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HPV FAQs
Facts And Information About HPV
What is HPV? How common are HPV infections? How do you get HPV?
Is HPV different from other sexually transmitted diseases (STDs), like herpes and HIV? Can you get HPV through oral sex? Are lesbians at risk of getting HPV? Do men get HPV too? How do you know if you have HPV? Does HPV cause any symptoms? If you find out you have HPV, is there reason to feel guilty, or to blame your partner? Should you tell your sexual partner(s) if you have HPV? Can HPV be treated? If you have HPV, how likely is it that you will get cervical cancer? Can HPV cause any other kinds of cancer besides cervical cancer? What can you do to protect yourself from HPV and its effects? After you get HPV, will it go away? Or will you have it forever? Does HPV interfere with a woman's ability to get pregnant? Can a mother with HPV pass the virus to her child?
What is HPV?
A The human papilloma virus, also called HPV, is a common virus that infects the skin and mucous membranes. There are more than 150 types of HPV. Click here to view a magnified, color-enhanced picture of an HPV virus particle. The types of HPV that cause common warts, such as those found on the hands and feet, are spread through skin-to-skin contact. In addition, it is also possible to get these common types of warts after sharing towels or other objects with a person who has warts. About 30 types of HPV are spread only through direct genital contact. These "genital" types of HPV are either: 1) "high-risk" which means they can cause certain kinds of cancer (most commonly, cervical cancer) if the infection persists, or 2) "low-risk" which means they are not associated with cancer, but can cause genital warts. Unless you develop one of these problems, the only way to know whether you have HPV is by being tested. Note: Throughout this site, when we refer to HPV, we specifically mean the types of HPV that are spread through genital contact. Learn more about the different types of the HPV virus.
Infection with HPV is as common as catching a cold. The U.S. Centers for Disease Control and Prevention (CDC) has reported that as many as 80 percent of women and 50 percent of men and women combined will get a type of genital HPV at some point in their lives. However, most of those infections go away or are suppressed by the body within one to two years, without causing any problems that require treatment.
Is HPV different from other sexually transmitted diseases (STDs), like herpes and HIV?
A HPV is often confused with other sexually transmitted infections and diseases, such as herpes or HIV. However, although it can co-exist with these and other sexually transmitted diseases, HPV is different. Keep these facts in mind:
Genital HPV infections are very common, affecting up to 80 percent of women by the age of 50. HPV by itself is not a disease. Most infections go away or are suppressed by the body, without causing any symptoms or health effects.
There is no treatment for HPV itself, only for abnormal cells that may form if an infection becomes long-lasting. There is currently no HPV test for men, and it is impossible to know from whom you got the infection or when. Medical research suggests that after you get a particular type of HPV, you become immune to it and cannot be re-infected with that same type again. Thus, there is no need for "partner tracing." What you tell your partner about your HPV test results is a personal decision.
However, although each sexually transmitted infection or disease is different, they may sometimes co-exist and have an exaggerating effect on each other. For example, women whose immune systems are weakened by HIV/AIDS are more at risk of developing cervical disease from HPV.
A Men get HPV just like women do. As with women, men usually have no symptoms, unless the HPV virus begins to cause abnormal changes in skin cells. However, although HPV infection has been linked to cancer of the penis and anus, these cancers are very rare in men. For this reason, as well as because a good, reliable way to collect a sample of male genital skin cells that would allow detection of HPV has yet to be discovered, there is currently no approved HPV test for men. If you or a man in your life has questions about HPV, visit the "What Men Need to Know About HPV" section of this site.
How do you know if you have HPV? Does HPV cause any symptoms?
A Most commonly, genital types of HPV do not cause any symptoms at all. Usually, the infection goes away or is suppressed by the body before any problems develop. However, sometimes the infection persists, causing abnormal cells to form. In the case of high-risk (potentially cancer-causing) types of HPV, the only way to know you have the virus before cervical cancer develops is to be screened using both a Pap and (if you are 30 or over) the HPV test. By catching persistent infections while they are still relatively early in their development, abnormal cells can be detected and removed before they become cancerous. That is why periodic testing for HPV is so important. Signs of cervical cancer may include:
unusual vaginal discharge or bleeding (especially after sexual intercourse). lower back pain. painful urination (particularly when there is also pain in the lower abdomen). pain during sex.
Warning: These symptoms can have a number of causes. They do not necessarily mean you have cervical cancer. Talk to your doctor if you have any of these symptoms. In the case of a "low-risk" type of HPV, the only way you know you have it is if genital warts develop, which can then be treated. While there is a test for low-risk types of HPV (separate from the test for high-risk HPV), its routine use is not recommended by medical experts and insurance usually will not pay for it. That is because there is nothing that can be done about low-risk HPV infections until warts develop.
If you find out you have HPV, is there reason to feel guilty, or to blame your partner?
A Finding out that you have the HPV virus or cervical disease caused by HPV often causes women to feel a range of emotions: confused, scared, uncertain, ashamed (due to the fact that its sexually transmitted) and even angry (perhaps at your spouse or partner). All of these emotions are natural, but they can be helped or even eliminated altogether with information and the support of other women. Visit this Web sites special section on Coping with the News that You Have HPV.
Since no treatment is available for the infection itself, the most effective method of avoiding complications is early detection and treatment of abnormal cells before they become cancerous. That is why it is so critical to get regular screening with a Pap smear and once a woman is 30 or over the HPV test. Younger women are very likely to get HPV, but it is rare for women in this age group to develop cervical cancer. Once over the age of 30, HPV infections are less common, but they are more likely to have been present for a long time and thus to cause in abnormal cells. With early treatment of pre-cancerous cells, cervical cancer can be prevented before it has a chance to develop.
If you have HPV, how likely is it that you will get cervical cancer?
A In most cases, the body's immune system fights off or suppresses the virus before abnormal cells develop. It's only when high-risk types of HPV stay "active" for a long period of time that the risk of developing abnormal cells that can turn into cervical cancer increases significantly. Overall, it's estimated that women who have a long-lasting infection with high-risk HPV are 200-plus times more likely to develop pre-cancerous cervical disease than those without it.
Can HPV cause any other kinds of cancer besides cervical cancer?
A Cervical cancer is by far the most significant concern. However, high-risk types of HPV also have been linked to less-common cancers of the vulva, vagina, anus and penis. Some research also has suggested a link between high-risk types of HPV and other cancers, such as oral (mouth and throat) cancer. However, these other HPV-related cancers are still being investigated and are thought to be relatively rare.
What can you do to protect yourself from HPV and its effects?
A
In 2006, the U.S. Food and Drug Administration (FDA) approved the first vaccine designed to protect against four types of HPV: two that most commonly cause cervical cancer, and two others that cause most genital warts. However, the U.S. FDA cautioned that "females are not protected if they have been infected with [the targeted] HPV types prior to vaccination, indicating the importance of immunization before potential exposure to the virus." In other words, the vaccine is most effective when given before a female has her first sexual relationship. For more information, visit "Quick Facts: The HPV Vaccine and What It Means for You." However, even immunized women can still be infected with one of the HPV types that are not targeted by the vaccine. Thus, and for many other reasons as well, its a good idea to:
Limit your number of sexual partners. Use condoms if you are not in a monogamous relationship. Condoms do not protect completely against HPV, since they do not cover the entire length of the penis. However, a study published in The New England Journal of Medicine confirmed that consistent use of condoms does significantly reduce the risk of HPV infection. In addition, they protect against other sexually transmitted infections, such as HIV. Don't smoke, because that can prevent the body's immune system from working effectively. Take a folic acid supplement like the ones recommended for pregnant women along with your multi-vitamin. One recent study found* that women with higher levels of folate a type of B vitamin were less likely to get a new HPV infection. And if an HPV infection already exists, it was less likely to persist.
* Piyathilake J. C., Cancer research 64 64, 8788-8793, December 1, 2004: Folate is associated with the Natural History of High-Risk Human Papillomaviruses
After you get HPV, will it go away? Or will you have it forever?
A Medical science does not yet have all the answers to life's mysteries, and this is one of them. The U.S. Centers for Disease Control and Prevention (CDC) estimates that more than 90 percent of HPV infections are "cleared" by the body within two years. However, it is not known for certain whether the body actually gets rid of the virus altogether, or as appears to happen in at least some women the virus is merely suppressed to a low, undetectable level. It's possible that either scenario can occur, depending on the woman. The good news is that even if the HPV infection is merely suppressed by the body "hiding" in the cells at a low level it cannot cause abnormal cells to form or spread to another person when it is in this non-detectable state. The bottom line: A negative HPV test means you are risk-free for at least the next few years. However, it is believed that old HPV infections can "re-activate" years later, most likely due to changes in your immune system. (That's why it's important to keep your immune system
healthy, by eating well, exercising and not smoking. Some experts also believe that taking a folic acid supplement helps.) In addition, if you have sexual contact with a new partner, you could get a new HPV infection with a different type of the virus. Thus, periodic re-testing is needed. Please contact your local physician for more details. For more information on how often you should be tested, visit the section of this site on "Understanding Your Test Results." In addition, if you are treated for cervical disease, it is a good idea to be re-tested for HPV following the procedure to make sure the infection is really gone.
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