[Question #9051] HPV transmission/wart production outcomes
36 months ago
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Hello -- I believe this might have been answered previously, but I am curious if there are any studies/indications on what the percentages are of HPV transmission and ultimately the outbreak of genital warts are with repetitive unprotected sex with the same partner when one partner has a genital wart? For example, (using completely random numbers) - is it 70% of partners will be infected and 25% of those infected will end up with genital warts.
I see a lot of studies that show the total infection rate (as they were all swabbed, etc. to test) but I don't see any numbers that outline the scenario above. Thank you.
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Edward W. Hook M.D.
36 months ago
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Welcome to the forum. Thanks for your question. I’ll be glad to comment although, unfortunately, the per exposure transmission rate of HPV infections is unknown. This is, in large part because HPV infection so so very wide spread. As is the case for all other STI’s, the infection rate following a single exposure is certainly less than 50%, but more precision is not possible. It is known however that in just one year following initiation of intercourse with a single partner, on average over 25% of women will be infected. Common sense tells us that with more exposures, the cumulative infection rate increases. There are even fewer data available regarding HPV acquisition in men than in women.
Sorry there’s that a more precise answer. EWH
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36 months ago
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Thank you for your reply. I have a couple of follow-up questions:
1. If you initially develop a couple of EGW around the same time (in my case, one on the shaft of my penis and one on my inner thigh) and nothing else develops for several months (in my case its been 3 months), is it reasonable to expect that the current infection is under control?
2. Is autoinoculation a significant concern related to HPV? Particularly via hand transmission — as you can expect, you naturally fumble around with what you ultimately find out is a wart and touch other parts of your body/genital area.
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Edward W. Hook M.D.
36 months ago
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Your follow-up,questions are related. When warts appear they test to stay where they appear and not spread. Auto inoculation due to touching, scratching or otherwise being spread by the hands is quite rare. I’m not sure I’ve seen a case. Warts can expand and spread when abraded however, such as when a wart and surrounding areas are shaved with a razor. This is not till uncommon, occurring when individuals shave their penis and inadvertently shave a wart and the surrounding area as well.
Incidentally, the inner thigh is an uncommon location for genital warts to occur. The skin in that location is different from penile skin and less vulnyto infection. Are you confident that the lesion on your thigh is a wart? Has it been evaluated by a trained clinician?
EWH
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36 months ago
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Thanks for your response and help. The issue on my thigh I just noticed - I have a follow-up appointment to have that looked at.
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Edward W. Hook M.D.
36 months ago
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Great. I would encourage you to do so. Normally if this is my third reply I would close this thread at this time however I am interested in what your dermatologist says about the lesion on your thigh. Therefore I will keep this thread open. As I mentioned, there are many other processes which can occur in that area which are not HPV.
EWH
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35 months ago
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Hello - I wanted to get back to you on the wart on my thigh. The biopsy came back as “…an old Verruca Vulgaris (wart) which is benign and has been completely excised.” Vs the biopsy of the other wart which came back as condyloma acuminatum (but without a type.)
Thanks for suggesting I have that looked at as well. I just found it really odd that they both appeared approximately the same time - although I am sure completely coincidentally shortly after I had covid for the first time. I was treated for EGW 20 years ago with no recurrence until now but this was more than likely a new infection based on your comments in the forum.
I just want to say that this forum is very helpful and appreciate your participation.
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Edward W. Hook M.D.
35 months ago
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Thanks for your thanks. FYI, Veruca vulgaris is a "common wart" which, while caused by HPV is often not caused by the HPV types which cause genital infections. There are >100 diffferent types of HPV. This lesion may not have been genitally acquired. Further, in that it is excised, I would consider you cured for this lesion.
I'll close the thread now. Take care. EWH
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