Recognising HPV symptoms

The most common symptom of an HPV infection is genital warts. In some cases, HPV can also lead to cervical cell changes.

Most people have an HPV infection and are not aware of it because it is subclinical, i.e. invisible to the naked eye. It is also possible that some people may have genital warts without knowing it, as some warts may be hard to see.

The period between contracting the HPV virus type that causes warts and seeing the developed warts, varies so this can make it impossible to know when you were infected. Often, HPV warts will appear three to six months after sexual relations with an infected person; or they may never appear. Likewise, the interval between an infection with HPV and changes to cervical cells can vary from months to decades. The delay of these symptoms makes it hard to know exactly when or from whom you got the HPV virus.

Such inconsistencies can be difficult to understand – especially for partners in long-term relationships who feel that some recent infidelity must be to blame. Partners will inevitably share HPV. There is no way to know which partner it came from or how long ago. Having HPV does not mean that a person or their partner is having sex outside the current relationship.

Evidence suggests that the majority of individuals who have ever been sexually active experience one or more genital HPV infections during their lifetime. Most HPV infections clear spontaneously.

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What does HPV in females look like?

Sometimes HPV can develop into warts although it is important to remember that not everyone gets warts from HPV.

  • If an HPV test is positive, it means a person has one of the high-risk types of HPV. There will then usually be further testing in discussion with your healthcare provider.
  • If an HPV test is negative, it means that the high-risk types of HPV being tested for were not detectable.

For anyone with a cervix, HPV may be identified during cervical screening which is now primarily an HPV test.

It is possible to test for some types of HPV but HPV testing is not part of a routine sexual health check up for males or females. This is in part because in some people the virus is "hibernating" at levels that are not detectable by testing.

HPV tests used for cervical screening are geared to high-risk HPV types and these do not include all the types of HPV.

What does HPV in males look like?

Sometimes HPV can develop into warts, although it is important to remember that not everyone gets warts from HPV.

HPV testing is not part of a routine sexual health check up for males or females, as there is no swab or blood test that can check for all HPV types. It is also in part because in some people the virus is "hibernating" at levels that are not detectable by testing.

For males, HPV can affect the ano-genital area and also the throat, in the form of genital warts and also potentially developing penile cancer, anal cancer, or throat cancer.

HPV infection is highest amongst men who have sex with men, particularly those who are also HIV positive. A compromised immune system is less able to detect and fight the HPV virus. It is recommended that all males living with HIV undergo regular health checks including an anal rectal exam to look for signs or symptoms that may indicated HPV-associated cancers.

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