Treatable online

HPV

The commonest sexual infection there is, and usually harmless. What matters is screening — and the vaccine.

£40 · 20 minutes

Same-day availability

6am to 10pm, seven days

Assessed and treated by a GMC-registered GP

Prescriptions, sick notes and referral letters included

A written treatment plan after every appointment

Your NHS records in the room, with your consent

Clinically reviewed by Dr Mohammad Khan · Last reviewed

August 30, 2026

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A 20-minute appointment with a GMC-registered GP for £40. No membership required.

Private GP care led personally by Dr Mohammad Zubair Khan, GMC 7563469.

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Same-Day Appointments
Sick Notes
Private Prescriptions
Blood Tests
Menopause & HRT
Weight Management
Mental Health
Specialist Referrals
Same-Day Appointments
Sick Notes
Private Prescriptions
Blood Tests
Menopause & HRT
Weight Management
Mental Health
Specialist Referrals

Overview

HPV — human papillomavirus — is a family of more than a hundred viruses. It is the commonest sexually transmitted infection in the world, and most people who have ever been sexually active will catch at least one type at some point. That is not a figure of speech. It is the normal course of having a sex life.

The single most important thing on this page: a positive HPV result tells you nothing about when you caught it, or from whom. The virus can sit dormant for years — sometimes many years — and then become detectable. It is not evidence that a partner has been unfaithful. This misunderstanding has caused an enormous amount of unnecessary distress and has ended relationships that did not need ending.

The second thing: around nine in ten infections clear by themselves within two years, without treatment and without any consequence.

The reason HPV matters at all is the small number of infections that persist. Persistent infection with the higher-risk types is what causes cervical cancer, and it contributes to anal, penile, vulval, vaginal and throat cancers. That risk is what cervical screening and the vaccine exist to prevent — and both work extremely well.

Common symptoms

Usually nothing at all

Most HPV infection causes no symptoms whatsoever. You cannot feel it, and there is nothing to notice. This is why screening rather than symptoms is how it gets found.

The low-risk types

Types 6 and 11 cause most genital warts — small fleshy growths on or around the genitals or anus. These types do not cause cancer.

Warts and cancer risk come from different types, so having warts does not mean you are at higher risk of cancer, and having a positive high-risk HPV result does not mean you will develop warts.

The high-risk types

Types 16 and 18 cause the majority of cervical cancers, along with a dozen or so other high-risk types. They cause no symptoms while they are doing damage — which is precisely the point of screening.

Symptoms that need checking regardless of HPV status

  • Bleeding between periods, after sex, or after the menopause
  • Persistent unusual vaginal discharge
  • Persistent pelvic pain, or pain during sex
  • Any new lump, sore or ulcer on the genitals or anus that does not settle
  • A hoarse voice, a lump in the neck, or difficulty swallowing lasting more than three weeks

These need assessing whether or not you have ever had a positive HPV test.

Causes and risk factors

How it spreads

  • Skin-to-skin genital contact — penetration is not required
  • Vaginal, anal and oral sex
  • Sharing sex toys
  • Rarely, from mother to baby during birth

Condoms reduce transmission but do not prevent it, because HPV lives on skin that a condom does not cover.

What makes persistence more likely

Catching HPV is near-universal. What matters is whether it clears, and these are the things that stop it clearing:

  • Smoking — the single largest modifiable factor, and it roughly doubles cervical cancer risk in women with HPV
  • A weakened immune system — HIV, immunosuppressant medication, or a transplant
  • Not attending cervical screening, which does not cause persistence but is why persistence goes undetected
  • Long-term use of the combined pill, which carries a small association
  • Infection with several high-risk types at once

What HPV causes

  • Almost all cervical cancer. Practically every case involves persistent high-risk HPV
  • Most anal cancer, and a substantial share of vulval, vaginal and penile cancer
  • A rising proportion of throat and tonsil cancers, which now affect more men than women in the UK
  • Genital warts, from the low-risk types

How it is diagnosed

Cervical screening — how it now works

The UK programme changed to HPV primary screening, and this is worth understanding because it changes what your result means.

  • Your sample is tested for high-risk HPV first
  • If HPV is not found, no further examination is done — the risk of significant cell changes without HPV is very low, and you return to routine recall
  • If HPV is found, the same sample is then examined for cell changes
  • HPV positive with normal cells — repeat in 12 months. Most will have cleared it by then
  • HPV positive with abnormal cells — referral for colposcopy

An HPV positive result with normal cells is not a cancer diagnosis and not a pre-cancer diagnosis. It means a virus was detected that most people clear.

Who is invited

Women and people with a cervix aged 25 to 64, with intervals set by the programme and shorter follow-up for anyone with a previous positive result.

Colposcopy

A closer look at the cervix with a magnifying instrument, sometimes with a small biopsy. It takes about fifteen minutes and does not require an anaesthetic.

Is there a test for men?

No routine HPV test exists for men in the UK, because there is no screening programme with proven benefit. Anal screening is offered in some settings to higher-risk groups, particularly men who have sex with men living with HIV.

Warts

Genital warts are diagnosed by looking at them. No HPV test is needed, and testing would not change the treatment.

How we treat it online

There is no treatment for the virus itself — the immune system clears it, or it does not. What can be treated are the consequences, and what genuinely helps is understanding the result in front of you.

What we do

  • Explain your cervical screening result properly. "HPV positive, no abnormal cells" is the result that frightens people most and needs least action, and ten minutes explaining it is often the most useful thing anyone can do
  • Explain what happens next — a repeat in 12 months, or a colposcopy, and what each involves
  • Vaccination advice. Who is eligible free on the NHS, who can pay, and whether it is worth it at your age — which is a more nuanced question than the marketing suggests
  • The relationship conversation. We will say plainly, and in writing if it helps, that a positive result does not indicate infidelity
  • Assessing symptoms — abnormal bleeding, discharge or pain — and referring urgently where that is warranted
  • Advice if you are immunosuppressed, where surveillance is different
  • Support with stopping smoking, which is the one thing that genuinely changes your odds
  • Photographs of genital lumps, which we can assess remotely in many cases

What has to happen elsewhere

Cervical screening, colposcopy and wart treatment are done in person — through the NHS screening programme, hospital clinics and sexual health services, all free.

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Important

When to seek urgent help

Do not wait — book an urgent appointment

  • Bleeding after sex, between periods, or any bleeding after the menopause
  • Persistent blood-stained or foul-smelling vaginal discharge
  • Persistent pelvic pain or pain during sex
  • A lump, sore or ulcer on the genitals or anus that has not healed in three weeks
  • Hoarseness, a neck lump, difficulty swallowing or a mouth ulcer lasting more than three weeks

These need assessing regardless of your screening history, and regardless of a normal smear. Screening is not designed to catch symptoms — it is designed to find changes in people who have none.

Do not skip your screening invitation

If you are due, or overdue, book it. Most cervical cancers in the UK occur in women who have not been screened, or whose screening lapsed.

Colposcopy

If you have been referred, go. It is an examination, not surgery, and treatment for pre-cancerous changes is straightforward and highly effective at that stage.

Prevention and self-care

Vaccination — the most effective thing available

  • Offered free on the NHS in Year 8, to all children — boys as well as girls since 2019, since HPV causes cancers in men too
  • Free NHS catch-up is available up to age 25 for those who missed it at school
  • Free at sexual health clinics for men who have sex with men up to age 45, and for people living with HIV
  • Most people under 25 now need only a single dose, which is a recent and welcome change
  • It protects against the types causing most cervical cancer and most genital warts
  • It works best before any exposure, which is why it is given at 12 or 13 — not because of any assumption about that age group

Vaccination after exposure still offers protection against types you have not encountered, though the benefit is smaller. Whether it is worth paying for privately as an older adult is a reasonable question with a genuinely nuanced answer, and worth discussing rather than assuming.

Screening — and this still applies if you were vaccinated

The vaccine does not cover every high-risk type, so vaccinated women still need cervical screening. This is one of the commonest misunderstandings, and skipping screening because you were vaccinated is a real risk.

Stopping smoking

Smoking impairs the immune system's ability to clear HPV and roughly doubles cervical cancer risk in women who have it. Of everything on this page you can act on, this is the one that most changes your odds.

Reducing transmission

  • Condoms and dams, which reduce but do not eliminate risk
  • Wash sex toys, or cover them with a fresh condom
  • Attend screening when invited — which prevents harm rather than transmission, and matters more

NHS or private

The NHS provides everything that matters here, free

  • Cervical screening is free for everyone with a cervix aged 25 to 64, with automatic invitations
  • Colposcopy and treatment of cell changes are free hospital care
  • HPV vaccination is free in Year 8, on catch-up to 25, and at sexual health clinics for men who have sex with men up to 45 and for people living with HIV
  • Genital wart treatment is free at sexual health clinics
  • NHS stop smoking services are free and more effective than going it alone

If you are eligible for the free vaccine, take it — do not pay for it. And if you are due a smear, that appointment is the highest-value thing in this whole area and it costs nothing.

Where paying is reasonable

  • Having your result explained properly. The screening letter is accurate and does very little to reduce the fear, and this is where a private consultation earns its money
  • Private HPV vaccination if you are over the free age limits and want it after a discussion of what it will and will not do for you
  • Symptoms that need a quick opinion — abnormal bleeding, discharge or a lump — where we can assess and refer urgently
  • Talking it through with a partner, where the relationship consequences have been more damaging than the virus
  • Advice if you are immunosuppressed, where the surveillance picture is different

We would rather send you to a free appointment than take a fee for something the NHS does better.

Evidence and guidelines

This page follows NHS Cervical Screening Programme guidance, UK Health Security Agency HPV immunisation guidance in the Green Book, BASHH guidance on anogenital warts, and NICE Clinical Knowledge Summaries.

What the guidance actually says

  • The NHS cervical screening programme uses high-risk HPV as the primary test, with cytology performed only on HPV-positive samples
  • Women who are HPV negative return to routine recall, as the risk of significant disease is very low
  • Women who are HPV positive with normal cytology are recalled at 12 months, since most infections clear spontaneously
  • Women who are HPV positive with abnormal cytology are referred for colposcopy
  • Screening is offered to those with a cervix aged 25 to 64
  • Vaccination is offered routinely in Year 8 to all children, with catch-up available to age 25
  • A single dose schedule is used for those under 25, with two doses for those aged 25 and over and three for those who are immunosuppressed
  • Men who have sex with men are eligible for free vaccination up to age 45 through sexual health and HIV services
  • Vaccination does not remove the need for cervical screening, as the vaccine does not cover every oncogenic type
  • Persistent infection with high-risk HPV is necessary for the development of cervical cancer, but the majority of infections are transient and clear within 2 years

On timing of infection

HPV may remain latent for extended periods before becoming detectable, so a positive result cannot be used to determine when infection was acquired or from which partner.

Reviewed against NHS Cervical Screening Programme, UKHSA Green Book, BASHH and NICE CKS guidance current at the date shown above.

Common questions

My smear says HPV positive. Does that mean my partner cheated?

No. This is the most important answer on the page. HPV can stay dormant for years before it is detectable, so a positive result says nothing about when or from whom you caught it.

It could easily date from a relationship years or decades ago. It is not evidence of anything, and it has ended relationships that should not have ended.

HPV positive but no abnormal cells. Should I be worried?

No — this is a common and largely reassuring result. It means a virus most people clear was detected, and your cells look entirely normal.

You will be invited back in 12 months, and most women will have cleared it by then.

Does HPV mean I will get cancer?

Almost certainly not. Around nine in ten infections clear within two years without any consequence.

Only persistent infection with high-risk types causes cancer, and that takes many years — which is exactly the window screening is designed to catch.

How common is it?

Most sexually active people will have it at some point. It is close to universal.

It is not a marker of promiscuity, and it is worth saying that plainly — it is a marker of having had a sex life.

I had the vaccine. Do I still need smears?

Yes, absolutely. The vaccine covers the most dangerous types but not every one of them.

Skipping screening because you were vaccinated is a genuine risk, and this misunderstanding is common.

Should I get vaccinated as an adult?

If you are eligible free — under 25, or a man who has sex with men under 45, or living with HIV — yes, and it costs nothing.

Privately as an older adult it is a more balanced question, since protection is lower once you have been exposed. Worth a proper conversation rather than a marketing pitch.

Can it be treated or cured?

There is no treatment for the virus itself — your immune system clears it, or it persists.

What can be treated is what it causes: warts, and pre-cancerous cell changes, both very effectively.

Can men be tested?

Not routinely in the UK, because there is no screening programme with demonstrated benefit for men.

Anal screening is offered in some higher-risk settings, particularly for men who have sex with men living with HIV.

Do condoms stop it?

They reduce the risk but do not prevent it, because HPV lives on skin a condom does not cover.

Vaccination and screening are what actually protect you, and condoms are worth using alongside both.

Is there anything I can actually do about it?

Stop smoking, and attend screening. Smoking impairs your ability to clear the virus and roughly doubles cervical cancer risk.

Those two things are worth more than everything else on this page combined.

Dr Mohammad Zubair Khan, GMC-registered private GP and founder of Cheshire Clinics
Clinically reviewed by Dr Mohammad Zubair Khan, GMC 7563469
Last reviewed

August 30, 2026

How it works

What happens when you book

£40 for a 20-minute appointment with a GMC-registered GP, 6am to 10pm, seven days a week. Membership is optional and never required.
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01

Book your appointment

Pick a time that suits you — 6am to 10pm, seven days a week, including weekends and bank holidays. £40 for 20 minutes, self-pay, with no insurance to arrange.
5–10 minutes
Online video consultation with a GMC-registered private GP
02

Meet your GP

A 20-minute video or phone consultation with a GMC-registered GP — long enough for a proper conversation about your symptoms, your history and what matters to you.
20 minutes
Diagnostic testing plan including blood test panel, ECG and urine screening
03

Tests and referrals, if you need them

Where testing will actually answer the question, we arrange it — blood tests and health screening through our laboratory partner, or a referral for ultrasound, X-ray, CT or MRI through private imaging providers. We will also tell you when a scan is not the right next step.
1–7 days
Personalised results and treatment plan from a private GP consultation
04

Results and next steps

Your GP talks you through what the results mean and agrees the next step with you. Every consultation ends with your treatment plan in writing, and any prescription goes to your own pharmacy.
20 minutes
GP follow-up reminder for ongoing care and progress monitoring
05

Ongoing care and follow-up

Follow-up appointments, progress monitoring and ongoing advice — including saying plainly when something needs in-person or NHS care instead.

Ongoing

How we compare

Time to be seen

Appointment length

Your NHS record in the room

Written treatment plan

Told when a test isn’t needed

Cost

Varies by practice

Typically 10 minutes

Yes, your full record

Not routinely

Usually

Free

Same day

Often 10 to 15 minutes

Usually not

Sometimes charged

Varies by provider

Often a subscription

Questions about our service

How quickly can I be seen?

Same-day access is usually available, from 6am to 10pm, seven days a week. You choose a time that suits you rather than waiting on hold at 8am.

Will I see the same doctor each time?

Yes. Care is led personally by Dr Mohammad Khan, so you are not passed between clinicians. Continuity is the point of a small practice: someone who knows your history and is listening attentively rather than working through a checklist.

Can you see my NHS records?

Yes, with your consent. We can access your Summary Care Record during the consultation, so your current medications, allergies and significant history are in the room. That means fewer questions you have already answered elsewhere, and safer prescribing.

Are you trying to replace my NHS GP?

No. We are not here to replace GPs, only to support them. Your NHS practice remains responsible for your ongoing care, and with your consent we write to them after the consultation. We are useful when you need to be seen sooner, or want more time than a standard appointment allows.

What is included in the appointment?

Twenty unhurried minutes and a comprehensive assessment. A written treatment plan is included, along with any prescription, sick note or referral letter arising from the consultation, at no extra charge.

How much does it cost?

£40 for 20 minutes, self-pay. Membership is optional and never required. Priced for fairness, because we are not here to charge extortionate amounts for access to a doctor.

What does “treatable online” actually mean?

It means the diagnosis can usually be made from your history and photographs, and that treatment can be arranged safely without examining you. Where a condition is not marked treatable online, it is because examination is the diagnosis — listening to a chest, feeling an abdomen, examining an ear or a joint — or because a procedure or device is needed.

Can you prescribe antibiotics?

Yes, where there is a genuine bacterial infection — cellulitis, impetigo, bacterial urine infections, confirmed strep throat. We will also frequently tell you that you do not need one. Most sore throats, coughs, colds and earaches are viral, and an antibiotic gives you the side effects with none of the benefit.

What if the GP cannot help with what I need?

If your problem turns out to be genuinely outside what we can do remotely, the doctor will tell you straight away, point you to the right service, and refund your fee in full. We would rather do that than fill twenty minutes to justify the charge.

What should I do in an emergency?

Call 999 or go to A&E — do not book an online appointment and do not wait for a reply to an email. For urgent problems that are not emergencies, NHS 111 is available 24 hours a day, online or by phone, and can direct you to the right service.

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