HPV (human papillomavirus) - Gynecology

What is HPV?

Human Papillomavirus (HPV) is a group of more than 200 related viruses, some of which are spread through direct sexual contact. While most HPV infections are harmless and go away on their own, certain types of HPV can cause genital warts and others can lead to cervical cancer and other cancers.

How is HPV transmitted?

HPV is primarily transmitted through intimate skin-to-skin contact, including vaginal, anal, and oral sex. It can also be spread through non-penetrative sexual activities. The virus can be transmitted even when an infected person has no visible symptoms.

What are the symptoms of HPV?

Most people with HPV do not develop symptoms and may not even realize they are infected. However, some individuals may develop warts on the genital area, throat, or other parts of the body. High-risk HPV types can lead to precancerous lesions and cancers, such as cervical cancer, which may present symptoms like abnormal vaginal bleeding, pelvic pain, or pain during intercourse in advanced stages.

How is HPV diagnosed?

HPV can be detected through various methods. In women, a Pap smear test can identify abnormal cells in the cervix that may be caused by HPV. An HPV DNA test can also be performed to detect the presence of the virus. For men, there is currently no approved HPV test, but visual inspection of warts and other symptoms can aid in diagnosis.

What are the treatments for HPV?

There is no cure for the virus itself, but treatments are available for the health problems that HPV can cause. Genital warts can be treated with topical medications, cryotherapy, or surgical removal. Precancerous lesions and cervical cancer may require more extensive treatments like LEEP (Loop Electrosurgical Excision Procedure), cryotherapy, or even hysterectomy in severe cases.

Can HPV be prevented?

Yes, HPV can be prevented through vaccination and safe sexual practices. The HPV vaccine is highly effective in preventing infection with the most dangerous types of HPV. Condom use can reduce the risk of HPV transmission but is not 100% effective since the virus can infect areas not covered by a condom. Regular screening and follow-up care can also help in early detection and management of HPV-related health issues.

Who should get the HPV vaccine?

The HPV vaccine is recommended for preteens (boys and girls) aged 11 to 12 years but can be administered as early as age 9. It is also recommended for everyone through age 26 years if they were not adequately vaccinated earlier. The vaccine is less effective in individuals older than 26, but some adults ages 27 through 45 years who are at risk for new HPV infections may also benefit from vaccination after discussing with their healthcare provider.

What are the side effects of the HPV vaccine?

The HPV vaccine is generally safe and well-tolerated. Common side effects include pain at the injection site, headache, fatigue, and mild fever. Severe side effects are rare, but as with any vaccine, there is a small risk of an allergic reaction. Anyone with severe allergies to any component of the vaccine should not receive it.



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