Friday, February 17, 2012

Can HPV Go Away on Its Own - Part 2

In Part One of this article, I talked about the controversial question - Can HPV Go Away on Its Own? The answer you receive may be yes, but this is not actually the case. It is being given in a certain context (which of course is NOT explained) and leads to much confusion.

The context essentially is that it typically takes up to 24 months for the body’s immune system to render the virus dormant. The answer yes is because of a lack of understanding; because of a lack of education when it comes to the medical aspects of the virus, HPV leads to confusion of our educators and confusion for the patients.

Our educators, i.e. our doctors, nurses, nurse practitioners and other medial professionals fail to understand that a simple word like “clear” can create such confusion for patients and lead to the belief that the virus is literally gone because it does not show as positive on an HPV test. Worse yet, women equate a negative Pap test with not having HPV. Why? Because they have never been told otherwise and mainly because the emphasis has been placed on HPV as it relates to cervical dysplasia (cell abnormality) and cervical cancer and not much else.

When those responsible for explaining HPV to us understand for themselves that HPV can become dormant for weeks, months, years and even decades; when they understand that the HPV DNA remains within our cells; when they understand that HPV is responsible for far more than cervical cancer, only then can they accurately and adequately educate us regarding the true answer to this question.

Cervical cancer was the first cancer connected with HPV. Since that time, HPV has been connected with vaginal, vulvar, anal and oropharyngeal cancers as well as penile cancer.

Unlike bacteria, a virus requires access of its DNA into our own cells to replicate. If our immune system keeps these levels dormant or at lower levels than are detectable during testing, this does not mean that the HPV DNA has disassociated with our cells, it is merely undetectable but not that it isn’t there, and under certain circumstances can become active once again. When HPVs own proteins, E6 and E7, allow for the literal shut-down of our body’s tumor suppressor proteins it is then that HPV can “take hold” and lead to the unregulated growth of cells. Typically, when a cell is or becomes abnormal, our proteins instruct those cells, in essence, to self-destruct. But when those proteins have been compromised these now mutated cells do not self-destruct but continue to reproduce mutations and all.

For some women, they may have but a single HPV infection in their lives. Their immune system keeps the virus dormant and they never experience any further issues Again, this does not mean the HPV no longer exists but that your immune system is doing a wonderful job. This is what happens the majority of the time however that knowledge should not give you a false sense of security either. Obviously someone makes up the statistics of the minority and it could just as easily be you.

For other women not only do they experience repeated episodes of HPV lesion development (precancerous, cancerous or both) but can also experience multi-focal (more than one area) disease. It can affect both the cervix and vulva or cervix and anus or in cases such as mine, the cervix, vulva, vagina and anus.

Women can get very excited when they receive their Pap smear results and they are negative. While this can be great news, women need to understand that HPV affects more than the cervix so while the cervical cells may not show evidence of HPV, other cells may such as vagina, vulva or anus. It is important for women to know enough to ask that their doctor examine these other areas when performing a Pap smear. It is also important to know that prior cervical involvement brings with it an increased risk of anal involvement. If necessary, you may need to consult a colorectal surgeon for an anal Pap. Currently Dr. Joel Palefsky, leading infectious disease specialist specializing in HPV is working with the NIH (National Institute of Health) to develop a screening protocol specifically for anal cancer as currently exists for cervical cancer. While this will take years to develop, performing the exam in the interim can still be done. Finding a physician capable of doing one may be another story.

Most women I have spoken to who have HPV to some degree or another have expressed an absence of the virus with a recurrence occurring subsequent to a stressful or number of stressful incidents which have occurred in their lives. For others, (including myself) many women never had any issues with HPV until after they became pregnant, a condition which does tax the immune system. Some women who have had precancerous lesions diagnosed prior to becoming pregnant were found to have the lesions progress in severity during their pregnancy. This particular situation has also happened to me as well.

In closing, let me say that ultimately people will choose to believe what they will regardless of any factual information presented to them. Having lived with HPV, off and on, since my initial diagnosis in 1987 constitutes a significant length of time. This has allowed me to experience, first hand, the developments and achievements in the field of HPV research in addition to the

10 comments:

  1. So at what point can a person, who has not shown symptoms of let's say genital warts, for a year have unprotected oral/vaginal sex? Certainly not every woman will perform oral sex on a man wearing a condom and i don't blame them... also, if I want to have a baby then I most certainly cannot wear a condom. so even two years from now, after my immune system "clears" the symptoms, i cannot have unprotected sex for fear of transmitting the virus?? please clarify!

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  2. No, hpv does not go away on its own, the hpv virus is for life at this point, but good treatment can suppress future outbreaks.

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  3. Infectious Disease and HIV specialists bringing to Orlando innovative care in the treatment of viral infections, including Chronic Viral Hepatitis B, Anal Dysplasia Screening., Herpes and HIV,

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  4. HPV does not have a cure yet. And vaccines only protect to some types of the virus. The only way to prevent is abstinence or extreme care with STD tests.

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  5. I am 23 years old and I was just diagnosed with an abnormal pap smear..results were ascus positive for HPV. Ascus being the lowest level of cell abnormality. The most terrifying part was testing positive for hpv..I haven't always made the smartest decisions with being safe all the time and now I live to regret my decisions. I am struggling so badly emotionally with this I don't know how to ever resume having a normal life again. Its hard to say who I contracted it from because I probably contracted it from someone who didn't even know they had it. The hpv test was concerned high risk and not low risk - no genital warts or lesions. I have never had any physical symptoms at any point in my life which is why I guess my results were related to the high risk type and not low. Although this is devastating news I have taken full responsibility in educating myself. Is it true that I can fight off the infection and test negative in the future and remain that way? Is it true that your body can "rid" the virus from the system without it coming back? There are a lot of questions I have written down for my gyno I am going to do a colposcopy soon and I am extremely nervous. I am young and afraid and I would really appreciate any support than I can get. I am an only child with no siblings or a lot of friends I can use a lot of support from others going through the same as me. Please help me I would greatly appreciate it and I will keep everyone posted with my colposcopy results and any new information pertaining to my diagnosis. Please help in any way :(

    signed,
    anonymous <3

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  6. NO, HPV will not disappear completely without attention, the actual warts computer virus is good for existence at this time, but beneficial cure can easily reduce potential breakouts.

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  7. I am 23 and am getting a LEEP procedure done next week to remove my abnormal cells. How do I prevent them

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