Other HPV Viruses
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Frankfort, KY 40621
(Venereal Warts, Condylomata)
Genital warts are light pink, cauliflower-like growths that appear on the external genitalia (sex organs) of the male and female. The usual locations are the penis, scrotum, vagina, and anus. In the female, warts may be found inside the vagina or on the cervix (mouth of the uterus). In the male the warts may be inside the penis and may not be noticeable. There may be only 1, 2 or several warts present. Sometimes the warts cause itching or may bleed. Anal warts may be mistaken for hemorrhoids. The warts generally will appear 3 weeks to 6 months after direct exposure to the virus.
Genital warts may grow larger or even leave without any treatment. Since this is a sexually transmitted infection, you can give the genital warts to your sex partner during intercourse. It is very important to use condoms (male or female) each time you have intercourse. People may also spread the virus to other parts of the body with their hands. A pregnant woman with genital warts can pass them on to her baby during childbirth, however this is rare. Women with a history of genital warts are at increased risk for cervical cancer.
There are several different treatments for genital warts, which your health care provider can discuss with you. These treatments include medications, freezing, laser, or surgical removal. Sometimes warts can be stubborn to treat and they may grow back. The HPV virus always remains in the body; there is not currently a "cure" for this virus. You should keep the infected area clean and dry, wear cotton underwear, avoid sexual contact while the warts are present, limit the number of sex partners, tell your partner(s) that you have HPV, and make sure to get regular Pap Smears if you are a female. Condom usage with every intercourse helps to lower the chance of infections in the future.
||Subclinical HPV Infection
Most HPV infections are in this category. Although the HPV virus is present, it cannot be seen with the naked eye. Subclinical HPV infections are likely the most common cause for cells on the female cervix to grow abnormally resulting in an abnormal Pap Smear. This abnormal growth is called DYSPLASIA. Dysplasia may range from mild to severe, and may go on to become cervical cancer. If a woman has an abnormal Pap Smear, it is very important that she have checkups according to her health care provider’s advice. Women who smoke and have HPV are at high risk for developing cervical cancer.
Like genital warts, subclinical HPV is not "curable"; the virus remains in the body. However, there are certain things you can do to improve your health and keep the virus from causing problems. Your immune system helps to fight off all kinds of infections including HPV. To have a healthy immune system eat a well-balanced diet daily, exercise regularly, and avoid alcohol, drugs, and smoking. Keep the number of lifetime sex partners limited and use condoms regularly with sexual activity. Females should have a yearly Pap Smear and follow-up on all abnormal results as directed by her health care provider.
||Crabs and Scabies
What Are They?
Crabs are lice found mostly in the pubic hair, but can move to the hair on other parts of the body, such as the beard, mustache, and underarms. Crabs are very small but can be seen because they attach themselves to the hair. They live by feeding on human blood.
Scabies is caused by mites that burrow (push) under the skin to lay their eggs. They are usually found between the fingers, around the wrists, under the arms, or around the genital area including the buttocks.
How Do You Get Them?
Infestation occurs by direct contact with someone that has them; either with sexual contact or close personal contact like sharing a bed, towels, or clothing. Infestations can affect an entire household and all family members, not just the sexual contacts, may need to be examined.
What Can An Infestation Do to You?
The first sign of Crabs (Pubic Lice) is usually severe itching in the genital or anal area. You may see eggs or the crabs. The burrows of mites (Scabies) also cause intense itching that is usually worse at night. Scratching the affected areas may make it worse and lead to a more severe infection caused by bacteria entering the skin.
Medications and Other Necessary Measures
Scabies should not be treated at home unless a health care provider has diagnosed the condition and tells you to do so. Crabs (Pubic Lice) may be treated at home with over-the-counter medication that your health care provider or pharmacist recommends. Pregnant, breastfeeding women, and infants cannot use some of these medications. Follow the directions correctly; do not over treat.
For Scabies or Pubic Lice (Crabs), clean your clothing very well. Either dry clean or machine wash and dry (hot setting) all clothing that has been in contact with lice or mites. Wash all bed linens including blankets, comforters, and bedspreads. Items that cannot be laundered should be sealed in a plastic bag for 14 days. Vacuum upholstered furniture, carpets, and car seats. Your health care provider or pharmacist can recommend a spray to disinfect furniture and other household items infested with lice or mites. All treatments must be done the same day to be effective. Infestations are stubborn and can be difficult to treat. If repeat treatment is necessary, consult with your pharmacist or health care provider. Persons infected with scabies should not attend school or work until the day after treatment. Persons infected with crabs should remove the nits and must have their sexual contacts treated to avoid re-infection.
What Is Herpes?
Herpes is a viral infection that causes blisters on the mouth ("cold sores," "fever blisters," "oral herpes") or sores in the genital area ("genital herpes"). The virus that causes herpes is different from most viruses in that a person with herpes stays infected all of his/her life. The sores or blisters come and go but the virus never leaves the body. There is no known "cure" for herpes at this time.
How Do You Get Herpes?
Herpes is passed through close contact with a person infected with the virus. Herpes is transmitted through oral or sexual contact. You can get genital herpes if your partner has "cold sores" (oral herpes) and performs oral sex on you. It is possible to spread the virus to other parts of the body with UNWASHED hands that have been in contact with a sore or blister. A mother with active herpes at the time of delivery can transmit the virus to her baby. Although rare, it can result in serious complications for the infant.
How Common Is Herpes? Is There A Test For Herpes?
About 80% of American adults have oral herpes ("cold sores") and more than 20% have genital herpes. Some people with genital herpes don’t know they are infected because the symptoms are too mild to notice; but they can still pass the herpes virus to others without even knowing they are infected.
If you have symptoms, the best test is a viral culture. Your health care provider can take a swab of fluid from the sore soon after it appears for a viral culture. This test is very reliable and accurate.
If you don’t have symptoms but have a partner with herpes, a blood test can tell whether you have the virus that causes genital herpes. This test (HSV-2) is not one hundred percent accurate in detecting herpes and may be expensive.
How Often Do "Outbreaks" Occur With Genital Herpes?
Symptoms are usually the worst with the first outbreak of herpes and generally occur within two weeks of contacting the virus. A person experiencing their first outbreak may have a cluster of blisters in the genital area that last for up to 4 weeks. Some people may also have flu-like symptoms during the first outbreak that includes fever, swollen glands, and tiredness. The blisters tend to be painful and may cause burning with urination. Some people may have itching and irritation in the genital area.
Recurrent outbreaks of herpes may occur after the first episode and symptoms vary greatly from person to person. Some people never have another outbreak while others may experience frequent recurrent episodes. Repeat episodes tend to be less severe than the first outbreak. Many people have "warning signs" that they are going to have an outbreak. These may include itching or burning in the genital area or leg/hip pains.
What Causes Recurrent Outbreaks?
Herpes "triggers" are medically poorly understood since they vary from person to person. Research does show that prolonged exposure to sunlight can trigger oral herpes (cold sores) and mental stress tend to trigger recurrent outbreaks of genital herpes.
Medications are available to help reduce the number of outbreaks in people who tend to have severe or frequent bouts of outbreaks.
What Can You Do To Feel Better During An Outbreak?
- Keep the area clean and dry since this helps the sores to heal faster.
- Soaking in a shallow tub of salt water may ease the pain of genital blisters (sores). It is important to clean the tub thoroughly afterwards.
- Wear cotton underwear since synthetic material holds in moisture and slows the healing process.
- Wash your hands well with soap and water after touching a sore or using the bathroom. This will help prevent the spread of the virus.
- DO NOT have sex while genital blisters (sores) are present.
- DO NOT perform oral sex on your partner if you have a cold sore (oral herpes).
- Your health care provider may prescribe medication that can help make the sores heal quicker but the medicine does not stop the sores from coming back and it is not a "cure.
- Tell your partner you have herpes so he/she can be examined and counseled.
- If you are planning a pregnancy or are already pregnant, TELL YOUR HEALTH CARE PROVIDER. You may need special care around the time of your delivery to protect your baby from getting herpes.
- Take good care of yourself and avoid stress. Get plenty of exercise and maintain a healthy diet and lifestyle.
- Women should make sure to have a yearly Pap Smear.
- Use condoms when sexually active and limit the number of sex partners to help lower the chance of sexually transmitted infections in the future.
||Common Vaginal Infections
COMMON VAGINAL INFECTIONS
BACTERIAL (also called BVor Gardnerella) vaginal infections are the most common of all vaginal infections. Bacterial Vaginosis is caused by an over-growth of the bacteria normally found in the vagina. This type of infection is associated with sexual activity --the more partners you have the greater your risk of getting By. Symptoms may include a fishy-smelling discharge (especially after sex), frothy clear or white discharge, itching and/or burning. About half of the women with this type of infection do not have any symptoms. Treatment consists of an antibiotic given either by mouth or as a cream in the vagina. Untreated, BV can cause Premature labor/delivery, Pelvic Inflammatory Disease (PID), and Infertility. Typically, sex partners do not need treatment; however condoms are highly recommended.
YEAST (also called Candida or Monilia) infections are the second most common type of vaginal infections. Pregnancy, HIV/AIDS, Birth control pills, Diabetes, and Antibiotic medications can be contributing factors. Symptoms may include itching and/or a burning sensation in and around the vagina that ranges from mild to severe. Burning may increase with urination. The vaginal discharge tends to be white, clumped and cottage cheese like in appearance. Since yeast infections are not considered sexually transmitted infections; the sex partner usually does not require treatment. Treatment consists of an Anti-fungal medication used in the vagina or a pill taken by mouth.
TRICHOMONAS (also called Trich) is the third most common vaginal infection. It is sexually transmitted by a parasite and causes heavy, sometimes foul smelling vaginal discharge that is greenish, gray or yellow in color. Burning or itching may also occur. Treatment consists of a medication called Metronidazole (Flagyl). Women should not take this medicine in the first 3 months of a pregnancy. To be effective, the medicine must be taken by the woman and her sex partner(s) during the same time period. Untreated Trichomonas infections may make a woman more likely to get other sexually transmitted infections and/or contribute to premature labor/delivery if the she is pregnant.
CHLAMYDIA is one of the most common; curable sexually transmitted infections (STD). This infection is spread by sexual contact with another person or from the mother to the child during birth. Chiamydia CANNOT be caused by casual contact (toilet seats, hot tubs, saunas, or swimming pools). Chlamydia infections are often overlooked because the symptoms are very mild or are totally absent. If symptoms are present they may include irregular vaginal bleeding, pain or burning with urination or sex, vaginal discharge, or lower abdominal pain and fever. Males may experience swelling of the testicles, have a discharge from the penis and/or pain with urination. A person can have the infection, not have symptoms, and transmit it to someone else without knowing it. The diagnosis of Chlamydia is made by a culture, and treatment is oral or intramuscular antibiotics. Untreated Chlamydia can cause Pelvic Inflammatory Disease (PID) in the female and Epididymitis (inflammation in the scrotum) in the male; leading to infertility (sterility). Pregnant women with untreated Chlamydia are at risk for premature labor. Babies born to mothers with this infection can get pneumonia and a severe infection of the eyes.
GONORRHEA (also called the Clap or Drip) is another infection that is transmitted by sexual contact. Gonorrhea can also be spread from the mother to the baby during birth. Men infected with gonorrhea may have burning with urination and/or a yellowish-white discharge from the penis. Most women DO NOT have symptoms or only very mild symptoms like a heavier vaginal discharge with or without burning. A person with Gonorrhea can spread the disease even without having symptoms. This infection is treated with either oral or intramuscular antibiotics. If left untreated, Gonorrhea can cause Sterility (infertility), Arthritis, Skin problems, and other organ infections caused by the spread of infection in the body. Pregnant women can pass the infection to their baby during delivery causing severe infection of the eyes. Gonorrhea can be diagnosed by a culture.
ALLERGIC VAGINITIS is a reaction to chemical irritants, soaps, perfumes, spermicides, or less commonly latex. Symptoms include burning, itching, redness, and swelling in and around the vagina. Diagnosis is based on history and ruling out other causes. Treatment consists of avoidance of the product causing the reaction, cool compresses, and or sits baths. Rarely, a steroid cream may be prescribed by your clinician. If the allergy is due to spermicides or latex, an alternate method of contraceptive may be needed. Non-latex condoms are available that are made from polyurethane and can safely be used.
PREVENTION AND TREATMENT OF VAGINAL INFECTIONS
Regardless of which of the vaginal infections you have been diagnosed with, it is essential to follow your health care provider’s advice and COMPLETE the prescribed treatment!
- Faithfully use condoms with sexual intercourse (male and female condoms are available) to prevent sexually transmitted infections. Pregnant women at risk for infection should use condoms during intercourse for the remainder of the pregnancy.
- Limit your number of sex partners: The more partners you have the greater the risk of all infections
- AVOID DOUCHING as it disrupts the normal vaginal environment and may lead to infections.
- After using the bathroom, always wipe from FRONT to BACK and wash your hands afterwards.
- Avoid feminine hygiene sprays, deodorant pads and tampons, perfumed soaps, bubble baths, and talc.
- Wear clean, cotton panties and don’t forget basic hygiene (bathe or shower daily).
- Report all symptoms of an abnormal vaginal discharge to your health care provider.
- If you think you may be at risk for a sexually transmitted infection (STD), tell your provider.
- Ask questions if you are concerned over your symptoms and/or risk of infection.