[Question #8798] hpv clearance and warts
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39 months ago
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To give you context im a 20 y/o male, around february 2021 i noticed a wart on my eyelid (which i didnt know what it was at the time so i picked it and nothing happened) a few weeks later around march 2021 i noticed a wart this time on my pubis which was probably me inoculating myself when i picked at the wart and scratch myself down there, so i decided to remove it with a nail-clipper(i know it was dumb, it also bled), but for the one on my eyelid i went to an eye doctor and he burned with no complications, fast forward a few weeks probably aprilmay 2021 i noticed a single raised smooth dark-brownish looking bump on my shaft that looked nothing like the previous warts (like a condyloma for what i had found online)(keep in mind for later) i also noticed that the wart i previously cut with the nail clippers grew back, although not completely, only the areas my nail-clipper didnt quite cut, so i cut it once again and forgot about it. i also cut the darkbrownish one only to find a few week later that i only separated it into two smaller ones, during the following months i didnt notice a change on the dark-brownish bumps until around october 2021 when it had changed into warts just like the one before it, so in november i cutted it again, only to find a small bump around a month later so i decided to go the urologist to get it burned like the one on my eyelid, i also noticed that the first wart i cut two times with my nailclippers grew back, although it was a fraction of its original size and barely noticeable, so after all that experience in february 2022 i finally decided to go to the urologist and get them burned. 1-What do you think are my chances of clearing the virus keeping in my mind that the first wart i had on my eyelid never grew back since the dr burned it more than a year ago, and also do you clear or suppress the virus because the urologist told me it is for life and only a few have symptons it has messed me up thinking i will keep getting warts till i die
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39 months ago
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2- Is it possible that the body clears or stops the virus from replicating everywhere else in the body except the virus that is already inside the wart?
3- more than a week ago i had 2 injections of betamethasone corticosteroids to treat a tonsilitis, i know that it suppresses the immune system, but since then i didnt have any recurrence is that a good signal?
4-Anything else you might want to add from hearing my story.
Thank you in advance dear Dr.
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Edward W. Hook M.D.
39 months ago
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Welcome to our Forum, thanks for your questions. Several comments:
1. HPV/warts are not typically transmitted from one part of the body to another by scratching. In addition, different HPV types (there are more than 100) tend to preferentially infect different parts of the body- the types of HOV that cause warts on the face and eyelid (if that is what that was) do not typically cause genital infection. The lesion you noted on your eyelid may or may not have been a wart- there are many other things that cause visible bumps on the eyelid including cysts. Irrespective, that lesion is now gone.
2. It is not suprising that the warts you clipped off with a nail clipper returned- the HPV infection which causes visible genital warts typically extend into normal surrounding skin, providing a site for recurrences to occur. That is the reason that when warts are frozen or burned away, a small amount of surrounding skin is also treated.
3. Following successful treatment, if warts are going to recur, they typically do so in 3-6 months following treatment. If they do not recur in that time period, they are unlikely to recur.
4. I would advise against trying to cut the warts off yourself- far better to go to a trained clinician such as a dermatologist or, for penile lesions, perhaps a urologist.5. the betamethasone you received should not interfere with your treatment
I hope that this information is helpful. If there are further questions or parts of my reply are unclear, please don't hesitate to use your up to two follow-ups for clarification. EWH
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39 months ago
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Thank you for your kind reply Dr.
i have a few more questions.
1- I would like to clarify more regarding the wart on my eyelid, it was more on the skin where my eyelash is than on my actual eyelid and im 100% sure it was a wart since it looked like one and the eye dr confirmed it, also its in line with the incubation period i read online (about two months) i dont if that changes something regarding my case.
2- regarding clearance of the virus, is it true the body clears the virus, or only suppresses it like herpes, since ive read online some anxiety inducing stuff like everytime you get very sick or when you get older they come back since its only suppressed and your immune system is weak.
3-How common are warts, i mean if they are not that uncommon would that mean that a lot of people have had it and succesfully treated them with no recurrence hence the of worry from the general population?, i dont know i would just like to know some statistics about it coming from a Dr.
regards and thank you for your time.
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Edward W. Hook M.D.
39 months ago
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1. Thanks for the clarification.
2. The answer to this is complex. In most people with visible warts or with HPV infection, the infection will go away and no longer be detectable in 2 to 3 years after appearance. At the same time, recent research has shown that, using sophisticated scientific tests, small amounts of the HPVDNA can be found remaining in tissue where warts have resolved. Most experts believe this residual DNA is not transmissible to others in this state but can, on occasion, be a source of recurrence. The exact proportion of persons in whom this occurs and how likely recurrences is unclear at this time.
3. HPV infections are estimated to be present in over 80% of sexually active adults at some time in their life. Not all of these HPV infections cause visible genital warts but many do. In general, genital warts and HPV infections are innocuous processes which cause no long-term problems for persons. The occurrence of genital warts and of HPV infection can be greatly reduced with the HPV vaccine. The vaccine greatly reduces the small proportion of people with HPV who will go on to develop genital track cancer.
I hope this information is helpful to you. For additional information on HPV, its management, and associated risks, I encourage you to read other questions and answers found on our forum regarding HPV. There are many and they go into great detail. EWH
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39 months ago
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Thank you for the clarification on all the answers and your time Dr, i hope you have a good day,
i have no more questions,
cheers.
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39 months ago
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i just noticed i have one response left, so if i may i want to to ask you my final questions
1-since all my warts where treated with cautery does that mean that after 6 months of no recurrance, then its around 90% the chance of it never recurring because there is also less hpv dna using cautery?
2- About hpv dna found in people is it the norm or the exception?
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Edward W. Hook M.D.
39 months ago
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1. Correct
2. Certainly HPV infection can be person and persons without visible warts or even women who do not have Pap smear abnormalities. As I mentioned above, HPV is widespread and very, very common. In nearly all persons with infection it is not a reason for concern.
I hope this, it is helpful to you. As we have already discussed, this will be my final comment.
This thread will be closed shortly without further responses. Take care. Please don’t worry. EWH
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