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hpv wart and marriage
I met urologist in feb.2013 who said my 3 bumps on penile shaft and pubic area is most likely hpv wart. He did biopsy in apr.2013 and the report said -squamous epthelial hyperplasia with koilocytic changes suggestive of condyloma acuminata.Also mentioned is immunostain with p16 which is surrogate marker for hpv infection is non informative.
what is your interpretation of the above words. Am i confirmed for hpv?is p16 staining was done to find cancerous sub types?
assuming i have the common 2 strains of hpv related to wart, is my future VIRGIN partner who just finished her gardisl third course is protected from 4 strains even if i have unprotected sex while i have few bumps? will i infect a non gardisl vaccinated women even with cuddling?
what is your interpretation of the above words. Am i confirmed for hpv?is p16 staining was done to find cancerous sub types?
assuming i have the common 2 strains of hpv related to wart, is my future VIRGIN partner who just finished her gardisl third course is protected from 4 strains even if i have unprotected sex while i have few bumps? will i infect a non gardisl vaccinated women even with cuddling?
MEDICAL PROFESSIONAL
My advice is to discuss with your doctor whether the remaining, hard-to-see bumps are warts. My guess is they are not. This is not a guarantee you are not infectious -- but probably you are not, and if you are, probably she is protected by the Gardasil. There is no risk to her becoming pregnant. So my advice is to go ahead with unprotected sex without worry about it.
That will have to end this thread. I won't have any further comments or advice.
That will have to end this thread. I won't have any further comments or advice.
Thanks again for great answer.I have few vey tiny spots at the middle of the shaft which is very difficult to say or wart or not.Ihave been treating a very visible set of warts at base of penis and pubic area.MY marriage is due in few months and as I told you before that my fiancé never had sex with any one so far including me and has finished gardisil course.i am confused to wait for the warts to go away for few months to declare i am not contagious or to go head with marriage and start having sex unprotected as my fiancé is gardisil protected and plan on having baby soon after marriage.I am also concerned that waiting for those tiny bumps to grow or not to declare I am non contagious can be time consuming an senseless.please advice!,,,,,!!!!
MEDICAL PROFESSIONAL
I would guess that some (most?) pathology labs automatically test certain kinds of lesions for HPV, depending on the appearance under the microscope.
Cantharone is not one of the standard treatments for warts; it may work, but I have no experience with it. The recommended self-applied treatments include podophyllotoxin (the main trade name in the US is Podofilox), imiquimod (Aldara, Zyclara), and sinechatechins (Veregen). Physician-applied office treatments include freezing, podophyllin resin, tri- or bichloroacetic acid, and surgical treatments including laser- or electrocautery. If your warts don't quickly clear up on your current treatment, you should discuss other options with your doctor.
Cantharone is not one of the standard treatments for warts; it may work, but I have no experience with it. The recommended self-applied treatments include podophyllotoxin (the main trade name in the US is Podofilox), imiquimod (Aldara, Zyclara), and sinechatechins (Veregen). Physician-applied office treatments include freezing, podophyllin resin, tri- or bichloroacetic acid, and surgical treatments including laser- or electrocautery. If your warts don't quickly clear up on your current treatment, you should discuss other options with your doctor.
GREAT REPLY. BuT A FOLLOW UP QUES.PLEASE ANSWER THE REASON FOR THE IMMUNOSTAIN P16 TEST?IS THERE IS MODERN TEST FOR MALES TO FIND OUT THE STRAIN THAT CAUSED THE WART TO ME?ALSO AFTER MY FIRST APLLICATION OF CANTHARONE PLUS FROM JUST 3 SMALL SKIN TAG LIKE LOOKING WART IT BECAME MORE WARTS AND IT NOW LOOKS LIKE CLASSIC CAULIFLOWER AND MORE IN NUMBER AND FROM END OF SHAFT I FEEL THE WARTS ARE MOVING TO MIDDLE.WHAT DOES THAT MEAN?IT IS BEEN ONLY 3 MONTHS AFTER I STARTED TREATMENT..IS CANTHARONE PLUS IS EFFECTIVE FOR GENITAL WART?please reply.
MEDICAL PROFESSIONAL
Welcome to the forum. Thanks for your question.
Questions about genital warts and other HPV infections are very common on this forum. It's a complex topic, in part because new information is becoming available all the time. The thread below is a fairly recent (8 months ago) summary, and it has links to several other threads. There's a lot of detail -- I hope it isn't all too confusing -- but take a look. In the meantime, here are some brief comments and replies to your specific questions.
http://www.medhelp.org/posts/STDs/HPV-concerns/show/1819004
You clearly have genital warts. All warts are caused by HPV; there is no such thing as a non-HPV wart. Warts typically appear a few months to a year after catching the virus, although sometimes they appear (or reappear) years later. The virus is definitely not transmitted by "cuddling"; there has to be direct penile penetration or direct genital-to-genital skin contact to transmit the virus. If you and your fiance have not had intercourse, she is not at risk, regardless of Gardasil. You can assume you have been carrying the virus and capable of transmitting it for at least a few months before the warts appeared -- so if you HAVE been having sex with your partner, you can assume she has already been infected and there is no point in stopping sex now. Gardasil is very effective beginning after the second dose of vaccine, although not fully effective until after the third dose. So if your warts are caused by one of the types covered by the vaccine, she will be protected, if not infected beforehand.
I hope these comments get you started on the information you need. Take a look at the other threads as well, then let me know if there is anything that isn't clear. In the meantime, don't be worried. Genital warts are an inconvenience, not a serious health threat. Regardless of her immunization with Gardasil, if your partner doesn't develop visible warts, you needn't be worried at all; and if she does, they can be easily treated, just as yours can be.
Best wishes-- HHH, MD
Questions about genital warts and other HPV infections are very common on this forum. It's a complex topic, in part because new information is becoming available all the time. The thread below is a fairly recent (8 months ago) summary, and it has links to several other threads. There's a lot of detail -- I hope it isn't all too confusing -- but take a look. In the meantime, here are some brief comments and replies to your specific questions.
http://www.medhelp.org/posts/STDs/HPV-concerns/show/1819004
You clearly have genital warts. All warts are caused by HPV; there is no such thing as a non-HPV wart. Warts typically appear a few months to a year after catching the virus, although sometimes they appear (or reappear) years later. The virus is definitely not transmitted by "cuddling"; there has to be direct penile penetration or direct genital-to-genital skin contact to transmit the virus. If you and your fiance have not had intercourse, she is not at risk, regardless of Gardasil. You can assume you have been carrying the virus and capable of transmitting it for at least a few months before the warts appeared -- so if you HAVE been having sex with your partner, you can assume she has already been infected and there is no point in stopping sex now. Gardasil is very effective beginning after the second dose of vaccine, although not fully effective until after the third dose. So if your warts are caused by one of the types covered by the vaccine, she will be protected, if not infected beforehand.
I hope these comments get you started on the information you need. Take a look at the other threads as well, then let me know if there is anything that isn't clear. In the meantime, don't be worried. Genital warts are an inconvenience, not a serious health threat. Regardless of her immunization with Gardasil, if your partner doesn't develop visible warts, you needn't be worried at all; and if she does, they can be easily treated, just as yours can be.
Best wishes-- HHH, MD
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