[Question #12014] HPV
10 months ago
|
Hi there, I had previously asked about HIV testing (thanks for the replies on that). Tomorrow, I am getting checked for a possible genital wart that was previously looked at and was told was not a wart. Just wanted a second opinion, plus having irration issues. Anyway, if this is infact a wart (hpv) what is the disclosure suggestion on that and for how long with potential new partners? I’ve read disclosing HPV is not particularly necessary but seems to be suggested when having warts (in the months following wart treatment) How soon can you resume a sex life after a wart is treated? Are there certain strains of HPV that prompt disclosure more than others? Side note : When I was tested for all stds a month and a half ago, I came back positive for HSV1 at 7.30 IgG. I was told this was a past Herpes infection. But I am seeing now it could be a genital infection? Since I’m not sure whether it is oral or genital but was told it’s oral, what’s the disclosure suggestion for that?
10 months ago
|
I would just like to add, I had a Hsv PCR test (vaginal swab) and results came back not detected for both. But the Hsv IgG for Hsv1 is positive, confused on that? which one is more likely to be true
![]() |
Edward W. Hook M.D.
10 months ago
|
Welcome to the Forum. Thanks for your questions. Sorting this out will require more information. Specifically have you had the HPV vaccine?
The first step in evaluation your situation, if it is important to you, is to know for sure whether the lesion you have noted is a wart of not. There are many genital lesions which can be mistaken for HPV. All to often, based on appearance alone, health care providers assume that genital lesions are HPV and treat them with non-specific treatment without know if what they are treating are warts or something else. Until you know if you have HPV it is a bit premature to discuss disclose.
Disclosure is always a good idea but, particularly with HPV, all too often the fact that a partner has HPV is misunderstood and can cause undue tension in relationships. If persons have not been vaccinated against HPV and have been sexually active previously, there is a high probability that they have HPV from prior encounters and thus, future exposures have little risk of infection. On the other hand, if persons have been vaccinated, then there is little risk of the most common types of HPV and disclosure may not be critical. Because HPV is so very common, we do not feel that disclosure of HPV is mandatory if it will introduce lesion into a relationship.
Following treatment of warts, about one-third recur within 3-6 months. If there are no recurrences, there is little chance of infecting sexual partners.
There are no specific HPV strains that warrant disclosure more than others. Even for persons with so-called "high risk" HPV types, over 95% of infections resolve over time without treatment and without going on to cause complications.
Side note- over 60% of adults have evidence of past HSV-1. In most these infections are oral sometimes causing cold sores. Your antibody test suggest you have have HSV-1 in the past. The test dos not tell you whether or not the location of your infection is oral or genital.
I hope this information is helpful. If yu ahave specific follow-up questions, feel free to use your up to 2 follow-ups for clarification. EWG
---
10 months ago
|
I am not vaccinated against HPV I believe, but definitely to plan to be. I’m aware at this point 31 yr old female with multiple last sexual partners this will only cover possible future strains under the ones covered by the test that I have not been exposed to already. I am unsure whether or not I have HPV, today I am looking to get the wart examined and see if testing can be done. If positive for HPV and wart is confirmed, was wondering if that prompts disclosure once the wart is treated more so than if there as not a wart there recently and if so how long should notify potential future partners about this post wart removal. Unless you’re saying 3-6 month might be the timeline of disclosure post wart, apologies if misunderstanding. In regards to the HSV any reason the PCR test was negative but IgG test was positive? Does that indicate that swab does not detect current vaginal infection but blood test detects current or past oral infection? Being that most test positive for HSV1 does this suggest disclosure is not necessary? Sorry if questions are repeated, thanks!
![]() |
Edward W. Hook M.D.
10 months ago
|
Regarding HPV. Again, first you need an accurate diagnosis. If you have HPV, disclosure is a personal choice as most unvaccinated, sexually active persons already have HPV and cannot get those strains again. HPV is almost often an innocuous infection which is well managed with routine reproductive health care checks ("Pap smears") in women. If you have a wart an have been treated you should not be infectious to others unless it recurs which, if it is going to occur, typically happens within 3-6 months of initial treatment. I would suggest that you look at other interactions on the Forum- there are many in which HPV disclosure is discussed at length and we make them available to that persons like you can review and learn from them.
Having already had other partners, it is likely that you have HPV however vaccination will prevent future infections.
Regarding HSV- your PCR result means that HSV was not present in the area that was swabbed for the test. Your blood test however indicates that you have had HSV-1 in the past. The test cannot tell you the location of your infection or how long you have had HSV-1. Most HSV-1 infections are due to oral infection, often acquired in childhood. If there are additional questions on HSV I suggest that you post a question for Terri Warren on this Forum. Terri answers our herpes questions.
We provide up to three responses to each client's questions. You have one follow-up remaining. EWH
---
10 months ago
|
Thanks for the reply. For the final follow up - she also did not believe it to be a wart and stated that removal of it and the sensitivity it could cause would not be necessary as she didn’t believe it to be a wart. She did not suggest hpv testing but I did not ask her. I have never been tested for HPV just pap smears, do you suggest being tested / what difference would it make since I already follow up with my regular pap smears. Thanks!
![]() |
Edward W. Hook M.D.
10 months ago
|
Thanks for sharing your doctor’s assessment. Going forward, If you had HPV related issues they would show up on your PAP smears. When there are abnormalities present, most specimens are automatically tested for HPV. I see no reason for additional testing.
I do still think it would be a good idea for you to pursue HPV vaccination.
I hope the information I have provided has been helpful to you. We will be closing this thread shortly. Take care. EWH.
---