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Human papillomavirus and genital warts - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Women Sexual Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   Women's Health/Gynecology
Doctor :   Hi
User :   Hello
Doctor :  
proceed with your query
User :   I am a 29 year old woman
Doctor :  
ok
User :   I had a previous history of abnormal paps smears and tested positive for HPV
Doctor :  
ok
User :   I now have had normal paps smears for over a year
Doctor :  
ok
User :   I have never had symptoms of genital warts
Doctor :   ok

User :   last summer my boyfriend found that he had genital warts
User :   when I was 26, during the period that I had the abnormal paps smears
User :   I also got vaccinated with Gardasil
Doctor :  
ok
User :   I understand that it does not help with pre-existing HPV infectins
User :   but decided to have it anyway
Doctor :  
ok
User :   I recently broke up with my boyfriend
User :   and am concerned about the risks for a new partner
User :   I understand that HPV infections never go away but I believe they get suppressed
Doctor :  
ok
User :   also, given that my boyfriend found a genital wart
User :   does this mean that I am a carrier of this strain of HPV?
Doctor :   HPV contains mainy strains which causes warts

Doctor :  
many*
Doctor :  
but the one which is vaccinated is hpv 16 and 11
Doctor :   this is because they have the potential to cause the cervical cancer in women
Doctor :  
so the vaccine will prevent you aganist the strains of 11 and 16
User :   I thought that the strains that cause cervical cancer and different from those that cause warts
Doctor :   yes
Doctor :  
you are right
User :   Doesn't the vaccine also cover two strains that cause warts?
Doctor :  
there are many strains as i said
Doctor :  
and only 11 and 16 strains causes cancer of cervix
User :   ok
Doctor :  
other strains do cause warts
User :   I knew that
Doctor :  
as the warts do not turn into cancer caused by other strains
User :   right
Doctor :   there is no vaccine as such to prevent the infection of them
User :   I was just reading the Gardisal webpage and it said that it cover two strains that cause warts as well as two strains that cause cancer
User :   You are saying there is no vaccine for other strains?
User :   So what do you think are the risks for a future partner?
User :   And, is it a good idea to consider a having a future partner get Gardasil?
Doctor :   as i said there are not 4 strains there are many strains named from 1,2,3,4 etc
User :   right
User :   I understand
Doctor :   getting vaccinated for 4 strains doesent mean that you are protected from all strains
User :   right
User :   so there is a good chance that I am a carrier of a wart causing strain even if I haven't had symptoms?
Doctor :  
may be
Doctor :  
but since you are vaccinated for the dangerous strains
Doctor :  
you should not worry
User :   ok
Doctor :  
as the other strains are pretty harmless
User :   in what sense?
Doctor :  
apart from causing wart they do not cause serious disease like cancer
Doctor :  
and wart is a very much treatable condition
User :   I understand that you are not necessarily in a position to give ethical advise but I am not totally comfortable with the fact that my ex-boyfriend had some warts and eventhough I did not, not telling a future partner
User :   but at the same time I do not know what the risks are for a future partner
Doctor :   the risk for the male partner is he may get penile wart

User :   right
Doctor :  
apart from this there is no other risk
User :   okay
User :   then another question
User :   when people have abnormal paps smears or warts and then the symptoms go away
User :   does this mean that the virus has been suppressed?
Doctor :   yes
User :   i.e. to a level where it is less likely to be transmitted
Doctor :  
once the pap smear turns normal it means the infectious agent is either cleared from the genital tract or may live in the dormant stage incapable of producing clinical infection
User :   i.e. if you took cells from me they would not cause an infection in other cells
User :   ?
User :   Is that what you mean by "incapable of producing clinical infection?"
Doctor :   clinical infection is producing symptoms and signs of a disease
User :   okay
Doctor :  
it doesent mean that the virus cannot be transmited
User :   right
User :   Would you recommend having a future partner consider getting Gardasil, in my case?
Doctor :  
the virus which is not producing disease in you because of the good immunity may get transmitted and cause the wart in the others
User :   I see
Doctor :  
i suggest to get yourself examined for the hpv virus in your vaginal and cervical smear
User :   Can this tell me which strains I have and/or if they are suppressed?
Doctor :  
it will tell whether you are infected with virus or not, latter it needs specific tests to find out which strain it is
User :   okay
User :   well, if I previously tested positive for HPV does this necessarily mean that I will be positive again?
Doctor :   need not be
Doctor :  
cause the natural course is good immunity will eliminate the infection
User :   although the virus will still be dormant somewhere within the body?
Doctor :  
it is genital wart and it will stay in the genital region
User :   well, I never had symptoms of gential warts though my boyfriend did, and I had abnormal paps smears for some time
User :   are you referring to the HPV in general?
Doctor :  
warts can occur in any part of the body, genital warts do occur in the genital region in majority of the time
Doctor :  
and the warts occur in different part of the body are different
User :   Do you recommend that a potential partner gets Gardasil? And is this possible for a 28 year old male?
Doctor :   as i told the risk of cancer is there in only females and it is cervical cancer
Doctor :  
men only get warts
User :   right
Doctor :  
which is treatable
User :   but Gardasil was approved in October of 2009 for men
User :   and was shown to reduce the chance of genital warts
User :   men 16-26 that is
Doctor :  
yes they also can take
Doctor :  
the reason is
Doctor :  
if there is any strain in men which can cause the cancer cervix
Doctor :  
than it will be elimanated
Doctor :  
hence protecting the women
User :   ok
User :   but was also reported as preventing warts in men
Doctor :  
it is obivous
User :   what is?
User :   please don't be condescending
User :   I am just trying to understand
User :   and make the best choices
Doctor :   the hpv infection in men causes warts and it can get transmitted to the female also
Doctor :  
if men is also immunised
User :   then it protects women too
Doctor :  
that it will prevent wart in him and there transmission to female is prevented
User :   ok
User :   thank you for the help
Doctor :   is ther anything else i can help you with?
User :   I guess not
Doctor :   please fill the feed back form

Doctor :   thanks for consulting healthcaremagic, we are available 24/7
Doctor :   please do login back if you have any medical query
Doctor :   bye for now
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