Oracle Online: Under the covers... with Molly Kirwan

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September 21, 2004

Under the covers... with Molly Kirwan

Dear Molly:

What exactly is HPV? And how can you protect yourself from it? From what I’ve heard, there is no protection and no cure! How serious is this STD? Ever since I heard of this virus I’ve been afraid to have sex!  A Concerned, Not-So-Sexually Active Student

When you consider the facts, the human papillomavirus can be a bit terrifying. According to the Center for Disease Control and Prevention (CDC), not only is it the most prevalent of all STDs, but it is estimated that 50 percent of all sexually active men and women will acquire genital HPV at some time in their lives. The risk is even greater for women, 80 percent of whom will contract a strain of the virus by the time they are 50. And, while the disease itself is not life-threatening, doctors have found a link between some strains of HPV and the appearance of cervical cancer. If you have no symptoms, it can only be diagnosed through abnormal pap smears in women and not at all in men. The only way to protect yourself completely from the disease, ACNSSAS, is to refrain from ANY sort of sexual contact whatsoever. Yeah, that is a bit scary.

There are over 100 strains of HPV, 30 of which are sexually transmitted. It can infect the genital areas including the penis, vulva, anus, and the inner linings of the vagina, cervix and rectum. Yes, it can cause warts, but most often there are no symptoms or signs of the virus. However, it can still be spread whether symptoms are present or not through genital contact of any sort, and that means that a condom does not necessarily protect you from the virus. If warts should appear, they can be treated through topical medication or doctor-administrated treatment, but you are right, ACNSSAS, there is no medical cure for HPV. Doctors do say, though, that most cases of the strain will clear up on their own within two years.

So what do you do to protect yourself from acquiring a disease that often presents no visual warning signs and cannot be simply avoided through using protection? Well, abstinence is one option, or you can limit yourself to only engaging in sex with partners who have never had any real sexual contact before. But let’s be honest here: For the majority of people neither of those options are really reasonable or possible. That is probably why roughly half of sexually active people will acquire the virus, and most of them will never know it.

We have to be realistic. Yes, there is a good chance that as a sexually active person, you may contract HPV. But looking at what the CDC tells us about the virus, that could result in one of several scenarios. At the very worst, you could possibly develop cervical cancer as a consequence of the disease, though doctors cite this as unlikely. Or, you could break out in warts, but these could either be treated medically or disappear on their own. Or, you could have the virus and possibly pass it on to others without knowing it. You have to evaluate whether you are willing to risk these possibilities, ACNSSAS. Most likely, whether you make the decision now or after some serious thought, you will become sexually active, therefore running the risk of acquiring HPV.

If and when you make this decision, my advice would be to make sure you seek medical treatment immediately if you find any abnormal growths. And since you may contract the virus without knowing it, make sure you receive regular pap smears to identify any complications the virus may cause early on. The best way to keep healthy when sexually active is by keeping yourself educated, so if you have any more questions I would recommend visiting Counseling and Health Services.

Disclaimer: Molly Kirwan has aspirations of being a sexpert but no professional training. To submit a comment or question, e-mail it to mkirwan01@gw.hamline.edu or drop it off at the Oracle office (DS106).

Posted by Dax at September 21, 2004 06:24 AM

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