{"id":812837,"date":"2026-07-19T20:56:09","date_gmt":"2026-07-19T20:56:09","guid":{"rendered":"https:\/\/www.newsbeep.com\/ca\/812837\/"},"modified":"2026-07-19T20:56:09","modified_gmt":"2026-07-19T20:56:09","slug":"sti-and-sex-advice-my-husband-has-a-genital-wart-his-theory-for-how-it-got-there-makes-no-sense","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/ca\/812837\/","title":{"rendered":"STI and sex advice: My husband has a genital wart. His theory for how it got there makes no sense."},"content":{"rendered":"<p class=\"article-cta__text\"><a href=\"https:\/\/slate.com\/theslatest?utm_source=slate&amp;utm_medium=article&amp;utm_campaign=article_plain_text_topper&amp;sailthru_source=Article-TopperText-CTA\" rel=\"nofollow noopener\" target=\"_blank\">Sign up for the Slatest<\/a> to get the most insightful analysis, criticism, and advice out there, delivered to your inbox daily.<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"18\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8ife0000uiukudjwe1r41@published\">How to Do It is Slate\u2019s sex advice column.\u00a0Have a question?\u00a0<a href=\"https:\/\/docs.google.com\/forms\/d\/e\/1FAIpQLSdx34-uOijrCIKqMdw5hnyYahSJBKa4AaSzDCu1nfcpmd3IjA\/viewform\" rel=\"nofollow noopener\" target=\"_blank\">Send it to Stoya and Rich here.<\/a>\u00a0It\u2019s anonymous!<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"5\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8mak8001q3b7cek6d0hzs@published\">Dear How to Do It,<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"60\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8lxqh001f3b7coga59pvd@published\">My husband recently developed a skin growth on his penis that we assumed was a mole gone wrong. I finally convinced him that he needed to go to the doctor to get it checked out and to his (and my) utter shock, it turns out the skin growth is a genital wart. Hooray, he doesn\u2019t have cancer! But also, WTF!<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"83\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8lxtq001g3b7c54lp398d@published\">We\u2019ve been in a monogamous relationship for 15 years at this point and I do absolutely believe him that there\u2019s been no funny business. So where did this come from? The doctor told him not to think about it too much. We\u2019ve gone through the medical literature and it seems like it\u2019s possible to get genital warts by non-sexual means, but it all seems poorly documented. Is this a thing that can happen? Can my husband have gotten an STD without the ST?<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"4\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8lxx6001h3b7c3be455q3@published\">\u2014Suspicious of Toilet Seats<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"5\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8ly1b001i3b7co4smckdy@published\">Dear Suspicious of Toilet Seats,<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"152\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8ly4e001j3b7ccxktr9bn@published\">You\u2019ll be happy to learn that it is indeed possible that your husband\u2019s wart materialized without him cheating. \u201cThere are actually several biologically plausible explanations for how your husband could have developed a genital wart in a genuinely monogamous 15-year relationship,\u201d wrote Dr. Adam Friedman, professor and chair of dermatology at George Washington University. \u201cThe infidelity hypothesis is far from the only one. The most likely answer is viral latency. In fact this is, by a significant margin, the most scientifically supported explanation for exactly your situation. A dormant HPV infection can activate years or even decades after a person has contracted the infection, meaning it is impossible to tell when the person contracted it or from whom.\u201d Friedman explained that if titers are low at the time of the original infection, the small numbers of infected basal cells must expand to produce a lesion and that can be a lengthy process.<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"69\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8ly7r001k3b7cuql0keec@published\">Friedman cited a 2012 <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23019223\/\" rel=\"nofollow noopener\" target=\"_blank\">study<\/a> of women ages 35-60 that found 85 percent of incident HPV detections \u201coccurred during periods of sexual abstinence or monogamy, and were strongly associated with cumulative lifetime sexual exposure.\u201d In their abstract, the researchers concluded that their observation that \u201cmost incident HPV infection was attributable to past, not current, sexual behavior at older ages supports a natural history model of viral latency and reactivation.\u201d<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"144\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8lyb9001l3b7cn2950oc2@published\">Friedman continued: \u201cThis means your husband almost certainly acquired this HPV, probably as HPV 6 or 11, the strains responsible for over 90 percent of genital warts, before your relationship, decades ago. It sat silently, undetectable, until something (often a subtle immune shift from aging, stress, illness, or even just time) allowed it to manifest.\u201d Another possibility is reactivation. \u201cEven if HPV had at some point been immunologically suppressed to undetectable levels, it doesn\u2019t disappear,\u201d wrote Friedman. \u201cThe literature on HPV increasingly parallels what was learned about herpes simplex: The evolving understanding of viral natural history has strong analogies with HSV-2, where a paradigm of lifelong latency with infrequent reactivation was replaced with a model of very frequent bursts of viral reactivation and shedding, with local immunologic memory keeping the duration of these shedding episodes brief. HPV biology is now thought to work similarly.\u201d<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"55\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8lyej001m3b7c60oghqdd@published\">I find this particularly fascinating as flare-ups are not often part of the conversation about HPV. Friedman wrote that reactivation of HPV infections has been documented after kidney transplants and in other immunosuppressive states. \u201cEven within the range of normal immune fluctuations that come with aging, illness, or stress, latent infections can re-emerge,\u201d he added.<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"147\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8lyhl001n3b7c7bi51j8p@published\">In closing, Friedman offered, \u201cYour own HPV status matters here. If you and your husband have been sexually active together for 15 years, there\u2019s a reasonable chance you\u2019ve had prior exposure to the same strain, or have your own latent infection. Nearly half of couples in transmission studies had type specific concordant infections at study entry, indicating previous transmission of HPV had already occurred between them.\u201d You should absolutely stay vigilant, receiving an annual pap smear at minimum. Friedman continued: \u201cThe doctor who said, \u2018Don\u2019t think about it too much,\u2019 was likely trying to spare you unnecessary stress, but you deserved the actual explanation, which is this: HPV is a virus that has been well documented to sleep quietly in tissue for years, and its reappearance tells you almost nothing useful about recent sexual behavior. The science fortunately is on your husband\u2019s side here \u2026 and yours!\u201d<\/p>\n<p class=\"prudie-google-form__disclaimer\">\n      Please keep questions short (&lt;150 words), and don\u2018t submit the same question to multiple columns. We are unable to edit or remove questions after publication. Use pseudonyms to maintain anonymity. Your submission may be used in other Slate advice columns and may be edited for publication.\n    <\/p>\n<p class=\"slate-notification--success js-success-message\" hidden=\"\">Thanks! Your question has been submitted.<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"5\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8mwb400233b7cvigj3yo2@published\">Dear How to Do It,<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"56\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8n7gn00273b7c3grm47wd@published\">My boyfriend swears he has low T, but then tells me he\u2019s just super insecure about his stamina and that his libido is low. What can I do to help him understand he\u2019s the best I\u2019ve ever had, all I\u2019ve ever craved, and I miss the intimacy we used to share? He swears it\u2019s not me.<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"4\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8n7go00283b7cvac3flbh@published\">\u2014Now I\u2019m Insecure (she\/her)<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"4\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8n7go00293b7csrnybxw0@published\">Dear Now I\u2019m Insecure,<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"93\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8n7go002a3b7cxrzuqb0q@published\">Keep assuring him. If you haven\u2019t done so with the language used in your letter, do it: \u201cYou\u2019re the best I\u2019ve ever had, all I\u2019ve ever craved, and I miss the intimacy we used to share.\u201d You can also suggest engaging in sex that doesn\u2019t require his stamina: oral, manual, toys, and erotic massage, among things. Attempt to engage in nonsexual intimacy like cuddling. If he is operating at limited capacity, as he claims, see if he can direct what little energy he has into low-level activities that nonetheless help maintain your bond.<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"176\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8n7go002b3b7cljp1amu1@published\">If his low T claims are based on actual bloodwork, he can talk to a doctor about supplementing with testosterone. If he\u2019s just guessing, he should actually get the bloodwork to see if his suspicions about his T levels are correct. There is a lot that can contribute to low libido, including stress and low self-esteem. These aren\u2019t things that you can necessarily solve, but you can provide support. You should make clear that his issues about his stamina are his issues alone. If there is some truth to them, and you actually enjoy that he comes fast (this is something that excites many), tell him that. What he may see as a negative could actually be a plus. Make it very clear that you\u2019re there for him. If you don\u2019t see any kind of change in the positive direction in a few weeks or months, consider couples counseling or sex coaching. It will probably be easier to work through this stuff with an expert. There\u2019s really only so much you and your support can do.<\/p>\n<p>Share Your Story With How to Do It!<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"48\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8v21z003h3b7ceuuhow3s@published\">Readers often have great suggestions for our letter writers, occasionally disagree with a point our How to Do It writers make, or simply want to provide some additional advice. Each month, Jessica and Rich will be replying to some of these comments and suggestions from readers.\u00a0<a href=\"https:\/\/docs.google.com\/forms\/d\/e\/1FAIpQLSdx34-uOijrCIKqMdw5hnyYahSJBKa4AaSzDCu1nfcpmd3IjA\/viewform\" rel=\"nofollow noopener\" target=\"_blank\">Write to us!<\/a><\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"5\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8n7gp002c3b7ct91kpn0u@published\">Dear How to Do It,<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"66\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8n7gp002d3b7clmhc21gs@published\">For the first time in my life, I\u2019m about to have the freedom to date and, eventually, have sex. Due to somewhat controlling and decidedly overprotective parents, I\u2019ve managed to make it to adulthood with essentially no experience with relationships. I am now moving cross country for college, and while I don\u2019t plan to throw myself headfirst into anything, the newfound freedom has got me thinking.<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"161\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8n7gp002e3b7cex4fgg53@published\">I know I\u2019m on the ace spectrum\u2014the problem is, I don\u2019t really know where. Sometimes the thought of sexual activity of any sort sounds deeply uncomfortable, sometimes it sounds like it\u2019d be great fun. I think the heart of the issue is that, at the end of the day, it\u2019s all theoretical\u2014I won\u2019t know how I feel about something until I actually try it. I\u2019m not interested in casual hookups, so how do I explain my needs (or lack there of) to a serious potential partner? And when? I don\u2019t want to lead anyone on if it turns out I have zero interest, but every time I try to plan out what to say, it all seems to get hopelessly muddled or excruciatingly awkward. On the plus side, I already run in queer crowds (I\u2019m nonbinary) and don\u2019t have much interest in dating anyone who isn\u2019t at least queer-associated, so hopefully the very concept of asexuality won\u2019t be groundbreaking to them.<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"143\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8n7gp002f3b7c18au7g0b@published\">Oh, and to make matters perfectly complicated; while I don\u2019t often get off to vanilla porn, there are some kinks that I reliably do. A decent amount of them don\u2019t necessitate sexual contact to engage in (think something like feeding or cross-dressing). If it ends up that I\u2019m not interested in actively participating in sexual acts, and assuming I have an amenable partner, how would you recommend I bring up\/act on such kinks with them? (Additionally, while talking with a friend once, it came up that I usually picture myself as a third party observer when reading smut as opposed to projecting onto a character, and she called me a cuck. I\u2019ve thought about it and she\u2019s not all that wrong\u2014any advice on how to (eventually) dabble in something like that? I\u2019d never considered it before, so any kind of info would help).<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"7\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8n7gq002g3b7c63sifi01@published\">\u2014Just Want to Try Some Stuff Out<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"8\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8n7gq002h3b7ckt725jr4@published\">Dear Just Want to Try Some Stuff Out,<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"137\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8n7gq002i3b7c07q04w9d@published\">When starting these conversations, keep things as simple as possible. Despite your uncertainty, it\u2019s clear from your letter that you are able to articulate yourself well regarding your sexuality. But piling on too much information can feel overwhelming to a prospective partner who can only hold so much in their head at one time. I think the easiest way to explain this to someone that you\u2019re into is that you\u2019re inexperienced and not sure what you\u2019re going to enjoy. If you propose it as an adventure that you\u2019re taking together, your partner may find this exciting. They may also find it daunting and too much to get involved with, but it\u2019s better for them to tell you that upfront so that you can move on, as much as it may suck to hear it in the moment<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"131\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8n7gq002j3b7c5itd8sa2@published\">As you aren\u2019t interested in casual hookups, you don\u2019t have to lead with this information or even get into it during early stages. It sounds like you are looking to first build connection\/affection with someone so focus on that. During this period, it is very common for sex to not yet be on the table. Your potential partner may inquire about this if they are hornier than you are, which would be a perfect time to mention your uncertainty\/asexuality. You don\u2019t need to worry at this point about leading someone on. Spending time getting to know someone is not the same as promising sex, and even in the latter case, consent can be revoked at any point. If someone takes offense to the changing of a partner\u2019s mind, it\u2019s their problem.<\/p>\n<p>          <a href=\"https:\/\/slate.com\/advice\/2026\/07\/dear-prudence-waste-manager-neighbor-weird.html\" class=\"in-article-recirc__link\" rel=\"nofollow noopener\" target=\"_blank\"><br \/>\n            This Content is Available for Slate Plus members only<\/p>\n<p>            My Neighbor Has Declared Himself the \u201cWaste Manager\u201d of Our Building. Things Are Getting Weird.<br \/>\n          <\/a><\/p>\n<p>          <a href=\"https:\/\/slate.com\/advice\/2026\/07\/parent-advice-kids-impolite-question-friends.html\" class=\"in-article-recirc__link\" rel=\"nofollow noopener\" target=\"_blank\"><br \/>\n            This Content is Available for Slate Plus members only<\/p>\n<p>            My Kids\u2019 Friends Ask a Very Impolite Question Every Time We\u2019re All Together. They Need to Drop It.<br \/>\n          <\/a><\/p>\n<p>          <a href=\"https:\/\/slate.com\/advice\/2026\/07\/parent-advice-kids-lesson-bugs.html\" class=\"in-article-recirc__link\" rel=\"nofollow noopener\" target=\"_blank\"><\/p>\n<p>            I\u2019ve Taught My Kids an Important Lesson About the Way We Treat Others. One Teacher Is Threatening to Undo It.<br \/>\n          <\/a><\/p>\n<p>          <a href=\"https:\/\/slate.com\/advice\/2026\/07\/parenting-advice-public-school-criticism.html\" class=\"in-article-recirc__link\" rel=\"nofollow noopener\" target=\"_blank\"><\/p>\n<p>            My Friends Have No Problem Insulting Our Parenting Decision. If I Tell Them What I Really Think, It Might End the Friendship.<br \/>\n          <\/a><\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"78\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8n7gq002k3b7c8jrckth3@published\">Also, while you figure out just where on the asexuality spectrum you are, keep in mind that what you wrote about it\u2014\u201cSometimes the thought of sexual activity of any sort sounds deeply uncomfortable, sometimes it sounds like it\u2019d be great fun\u201d\u2014is similar to how many allo people feel about it as well. Not everyone is horny all the time, and so many of us go back and forth between wanting\/loving sex and indifference (though not necessarily deep discomfort).<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"105\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8n7gr002l3b7c5av7saac@published\">Your cucking interest is a bit advanced for your current situation. It\u2019s absolutely possible to achieve but you\u2019d need a partner to do it strictly according to the definition. What you describe, though, sounds a bit more like voyeurism, which is a bit easier to dabble with. A space where sex is openly happening (like a sex club or sex party or orgy) is a good place to watch. Depending on the vibe, those attending may be expected to participate, but generally speaking, people tend to be OK with the presence of those who only intend to watch. It\u2019s not so far out at all.<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"59\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8n7gr002m3b7c1iaiwvlh@published\">The overall point is that while your sexuality is specific and perhaps not entirely graspable by the entire population, there\u2019s enough there that is relatable. You get to choose what you do and how fast you go. Other people will get to decide whether this is compatible with their interests. Stay open and articulate and you\u2019ll do just fine.<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"1\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8n90s002p3b7cswtdtf0h@published\">\u2014Rich<\/p>\n<p>More Advice From Slate<\/p>\n<p class=\"slate-paragraph slate-graf\" data-word-count=\"76\" data-uri=\"slate.com\/_components\/slate-paragraph\/instances\/cmrp8ra9q003c3b7c2r5h1vam@published\">For most of my life, I\u2019ve identified as a lesbian and considered myself exclusively interested in women. Recently, though, I\u2019ve started to have casual hookups with men. And while I\u2019m not actually any more attracted to male bodies than I have ever been, the sex is mind-blowingly better! Even during quickies where I don\u2019t manage to orgasm, I feel more pleasure and come away satisfied. Still, I\u2019m way more interested in women. <a href=\"https:\/\/slate.com\/human-interest\/2023\/07\/lesbian-girl-meaning-attracted-men-advice.html\" rel=\"nofollow noopener\" target=\"_blank\">What\u2019s going on here?<\/a><\/p>\n<p>      Get the latest from Prudie and our columnists in your inbox each weekday, plus special bonus letters on Saturdays.\n    <\/p>\n","protected":false},"excerpt":{"rendered":"Sign up for the Slatest to get the most insightful analysis, criticism, and advice out there, delivered to&hellip;\n","protected":false},"author":2,"featured_media":812838,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10],"tags":[1129,49,48,84,9748],"class_list":["post-812837","post","type-post","status-publish","format-standard","has-post-thumbnail","category-health","tag-advice","tag-ca","tag-canada","tag-health","tag-sex"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts\/812837","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/comments?post=812837"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts\/812837\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/media\/812838"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/media?parent=812837"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/categories?post=812837"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/tags?post=812837"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}