Sexual Transmitted Diseases – HPV

I am a practicing OBGYN.  I believe in consensual sex and want to help the community.  ValleyScott asked me to write about this topic and I am delighted too contribute.

If your having multiple partners you’re at risk of sexual transmitted diseases.  I recommend strict condom use.

When a female patient comes to see me and ask to be tested for all STDs,  I check for HIV, Syphilis, Hepatitis B and C, Gonnorrhea, Chlamydia, Trichomoniasis, Herpes 1 and 2, and HPV ( screening is recommended after 30 years of age because of the high prevalence of HPV in people younger than 30 years old,  HPV screening is not performed for patients younger than 30 years old).  Few physicians check for Ureaplasma, and Mycoplasma, this is sometimes checked in infertility work ups.

The most common STD is HPV–Human Papilloma Virus.  There are over 200 strains of HPV.  80% of the population have been exposed.  If you have multiple partners the percentage is probably a lot higher.  HPV can cause genital warts and cancer, and not only can it affect the genital areas but also skin, mucosa membranes, mouth, anus.  There is a vaccine for HPV, but they don’t cover all strains.  The vaccine is recommended for ages 9-26 year old.

Most people are worried about HIV.  HIV is not curable, but HPV and Herpes are also not curable.   HPV can cause cervical cancer, cancer of the mouth, and throat and anus.  It is spread through skin and mucous membrane contact.  You can carry HPV even if you don’t have warts or lesions on your genitalia.  You can get this from kissing unprotected genital organs.

I hope this brief introduction was useful.  Please feel free to ask me any questions.

Dr. B.

 

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