HomeAnswersDermatologyhpvI have a single partner and my HPV is positive. How is it possible?

What is the mode of transmission of HPV virus other than sexual contact?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At September 9, 2020
Reviewed AtAugust 23, 2023

Patient's Query

Hello doctor,

My HPV test results come back positive. I had intercourse only with my husband, and I am his only partner. Is there any other way this infection could have been transmitted. I get tested every two years. Could it have been dormant in one of us?

Hello,

Welcome to icliniq.com.

What strain of HPV are you tested positive? Are those genital warts? Normal cutaneous warts can also cause genital infection, so it need not be sexually transmitted all the time.

Patient's Query

Thank you doctor,

I am not sure whether the test was done during my pap smear. No, I do not have genital warts as a symptom.

Hi,

Welcome back to icliniq.com.

Pap smear test is done for confirmation of cervical malignancy. Positivity indicates that you have abnormal cells, and grading has to be known about whether it is due to HPV (human papillomavirus) infected cells or any dysmorphic cells. Positivity does not mean malignancy, but you need to be screened every year to rule any changes of malignancy in the pap smear.

Patient's Query

Thank you doctor,

I understood. I am more interested in the HPV diagnosis and how it was transmitted.

Hello,

Welcome back to icliniq.com.

HPV can be acquired through direct contact with skin or through the sexual route and also sometimes due to breakage of the skin barrier due to some frictions. It need not be a sexual route always. And in the majority of individuals it would be like subclinical infection where you cannot have any lesions as it causes lesions only in case of immunocompromised individuals. If you test 100 women for pap smear, 40% of individuals can be positive even without sexual history indicating that other organisms can also mimic HPV on pap smear which are normal commensals of genital tract. So for you if the HPV typing is done and if it is found to be HPV 16 or 18 you need to have regular screenings at regular intervals, and also there is an option of vaccination. To conclude, HPV has many routes of transmission and among that sexual route is one. Other transmission can be through skin contact and fomites.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. V. Srikanth Reddy
Dr. V. Srikanth Reddy

Dermatology

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