HPV – human papillomavirus

Human papillomavirus (HPV) is a group of more than 150 related viruses, some of which can cause warts on the skin, genitals, and other areas. Certain types of HPV can also lead to cancer, making it a significant public health concern.

Causes

HPV is primarily transmitted through skin-to-skin contact, most often during sexual activity. This includes vaginal, anal, or oral sex. Some types of HPV cause warts, while others can lead to cancer.

Symptoms

Many people with HPV do not have symptoms, and the infection clears on its own. When symptoms do occur, they may include:

  • Genital warts: Flesh-colored, raised, or flat bumps on the genitals, anus, or surrounding areas.
  • Skin warts: Common warts on the hands or feet.
  • Respiratory papillomatosis: Warts in the throat or voice box (rare).
  • Cervical dysplasia: Abnormal cell changes on the cervix, which can be detected through a Pap test.

Persistent infection with high-risk HPV types can lead to cervical, anal, penile, vaginal, or oropharyngeal cancers.

Diagnosis

Diagnosis of HPV depends on the symptoms:

  • Genital warts: Usually diagnosed through visual examination.
  • Cervical dysplasia: Detected through a Pap test and HPV test during a routine gynecological exam.
  • Cancer screening: Regular screening tests can help detect HPV-related cancers early.

Treatment Options

Treatment for HPV depends on the specific condition:

  • Genital warts: Can be treated with topical medications, cryotherapy (freezing), laser therapy, or surgical removal.
  • Cervical dysplasia: May require monitoring, cryotherapy, LEEP (loop electrosurgical excision procedure), or cone biopsy.
  • HPV-related cancers: Treatment depends on the type and stage of cancer and may include surgery, radiation therapy, and chemotherapy.

Prevention

Preventing HPV involves several strategies:

  • Vaccination: The HPV vaccine is safe and effective and is recommended for adolescents and young adults.
  • Safe sex practices: Using condoms can reduce the risk of HPV transmission.
  • Regular screening: Routine Pap tests and HPV tests can detect cervical dysplasia early.
  • Avoiding smoking: Smoking increases the risk of HPV-related cancers.

Takeaway

HPV is a common infection, but vaccination and regular screening can help prevent serious health complications. Understanding the risks and taking preventive measures are key to maintaining health.

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