[Question #6153] Hpv/Gw/hsv 1

16 months ago
I’m almost certain close to 15 years ago I had GW. Never an abnormal pap. Cleared on their own. Actually seen gyno on regular basis and they never noticed them. The only reason I think It was GW aid my husband may have got them too. No issues since they have cleared. No recurrence with pregnancy. I am Hsv 1 positive just for info. I say All this to ask.....currently getting a divorce. Is it possible I could still transmit GW? And if I am Ghsv 1 positive after this long should I disclose that too? 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
16 months ago
Welcome to the forum. Thanks for your confidence in our advice.

I'm not sure I fully understand your story about warts. Did you have obvious, visible warts at one time? Are you sure they weren't skin tags (which are normal)? Did you see your gyn at the time you thought you had warts, or sometime later? If your gyn couldn't see them, probably you had no warts at the time(s) you were examined:  they usually would not be missed during a routine gyn exam. As for your husband, you say he "may" have also had them. That also sounds questionable:  did he have visible warts or a professional diagnosis? Certainly it's possible either or both of you had warts; around 20-25% of all people get genital warts at one time or another (according to data from Scandinavia, probably similar in most western countries). But without an actual diagnosis or visual evidence of warts, I have to wonder.

But now let's assume you and your husband indeed were sharing an HPV infection that produced warts in both of you. Although recent research has shown that genital warts recur more often than once thought, it still occurs in a fairly small minority of people. And with no recurrence for 15 years, most likely they are gone for good. You have no obligation to reveal your past warts (or suspicion of them) to new sex partners. The chance your warts will recur, or that you will transmit that long distant HPV infection to future partners may not be zero, but it's very low.

Turning to HSV1:  Presumably "I am HSV1 positive" means a blood test, right? Half of all adults have positve HSV1 blood tests, mostly the result of childhood infection, often never diagnosed. Most people in that situaion have no recollection of oral herpes. Could your HSV1 have originated as a genital infection? It's possible, especially If you ever had an episode painful genital sores, often with painful swollen glands in the groin and perhaps fever, headache, etc. If not, it's unlikely your infeciton was genital. And even if it was, I wouldn't worry about it. Gential herpes due to HSV1 recurs rarely, and asymptomatic viral shedding -- times when the virus is active and can be transmitted -- is rare. Genital to genital HSV1 transmission is rare:  in my 40+ year career in STDs, I've never seen a case. That is, every case of genital HSV1 I have seen was acquired by oral sex, not by intercourse. For these reasons, my advice here is similar to that for HPV:  I recommend against saying anything about genital herpes or HSV1 to future partners. Any risk to them probably is far more likely from kissing, in event you have a reactivated oral infection (cold sores etc), and not from genital infection.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD
---
---
16 months ago
This makes me feel so much better. I’m moving on with my life as if none of this ever occurred. No reason to obsess over it! You do a wonderful service! 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
16 months ago
Thanks for the thanks -- that's why we're here!---