Doctor, I tested positive for HPV. Does that mean my husband has been unfaithful?

This is the most common question heard in outpatient clinics, and each time one can sense the patient's anxiety and grievance. Today, let's explain it in plain language: When women contract HPV, is it really transmitted by men? Avoid these three misconceptions at all costs!

Misconception 1: HPV = Sexually Transmitted Disease, Only Contracted Through Sexual Activity


First, clarify: HPV (Human Papillomavirus)The primary mode of transmission is sexual contactbut not the only way!

Over 80% of HPV infections are related to sexual activity—when the virus is present in the male genitalia, it can be transmitted to females during intimate contact. However, there are also a small number of "non-sexual transmission" cases: for example, contact with virus-contaminated towels or toilet seats (extremely low probability), or mother-to-child transmission (when the fetus comes into contact with maternal secretions during childbirth).

Simply put: Sexual activity is the primary trigger, but not all HPV infections are linked to infidelity. Do not immediately confront your partner upon receiving a positive test result.

Misconception 2: If a woman has HPV, must it be transmitted by a man?

Answer:Most likely, but not entirely.

Men are actually "invisible carriers" of HPV—after infection, they have almost no symptoms and are unaware, yet they can transmit it to women through sexual activity. Conversely, women may also be infected first and then transmit it to men, but the female cervix is more prone to developing lesions, making it easier to detect.

More importantly: After HPV infection, the virus may remain dormant in the body for months or even years before being detected. It is possible that the infection resulted from contact several years ago and is only being identified now, so there is no need to dwell on "whose issue it is at the moment."

Myth 3: HPV Infection Equals Cervical Cancer?

This is the panic that most needs to be dispelled

HPV is categorized into "high-risk" and "low-risk" types: low-risk types may cause genital warts, while high-risk types (such as types 16 and 18) can potentially lead to cervical cancer only if they cause a persistent, long-term infection. However90% of HPV infections are cleared by the body's own immune system within 2 years.and will not develop the disease at all.

Just like the common cold virus, HPV is very common, and most people will be infected at least once in their lifetime. As long as the immune system is strong enough, it often does not require treatment. What truly requires vigilance is "persistent infection," rather than the "infection" itself.


Three Practical Tips from Gynecologists for Couples to Consider

1. Vaccination is the best prevention.Both men and women aged 9-45 can receive the HPV vaccine (with options for bivalent, quadrivalent, or nonavalent vaccines) to establish a protective barrier in advance.

2. Regular screening is essential.Women aged 21-65 should undergo TCT screening every 3 years, or TCT+HPV co-testing every 5 years, for early detection and intervention.

3. Boosting immunity is crucialMaintain a regular schedule, avoid staying up late, and exercise more. With a stronger immune system, viruses naturally "won't stick around."