[Question #3962] HPV-Genital Warts confusion
83 months ago
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I realize that some questions can be anxiety related,
and my opinion would be that many questions concerning STI/HPV are slanted that
way. So, for that I apologize for any anxiety related to it, it's not your job
to help me with that. That being said, I appreciate information to help me
understand my sexual health to a greater degree. I appreciate your expertise
and explanations, there's just no one else to really ask that has that level of
understanding.
I went to my doctor because I had a spot on my
left testicle that turned out to be a mole. I had gone in to my dermatologist
to have it evaluated to make sure it was not STI related as it was not.
However, I asked him about Genital Warts- their time frame and if they come
back and what he mentioned was different from what I've read from experts
(you), ASHA and CDC. My doctor was also different from the dermatologist
and more along The Expert opinions here.
1.My understanding from this site and ASHA was
that Genital Warts (GW) are self-limiting in that if they do show up and when
they are removed they may reoccur once, but then do not return in men unless
severely immunocompromised via chemotherapy/AIDS, etc? I read one answer by Dr.
Hansfield that stated that most STD experts, gynecologists, etc...rarely, if
ever see recurrences of genital warts once they are gone. Also that some
(most?) clear the virus and some notice recurrences, but typically only for a
short while and then they are gone.
2. Do they behave like the other HPV's in that once
they're gone, they're gone?
3. My dermatologist said they can come back
with just a little dip in the immune system and used the example of cold sores
(HSV-1)that come on with fevers and such (I know he has to cover his butt to
some degree if something happens). My family doctor said that whenever you get
the virus, you get the warts and that if they dont' show up in three months
they won't show up ever and he disagreed with my dermatologist in that he
stated that they don’t usually come back and they don’t stay latent. That corroborates
the general undertone here that they don't come back and I believe Dr. Hook
quoted after a three month timeframe from last wart removal?
4. I’ve never had them that I know of, is it
less typical to see a recurrence if you’ve never had them?
5. You are the experts, I’ve just been given
some confusing information and I’d like to know the accepted information out
there if possible?
Thank you very much.
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H. Hunter Handsfield, MD
83 months ago
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