menu
417ba6e5-221e-4dee-86bb-76c5dec2665f

HPV: Symptoms, Risks & Vaccination — What to Do Before and After Exposure

HPV is one of the most common sexually transmitted infections. Although a lot of infections stay silent, many lead to genital warts or — more importantly — increase the risk of cancers of the cervix, anus, penis, vulva/vagina, and the mouth/throat. The good news: vaccination is highly effective against cancer-causing types, and there are clear steps to protect yourself whether you’re vaccinated already, or wondering if it still helps after you’ve been sexually active.

Quick facts

  • HPV is common. Nearly all sexually active people are exposed at some point; vaccination protects against the high-risk types and may offer some protection against warts
  • Condoms help but don’t fully protect because HPV spreads by skin contact on areas condoms don’t cover.
  • The UK uses Gardasil 9, protecting against 9 high-risk HPV types.

What is HPV?

HPV (human papillomavirus) is a family of viruses spread through skin-to-skin contact. Many infections are silent; persistent infection with “high-risk” types can lead to precancerous changes and, over time, cancer (especially types 16 and 18). HPV can also cause visible genital warts (usually types 6 and 11).

How HPV spreads (and how to lower risk)

HPV transmits through oral, vaginal, and anal sex, and intimate skin contact. Barrier protection reduces risk but isn’t complete protection; vaccination + screening are your best long-term safeguards.

Symptoms — or no symptoms at all

Most people never notice symptoms. When present, HPV may cause genital warts (soft, fleshy bumps), abnormal cervical screening results, or symptoms requiring specialist assessment (e.g., persistent throat changes). If you notice warts or any unexplained genital/anal lesions, book an assessment.

HPV vaccination — what it is and how it works (UK)

The NHS uses Gardasil 9. It primes your immune system to prevent future infection from nine HPV types (including the main cancer-causing strains). Protection is strongest when given before exposure, but adults can still benefit. Side effects are usually mild (sore arm, fatigue), and serious reactions are extremely rare. 

Who can get it on the NHS?

  • Routine: offered in school year 8 (ages 12–13). Missed it? There’s a catch-up to age 25 if you were eligible but didn’t receive it.
  • Men who have sex with men (MSM): offered up to age 45 via sexual health/HIV clinics (also applies to some trans people at similar risk).

Pre-exposure vaccination (best timing)

Vaccinating before sexual debut gives the best results and yields a strong immune response — that’s why the UK schedules it at 12–13 with single-dose coverage for most under-25s. 

Post-exposure vaccination (already sexually active or diagnosed)

You still have reasons to consider it:

  • Sexually active, no diagnosis: the vaccine can protect you against types you haven’t met yet. Effectiveness is lower than pre-exposure but still meaningful, especially if you may have new partners in the future.
  • Already have HPV or warts: vaccination may help treat existing warts and can prevent new infections with other types.
  • After treatment for HPV-related disease: growing evidence shows adjuvant vaccination around/after treatment lowers the risk of recurrence of cervical precancer (CIN) and penile precancer.

There is no “HPV PEP” shot that erases a fresh exposure. Vaccination is for prevention; stick with screening and follow-up.

Safety & side effects

Typical reactions include a sore arm, mild fever, fatigue, or headache. Severe reactions are very rare.

Treatment Dr. Kravvas may discuss (for symptoms like genital warts)

  • Topical preparations, like Podophyllotoxin and Imiquimod
  • Cryotherapy
  • Plasma pen treatment
  • Laser treatment
  • Curettage and cautery
  • Surgical removal for warts.

Protecting yourself beyond vaccination

  • Use condoms to lower risk (not 100% protection).
  • Don’t ignore new or changing lesions to your skin. 
  • Stop smoking — it’s linked to higher rates of certain cancers and can hinder immune control of HPV.

FAQs (the quick answers patients ask most)

Can the HPV vaccine treat existing HPV or warts?

To some extent. It can prevent new infections and along with other treatments, may help treat persistent or recurrent warts.

Does the HPV vaccine still help if I’ve already been sexually active?

Yes. Even if you’ve been sexually active, you may not have been exposed to all HPV types the vaccine covers. Vaccination can still provide meaningful protection against new infections, especially if you might have new partners in the future.

Can I get the HPV vaccine privately?

Yes. Adults who are not eligible for NHS vaccination can receive Gardasil 9 privately. Dr Kravvas offers private HPV vaccination in Harley Street, with individual assessment and guidance on timing, dosage, and suitability.

Does smoking affect HPV?

Yes. Smoking increases the risk of persistent HPV infection and progression to cancer. Quitting smoking is one of the best things you can do to support your immune system and reduce long-term risk.

Is HPV testing available for men?

There is currently no standard screening test for HPV in men. Diagnosis relies on clinical assessment and, if needed, biopsy or swab testing of visible lesions. Regular self-checking and prompt assessment of any genital or anal changes are advised.

How long does HPV infection last?

Most infections clear naturally within 1–2 years as the immune system controls the virus. Persistent infection with high-risk types, however, can lead to precancerous or cancerous changes, so regular screening is essential.

Booking in Harley Street, London

If you’re concerned about genital warts, persistent symptoms, or you’d like guidance on HPV vaccination options, book a consultation with Dr. Kravvas on Harley Street. We’ll assess, treat where appropriate, and help you plan vaccination and follow-up in line with UK guidance. (This article is general information, not personal medical advice.)