ggt08
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Member since 5/05 5208 total posts
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Re: TMI Gyno Question inside
found this for you////
Human Papillomavirus, or HPV for short, is the virus that causes warts. And by this, I mean any kind of wart - the wart you have on your elbow, the plantar's wart on the bottom of your foot, the skin tags that are on your neck. There are more than 70 different kinds of HPV - and 30-some of these cause genital HPV.
Genital HPV is not necessarily "genital warts." There are more than 30 strains that infect the genital area, and they are divided into 2 subcategories: Low-risk and high-risk HPV.
Low-risk HPV is called low-risk because it does not lead to cancer. In fact, these types of HPV have only very rarely been found in cancer. Instead, low-risk HPV tends to cause genital warts. It is also possible for a pap smear to be abnormal due to low-risk HPV. However, these abnormalities will not lead to malignancy. Additionally it is important to note that if a pap smear is abnormal due to low-risk HPV, then any HPV DNA test performed on it will come up negative. This is because currently, HPV DNA tests only detect high-risk HPV.
High-risk HPV, so named because it can lead to cancer if untreated, only rarely produces warts. Instead, it produces abnormal, or pre-cancerous, cells. These cells are commonly found on the cervix, by means of an abnormal pap smear. A pap smear that is abnormal due to high-risk HPV would also test positive on an HPV DNA test. However, it is possible to get abnormal cells due to high-risk HPV in other places, such as the vagina, vulva, anus, and rarely on the penis (here is the complete list). High-risk HPV can come in different severities, for example: a woman might have an abnormal pap smear with low, mid, or high-grade high-risk HPV.
For a complete list of symptoms genital HPV can cause, please visit the American Society for Colposcopy and Cervical Pathology at http://cme.asccp.org/faq/histHPV.cfm. It explains low and high-risk HPV. Another good source of information about this is the American Social Health Association’s page on HPV Myths and Misconceptions, found here. Read the question entitled, “Myth: Genital warts lead to cervical cancer.”
The only reason that a doctor will give you a pap smear every year is to see whether or not you have a high-risk HPV strain in your body. If you get regular paps, you won't be significantly at risk for cancer, because the doctor will treat any abnormal cells before they can progress.
Having genital warts does automatically mean you have HPV; however, having an abnormal pap smear does not. Warts are caused by a strain of HPV 100% of the time. Sometimes, however, a pap smear may, in some cases, be abnormal due to something other than HPV.
Having genital warts does not mean you will get cervical dysplasia, as having cervical dysplasia does not mean you will get genital warts. If you have a low-risk strain of HPV, it will not mutate into a high-risk strain, and vice versa. However, it is possible to have more than one strain, so many people do get both cervical dysplasia and warts. It is also possible for a pap smear to be abnormal due to low-risk HPV, so a person might have both warts and an abnormal pap, and still have just one kind of HPV. Conversely, it is possible for genital warts to contain high-risk HPV, though this is certainly NOT the norm and does NOT happen in the vast majority of cases. For example, HPV type 16, one of the most aggressive high-risk HPV types, can cause “condyloma planum”, or flat warts; however, these do not look like the raised genital warts caused by low-risk HPV strains. (Please see the explanation on http://cme.asccp.org/faq/histHPV.cfm.)
You get HPV from having sex with an infected partner. Some people use condoms and still get the virus, so condoms are not entirely reliable when it comes to HPV. HPV is really, really common - because most people never show symptoms, no one knows they have it. According to the American Society for Colposcopy and Cervical Pathology, at any given time only about 1-2% of the population has genital warts, and 3-5% of women have pap smears with cell changes due to HPV, while the risk of being infected with HPV over one’s lifetime seems to be between 75 and 90%.
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