Many patients ask me if they should be treated for HPV, but there are no warts. There is a typical example of this problem: a couple came to see me. The woman was found to have high-risk HPV infection and had precancerous cervical lesions (CIN2). The woman reported that she did not have any bad habits and usually paid close attention to hygiene. Later, during my further questioning, she mentioned to me that her current husband’s ex-wife died of cervical cancer. So I asked this man to take an HPV test as well, and sure enough, the test came back positive, so to speak, and it was not a coincidence that the viral infection in his two wives before and after him was transmitted through this man. Although he himself did not feel any symptoms, he is the carrier and transmitter of the virus. So once one spouse tests positive for HPV, it’s a good idea for the other spouse to get checked out as well to prevent cross-infection. HPV is a type of virus that is widely spread in nature, and most people are often infected with multiple types of HPV viruses at the same time, which have a specific penchant for human mucosal epithelial cells. Most HPV infections have no obvious signs or symptoms, but can be widely spread as an infectious agent in the population. In clinical practice, HPV infection or mild cervical lesions without symptoms are usually left untreated, but regular long-term testing is recommended, relying on the patient’s own immunity to clear the virus. At this point, if the patient does not take care to protect herself, she can easily transmit the virus to others. Sexual contact between the two sexes is usually the most common route of infection, with infection occurring in sexually active age groups and in women during pregnancy. The infection occurs in the warm, moist skin and mucous membranes of the body, such as the penis, vulva, perineum, femoral folds, anus, cervix, and urethra. Secondly, it can also be transmitted indirectly through other contaminated objects, such as through contact with towels, underwear, basins, bed sheets, commode and other household items used by HPV-infected people. A more extreme example in my clinic is a 4 year old girl who got warts, she is so young, obviously not through the sexual route of infection, the biggest factor is the indirect route of infection with HPV virus, coupled with the child’s low immunity, resulting in warts. The HPV virus infection, in the population statistics 80% can be self-cleaning, but there are some people is a high incidence of people, such as the use of immunosuppressive drugs or poor body resistance is more likely to suffer from this disease. In addition, the severity of the disease is also related to the type of HPV infection, of which 16 are high-risk HPV viruses, which may lead to cervical cancer and other malignant diseases in women in the long term. So for HPV virus infection, we should pay attention to the following points in our daily life: 1. Promote a safe and healthy sex life. Early sexual activity, unclean sexual life between couples, or confused sexual life is the main reason for HPV infection. A healthy and safe sex life is the main way to prevent, in the non-preparation period using condoms is the main prevention method, although not 100% completely eliminate HPV transmission, but can greatly reduce the chances of sexual transmission. 2, improve their own immune resistance. The experimental evidence shows that people with low or defective cellular immunity are prone to contracting condyloma acuminata, and warts grow faster. Therefore, the immune function is low or defective people should use systemic drugs to increase the resistance of the body. 3, patients with trauma must be cautious of the wound that has ruptured and cleaned up. Human papilloma virus will invade the body through a small ruptured wound on the skin or mucous membrane, and then after a few days of incubation in the body, the germs in the body will multiply to a sufficient number and the disease will start to develop. Therefore, for trauma should pay attention to timely disinfection. 4, male circumcision, female leucorrhoea, local dampness, thin skin mucosa, poor personal hygiene, increased secretions from the anus and external genitalia, etc. Fungal infections, gonorrhea, non-gonococcal urethritis, bacterial vaginosis, etc. can increase susceptibility to HPV. Therefore, male circumcision as early as possible is also the main measure to prevent cross-infection. 5, smoking and drinking alcohol to form a certain susceptibility to HPV infection, foreign data reported that the risk of condyloma acuminata in smokers is 3.7 times that of non-smokers. The number of Langham cells in the epithelium of the cervix of women who smoke is reduced, and the rate of HPV infection is increased. The risk of warts is two times higher in alcohol drinkers than in non-drinkers, and the risk of warts increases with the amount of alcohol consumed. This is why once you are clinically positive for high risk HPV, even if you are temporarily asymptomatic and don’t need intensive treatment, you need to consciously do your best to prevent spreading the disease to others.