Can You Have Sex After HPV Type 58 Diagnosis? Expert Insights - Obstetrics and Gynecology

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Can one engage in sexual activity with HPV?


If diagnosed with HPV type 58 and after undergoing a colposcopy, the doctor has advised to wait four months before having a Pap smear.
I would like to ask the physician if HPV type 58 does not clear quickly, is it safe to engage in sexual activity during this period? Could this potentially lead to a prolonged infection?

Niming, 20~29 year old female. Ask Date: 2016/03/16

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, may you remain unaffected.
Wishing you good health.

Reply Date: 2016/03/16

More Info


When diagnosed with HPV type 58, it is understandable to have concerns about sexual activity and the potential for transmission. HPV (Human Papillomavirus) is a common sexually transmitted infection, and while there are many types of HPV, they can be categorized into low-risk and high-risk types. HPV type 58 is classified as a high-risk type, which is associated with an increased risk of cervical cancer.
1. Can You Have Sex After HPV Type 58 Diagnosis?
Yes, you can have sex after being diagnosed with HPV type 58, but it is essential to take precautions. HPV is primarily transmitted through skin-to-skin contact during sexual activity. If you are in a monogamous relationship and both partners are aware of the HPV status, open communication is crucial. Using condoms can reduce the risk of transmission, but it does not eliminate it entirely since HPV can be present on areas not covered by a condom.

2. Will Sexual Activity Affect the Infection?
Engaging in sexual activity does not necessarily worsen the HPV infection or prevent it from clearing. However, it is important to consider that if one partner is infected, there is a risk of transmitting the virus to the other partner, even if they are asymptomatic. Therefore, if you choose to have sex, it is advisable to discuss the situation with your partner and consider using protection to minimize the risk of transmission.

3. Self-Clearing of HPV:
Many HPV infections, particularly in younger individuals, can resolve on their own without treatment. The immune system plays a significant role in clearing the virus. Factors such as age, overall health, and immune function can influence the likelihood of spontaneous regression. While it is true that HPV type 58 may take time to clear, many individuals can clear the virus within a couple of years.

4. Follow-Up Care:
Since your doctor has recommended a follow-up Pap smear in four months, it is crucial to adhere to this schedule. Regular monitoring will help assess any changes in cervical health and determine if further intervention is necessary. If the Pap smear shows abnormal results, additional testing or treatment may be required.

5. Emotional and Psychological Considerations:
Being diagnosed with HPV can be stressful, and it is normal to have concerns about your health and relationships. Seeking support from healthcare providers, counselors, or support groups can be beneficial in managing anxiety and understanding your diagnosis better.

6. Vaccination:
If you have not yet received the HPV vaccine, it is worth discussing with your healthcare provider. The vaccine can protect against other strains of HPV, including those that are high-risk and may lead to cervical cancer. However, it is generally recommended to wait until any current infections are resolved before getting vaccinated.

In conclusion, while it is possible to engage in sexual activity after an HPV type 58 diagnosis, it is essential to communicate openly with your partner, consider using protection, and follow up with your healthcare provider for regular screenings and monitoring. Remember that many HPV infections resolve on their own, and maintaining a healthy lifestyle can support your immune system in fighting the virus. Always consult with your healthcare provider for personalized advice and guidance based on your specific situation.

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