still be transmissible to partners. Using condoms can significantly reduce the risk of transmitting the virus, but it is important to note that they do not provide complete protection since HPV can infect areas not covered by the condom.

Q2: If I have been treated for warts and have not had any new growth for three months, is it safe to engage in sexual activity with other areas of the body?
While the absence of visible warts for three months is a positive sign, it does not guarantee that the virus is no longer present in your body. HPV can remain dormant and can potentially reactivate. If you have had warts in the anal area, there is still a risk of transmission if you engage in sexual activity with other areas, such as the genital region, especially if there are micro-abrasions or skin-to-skin contact. Therefore, it is prudent to continue using protection and to communicate openly with your partners about your HPV status.

Q3: I am experiencing itching around the treated area. What should I do?
Itching in the treated area can be a common occurrence after treatment, especially if there has been irritation or healing taking place. However, if the itching persists or worsens, it is essential to consult with your healthcare provider. They can assess whether this is a normal part of the healing process or if there is a need for further evaluation, such as checking for recurrence of warts or other skin conditions. Using topical treatments like hydrocortisone cream may help alleviate itching, but it’s best to follow your doctor's recommendations.

Q4: Should my partner get tested if we engaged in sexual activity before I was aware of my HPV status?
Yes, it is advisable for your partner to get tested, especially if you have had sexual contact with them before knowing about your HPV infection. HPV is highly contagious, and even if they do not show symptoms, they could still be carrying the virus. Regular screenings and open communication about sexual health are crucial in managing HPV and preventing its spread. Encourage your partner to discuss their sexual health with a healthcare provider, who may recommend HPV testing or vaccination.

Additional Considerations:
1. Vaccination: If you or your partner have not yet received the HPV vaccine, it is highly recommended. The vaccine can protect against the most common strains of HPV that cause genital warts and cervical cancer. It is most effective when given before the onset of sexual activity but can still provide benefits even after exposure.

2. Regular Check-ups: Regular health check-ups and screenings are essential for early detection and management of any HPV-related issues. For individuals with a cervix, routine Pap smears and HPV testing are critical for monitoring cervical health.

3. Healthy Practices: Maintaining a healthy lifestyle, including a balanced diet, regular exercise, and stress management, can help support your immune system, which plays a crucial role in managing HPV infections.

In conclusion, while HPV can be concerning, understanding the virus, practicing safe sex, and maintaining open communication with partners and healthcare providers can significantly reduce risks and promote better sexual health. Always consult with a healthcare professional for personalized advice and treatment options.

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