Some people find out they have HPV when they get genital warts. Women may find out they have HPV when they get an abnormal Pap test result (during cervical cancer screening). Others may only find out once they've developed more serious problems from HPV, such as cancers.
Genital warts look like skin-colored or whitish bumps that show up on your vulva, vagina, cervix, penis, scrotum, or anus. They kind of look like little pieces of cauliflower. You can have just one wart or a bunch of them, and they can be big or small.
Depending on the type of HPV a female has, they will present with different symptoms. If they have low risk HPV, warts may develop on the cervix, causing irritation and pain. In some people, these warts could cause bleeding. High risk HPV usually presents with no initial symptoms.
HPV is spread through intimate skin-to-skin contact. You can get HPV by having vaginal, anal, or oral sex with someone who has the virus, even if they don't have signs or symptoms.
For 90 percent of women with HPV, the condition will clear up on its own within two years. Only a small number of women who have one of the HPV strains that cause cervical cancer will ever actually develop the disease.
Treatment for HPV in the cervix
Options include freezing (cryosurgery), laser, surgical removal, loop electrosurgical excision procedure (LEEP) and cold knife conization.
For women, the Pap test doesn't check for HPV. It looks for changes in cells in your cervix. If you have certain changes in those cells, your doctor may ask the lab to check for the virus. If you're over age 30 and your pap is normal, your doctor may still test you for HPV.
A Pap test screens for cancer of the cervix (the passageway between the vagina and the uterus). A Pap test can also be used to screen for non-visible (subclinical) human papilloma virus (HPV) infection. The Pap test is not a specific test for HPV, although sometimes the results suggest that HPV might be present.
Most cases of HPV are asymptomatic, meaning you will not have any noticeable signs or symptoms. For those who do experience symptoms, they may include: Genital warts (a bump or group of bumps in the genital area) Cervical dysplasia (the presence of abnormal precancerous cells on the cervix)
HPV does not always cause visible symptoms, but in some cases, it can lead to genital warts. The warts can vary in size, color, and appearance. They may look flat, raised, or have finger-like projections. One wart may be present, or clusters of bumps.
Diagnosis and Tests
Pelvic exam: A woman may get a Pap test as part of a pelvic exam to check for cervical changes caused by genital warts. Your provider may also perform a colposcopy to examine and biopsy the vagina and cervix. Blood tests: Your provider may test for other STIs often associated with genital warts.
Sometimes, the immune system clears the warts within a few months. But even if the warts go away, the HPV might still be active in the body. So the warts can come back. Usually within 2 years, the warts and the HPV are gone from the body.
HPV-related cancers often take years to develop after getting an HPV infection. Cervical cancer usually develops over 10 or more years. There can be a long interval between being infected with HPV, the development of abnormal cells on the cervix and the development of cervical cancer.
Q: How long after exposure does it usually take for something to be detectable? A: Changes consistent with HPV can usually be detected within 3-6 months after exposure to the infection.
HPV testing can be performed for women with a Pap test (commonly known as a Pap smear), which is a screening test for cervical cancer. HPV testing is only available for women, and it can determine if HPV is present. If present, the test can determine whether the HPV is a low- or a high-risk type.
A positive HPV test means you do have an HPV type that may be linked to cervical cancer. This does not mean you have cervical cancer now. But it could be a warning. The specific HPV type may be identified to determine the next step.
If high-risk HPV is found, your sample will be looked at for cell changes. If there are no cell changes, you will be invited back for cervical screening in 1 year. This is to make sure the HPV has cleared. If high-risk HPV and cell changes are found, you will be invited for further tests at colposcopy.
If HPV is found, your same test sample is checked for abnormal cells. If abnormal cells are found, you will have a colposcopy and treatment. If HPV is not found, we do not need to check for abnormal cells. This is because your risk of developing cervical cancer is very low if you do not have HPV.
If you got a positive HPV test and your Pap test was abnormal, your doctor will probably follow up with a colposcopy. Try to see a physician who specializes in this procedure. During a colposcopy, your doctor will look more closely at the cervix, vagina or vulva with a special microscope called a colposcope.
Around 90% of HPV infections clear within 2 years. For a small number of women and people with a cervix, their immune system will not be able to get rid of HPV. This is called a persistent infection. A persistent HPV infection causes the cells of the cervix to change.
If necessary, cervical biopsy under colposcopy was performed. Results: LEEP can effectively eliminate HPV infection. Most patients cleared HPV infection within six months. The persistent HPV infection rates were 44.6%,10.6%, 5.7%, and 2.1% after three, six, nine, and 12 months, respectively.
Is HPV Contagious Forever? Most cases of HPV clear up on their own after one to two years, and you'll no longer be contagious once it leaves your system. However, the virus can remain dormant for years, and some people experience infections that stick around for much longer.
Depending on the type of HPV that you have, the virus can linger in your body for years. In most cases, your body can produce antibodies against the virus and clear the virus within one to two years. Most strains of HPV go away permanently without treatment.