GENITAL+WARTS

Genital Warts/HPV

__How Contracted__: Sexual contact involving skin anus mouth vagina or through mucus.

__Symptoms:__ Warts may not appear for 6 weeks-6 months Common: Females most often have warts inside or around vagina or anus. skin, around the areas, or on cervix males: most often have warts on the enis, scrotum, groin area, or thighs also including inside or around the anis Both: warts on mouth lips tongues palate or throat rare: increase dampness or moisture of area increased vaginal discharge itching of the penis, scrotum, vulva, or anal area vaginal bleeding with or after sexual intercourse

__Signs and Tests:__ flesh color to white, flat or raised, single or clustered warts may be seen anywhere on the genitals woman: a pelvic exam may reveal growthson the vaginal walls or cervix. Magnification may be used to see lesions that are invisible to the naked eye. The tissue of the vagina and cervix may be treated with acetic acid to make the warts visable Pap smear- may note changes caused by HPV. Women with these types of changes often need more frequent Pap smears for a period of time <span style="color: #008080; font-family: Georgia,serif;">HPV DNA test- can identify whether you have a high risk type of HPV that is known to cause cervical cancer. This test may be done as a: screening test for women over the age of 30, or in women of any age who have a slightly abnormal Pap test result

<span style="color: #008080; font-family: Georgia,serif;">__Treatment:__ Must be treated by a doctor. DO NOT use over counter drugs. <span style="color: #008080; font-family: Georgia,serif;">May apply a skin treatment in the office <span style="color: #008080; font-family: Georgia,serif;">May prescribe a medication that you apply at home several times per week <span style="color: #008080; font-family: Georgia,serif;">Aldera <span style="color: #008080; font-family: Georgia,serif;">Condylox <span style="color: #008080; font-family: Georgia,serif;">TCA <span style="color: #008080; font-family: Georgia,serif;">Surgical Treatments- Cryosurgery, electrocauterization, laser therapy, surgical excision (cutting them out) <span style="color: #008080; font-family: Georgia,serif;">There will be a follow up with your doctor to see if the warts returned

<span style="color: #008080; font-family: Georgia,serif;">__Prevention:__ Young women ages 9-26 should get vaccinated <span style="color: #008080; font-family: Georgia,serif;">Gardasin and Cervarix <span style="color: #008080; font-family: Georgia,serif;">-Protect against HPV-16 and -11 <span style="color: #008080; font-family: Georgia,serif;">-Gardasil: against HPV-6 and -11 <span style="color: #008080; font-family: Georgia,serif;">-Do not protect against all types of cervical cancer causing HPV <span style="color: #008080; font-family: Georgia,serif;">Gardasil is Approved for: <span style="color: #008080; font-family: Georgia,serif;">-Females ages 9-26 to protect against cervical cancer and prevent genital warts <span style="color: #008080; font-family: Georgia,serif;">-Males ages 9-26 to protect against genital warts and anal cancer <span style="color: #008080; font-family: Georgia,serif;">Cervarix is approved for: <span style="color: #008080; font-family: Georgia,serif;">-Females 10-26 to help prevent cervical cancer <span style="color: #008080; font-family: Georgia,serif;">-Does not protect against genital warts <span style="color: #008080; font-family: Georgia,serif;">-Not for males <span style="color: #008080; font-family: Georgia,serif;">3 shots over a 6 month period. <span style="color: #008080; font-family: Georgia,serif;">Side effects: Fainting, dizziness, nausea, headache, and skin reactions at shot cite <span style="color: #008080; font-family: Georgia,serif;">Considerations: does not protect against all cervical cancer cases and pap smears still recommended

<span style="color: #008080; font-family: Georgia,serif;">__Causes:__ HPV- 90% by HPV-9 and -11 (low risk) <span style="color: #008080; font-family: Georgia,serif;">HPV-16,18,31 lead to cervical cancer (high risk) <span style="color: #008080; font-family: Georgia,serif;">Multiple sex partners and not knowing they have HPV <span style="color: #008080; font-family: Georgia,serif;">Tobacco and alcohol <span style="color: #008080; font-family: Georgia,serif;">Pregnant <span style="color: #008080; font-family: Georgia,serif;">Deficient immune system that doesn't work well <span style="color: #008080; font-family: Georgia,serif;">Sexually active at early age

<span style="color: #008080; font-family: Georgia,serif;">__Found in:__ Penis, Vulva, Urethra, Vagina, Cervix, Anus

<span style="color: #008080; font-family: Georgia,serif;">__Statistics__: Almost all cervical cancers are caused by HPV <span style="color: #008080; font-family: Georgia,serif;">Vaccination is expected to prevent about 70% of cervical cancer cases.