Human Papilloma Virus (HPV or Wart Virus)
Human Papilloma Virus (HPV) is a very common infection; 75-80% women (and men) get it at some stage in life. It usually produces no symptoms and many women will not even know that they have had the infection. Most women who have HPV will clear it as their immune system will be able to tackle it – this can often take one to two years. If HPV lingers on, it can sometimes lead to abnormal cells developing on the cervix. These abnormalities are picked up on routine smear tests.
Is HPV infection sexually transmitted?
HPV infection can be sexually transmitted but can also be acquired by genital skin contact. Barrier contraception is protective to some extent but not 100%. HPV infection can persist in the body for many years and it may not be possible to pinpoint exactly who you got the infection from. HPV infection is in fact so common that it is just a marker of having had sexual contact in the past.
HPV does cause cervical cancer, but only in a very, very small proportion of cases. Hence HPV infection is common, but cervical cancer is very rare. In most cases of HPV infection, the immune system will get rid of the infection for you. From acquiring HPV infection to getting cervical cancer, it takes between 10 to 15 years. This means that if you have regular smear tests, any abnormality on the cervix can often be detected before it becomes a serious problem. The risk of getting cervical cancer is extremely low if you have regular smear tests as suggested by your GP. There are over 100 different types of HPV virus and only 14 of them are high risk types associated with cervical cancer. The commonest high-risk types are 16, 18, 31, 33 and 45.
Read more about cervical abnormality
In addition to high-risk types of HPV, there are also low-risk types which are not associated with causing cervical cancer. Two common low-risk HPV types are 6 and 11 which are associated with causing genital warts. It is possible to have an infection with low-risk HPV without any symptoms. Some women and men however will develop lumps on the genital skin or inside the vagina or anus, these are known as genital warts. If you are worried or concerned that you may have genital warts you can speak to a doctor or nurse who will be able to look at them. Although genital warts do not always require treatment and may resolve on their own, there are several options available which can help may them go away.
HPV test is now used as a screening test for cervical abnormalities instead of the traditional smear test. The new primary HPV screening test looks for presence of Human Papilloma Virus and is more sensitive. It is important to realise that having high risk HPV, does not mean that you have cervical abnormality.
Yes you can, you can book our quick 15-minute cervical screening which is a smear test at a competitive rate. This allows a trained GP or Gynaecologist to conduct the test for you and answer questions you might have.
It is not necessary to treat HPV infection unless it causes a persistent or high-grade smear abnormality. Your immunity will usually get rid of the infection. If you have had an abnormal smear test, your doctor or nurse will explain whether the changes have reached a stage that requires treatment.
- Give up smoking – there is evidence to confirm that giving up smoking helps improve your immunity.
- Favour berries – choose purple and red veg and fruits which are high in lycopene, so tomatoes, beetroot and blueberries.
- AHCC shiitake mushroom extract; taking a 3gm daily supplement of AHCC has been proven to boost immunity and help clear HPV infection in some people. (The results of a trial in 2019 showed 60% reduction in HPV infection). One should be taken daily for at least 6 months.
- Green tea has benefits to help boost immunity. If you choose this option, one should be taken daily for at least 6 months.
This is entirely your decision.
- Pros of sharing the information: Honesty is often the best policy. Though the risk for men is significantly less than women, being aware is important.
- Cons of sharing the information: Currently, validated testing for men is neither needed nor available. Sharing the information may lead to anxiety as well as misunderstanding.
If either or both of you also have genital warts, you may need treatment so it would be important to tell your partner and use barrier contraception.
Not at all. HPV infection can sometimes remain dormant in the body for several years and it is extremely difficult to say when you acquired it or who from.
This is not necessary.
It is very likely that you both carry the same subtypes of the virus and will have already developed immunity.
Currently, there is no evidence that you can be reinfected by the same subtype of HPV. So no additional precautions are needed.
Yes, this is possible through skin to skin contact.
New: Book a 15-Minute Cervical Screening
While we offer longer appointments and smear tests as part of a comprehensive health assessment, we recognise that some patients may prefer to book a standalone smear test without any other add-ons while being seen by a GP or specialist at a competitive rate.
The smear itself usually takes only a few minutes and is carried out with care, sensitivity, and discretion.
The smear test covers:
- Pap Smear (test for abnormalities/changes in cells)
- HPV Smear Test (test for the presence of cells for high-risk types of HPV virus)
The procedure costs £200
Book your HPV Vaccination online
The vaccine is relevant for all women, ideally carried out before sexual debut
HPV Vaccination
Some common types of HPV (16, 18, 31, 33, 45, 52, 58,6 and 11) can be vaccinated against. Gardasil-9 vaccination is now available and is a three-injection course that will protect against 90% of all cervical cancers and genital warts.
Ideally vaccination should be carried out before sexual debut. However, less than 1% of women are exposed to all nine types that the vaccine protects against therefore 99% of women are likely to benefit from the vaccination even if sexually active.
Cervical screening (smear test) is necessary even after vaccination.
Information for AXA‑Insured Patients – HPV Testing and ThinPrep Cytology.
AXA have advised that HPV testing and ThinPrep cytology are no longer recognised or covered under their policy benefits. Consequently, all AXA‑insured patients requiring either of these investigations must be charged on a Self‑Pay basis. London Gynaecology is not able to invoice AXA directly for these tests.
There are limited circumstances in which AXA may consider these tests for reimbursement. In all cases, the patient must still be invoiced as Self‑Pay, and may then submit the invoice directly to AXA for potential reimbursement, subject to the terms of their individual policy.
The only circumstance in which AXA may consider these tests eligible is when they are performed following active surgical treatment (procedure codes Q0230/Q0330) for the purpose of confirming treatment success. If you have any questions regarding payment or submitting a claim to AXA, please contact our team for assistance.
Posts
Other related conditions and treatments
HPV Vaccination
he vaccine is relevant for all women, ideally carried out before sexual debut but as the vaccine protects against all 4 strains and only 1% of...




