Ask the Expert
A question I am frequently asked is: “My partner has been diagnosed with HPV/cervical/CA. She has had her cervix frozen. Can I reinfect her? What should I do?”
What advice would you give the male partners of women with high grade HPV and abnormal paps who have been treated?
Even if treated, the type(s) of HPV that cause external warts in the male (e.g. that providers can visualize) may not be the same wart type(s) that cause high grade cervical changes in the female. It is difficult to isolate HPV infection in the male from the urethra or other locations.
There are data that show quicker resolution among women with cervical lesions when their partners consistently where condoms (see reference below). In this study women with CIN and their male sexual partners were randomized for condom use. Women whose partners used condoms showed a 2-year cumulative regression of 53% versus a regression rate of 36% among those whose partners did not use condoms. This study found that condom use promotes regression of CIN lesions and clearance of HPV. Other studies also document resolution of flat warts in males whose partners were diagnosed with HPV cervical lesions.
We would thus recommend providers tell their patients to consistently use condoms after a female partner is diagnosed with a high grade HPV lesion. There is a real possibility that reinfection can occur if still having sex with the same partner. Reference Hogewoning CJ, Bleeker MC, van den Brule AJ, et al. Condom use promotes regression of cervical intraepithelial neoplasia and clearance of human papillomavirus: a randomized clinical trial. Int J Cancer. Dec 10 2003;107(5):811-816.
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