I'm a heterosexual male who has never had anal sex. About 2 years ago I had one unprotected instance of intercourse and developed genital and anal warts. The genital warts went away after 12 months, but the anal warts have not. I have three questions.
1. My current girlfriend (who knows about my warts) has never developed genital or anal warts or an abnormal pap. My doctor says that since warts take hold on specific areas of the body, it's likely that the HPV around my genitals has cleared and there is no viral load there which explains why my gf has not got them. Is this true that the viral load could be eliminated from my genital area but continue to be active around my anus? My gf doesn
I'll try to help - but this is an area without much data, mostly just various providers' experience and opinions.
1) Your doctor may be right about your not having HPV in and around your genital area--but I don't think there are data to prove it one way or the other. Even if your HPV infection is limited to the anal area, With or without direct contact with your anal area, you and your girlfriend should assume she will be exposed to HPV. But as you probably know (I recognize your username from previous dialogs on this forum), if she gets infected she'll probably never know it.
2. I'm more in agreement with Dr. Rockoff. When anal warts first appear, it is reasonable to attempt to eradicate them when they are small. But if that doesn't work and they keep returning, most experts would say the main indication for further therpy is when they enlarge to the point they produce discomfort, get irritated, or interfere with anal hygiene (difficult to keep free from fecal contamination, which in turn can lead to irritation, odor etc). The downside, as the proctologists will be quick to point out, is that delaying too long can make treatment more difficult.
3. Yes, eventually the vast majority of warts resolve over a few months to a couple of years. There are exceptions, but that's the rule.
Thank you, if you and Dr. Rockoff believe this, I'm sold! One quick follow up, doesn't leaving the anal warts alone slow down the clearance process? I would think by continuing to eliminate the anal warts, this would help the immune system get a handle on the viral load. By letting the anal warts sit there, my body will take longer to clear that particular strain of the virus. Or is that just a ridiculous assumption as it sounds as I typed it?
To my knowledge, no definitive data document whether ultimate resolution of HPV/warts is delayed, accelerated, or unchanged by treatment. The "common sense" arguments can go either way: as you suggest, the inflammation that accompnanies most treatments plus debulking (ie, reduced viral load) might enhance clearance; or that maximal exposure to a high viral load (ie, leaving the warts alone) might have the same effect.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.