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  • At some point,

  • most sexually active people will be infected with human papillomavirus,

  • or 'HPV.'

  • There are over 100 types of HPV,

  • and most of the time the body eliminates infections without symptoms

  • but some strains can pose serious health risks down the line.

  • HPV causes contact infections,

  • which means the virus stays in the cells near the point of infection

  • rather than spreading throughout the whole body.

  • Since HPV is often transmitted through sexual activity,

  • this usually means the cells of the vagina, vulva, penis, anus,

  • mouth and throat.

  • We can test for HPV in cells from these areas,

  • but while testing for the virus is scientifically possible,

  • it isn't common.

  • The main reason is that,

  • while there are treatments for the adverse health effects caused by HPV,

  • there's no treatment for the virus itself.

  • So testing for HPV would yield many, many positives,

  • and although most of them won't be cause for concern,

  • there is still no treatment plan for clearing the body of the virus.

  • But there are other good ways to protect yourself from HPV.

  • We're going to walk through how HPV can cause harm,

  • who's at risk, and how to minimize those risks.

  • The body's immune system is able to eradicate most strains of HPV

  • before they cause any harm

  • and without people even knowing they've been infected.

  • Certain other strains

  • like HPV 6 and 11–

  • cause abnormalities in the cells of the infected tissue,

  • which can develop into genital warts.

  • While these are infectious and require treatment,

  • usually with topical creams,

  • wart-causing strains don't create longer-term damage.

  • But another 13 strains can cause DNA mutations that cause cells to divide

  • at a much faster pace than normal,

  • propelling the development of cancerous growths.

  • The cells of the cervix are especially at risks.

  • Two in particular

  • HPV 16 and 18–

  • are responsible for the majority of cases of cervical cancer,

  • which is now the fourth most common type of cancer in women.

  • It can take up to 20 years for cancer symptoms to appear,

  • but with regular screening,

  • we can discover cellular abnormalities in the cervix

  • before they develop into cancer.

  • Women over 21 can undergo a regular pap smear,

  • where a sample of tissue is gently scraped from the lining of the cervix

  • to test for abnormal cells.

  • A positive test doesn't mean the person has cervical cancer,

  • but rather that there are irregular cells in the cervix

  • that could develop into cancer in the future.

  • Patients are then either monitored with more frequent pap smears,

  • or, for more severe irregularities,

  • undergo a procedure called a colposcopy.

  • This involves a doctor examining the cervix through a microscope,

  • and possibly taking a small biopsy of tissue for closer examination.

  • In some cases, the affected tissue may be removed.

  • HPV infections of the throat may lead to head and neck cancers,

  • but for now there's no equivalent of the pap smear for the throat.

  • Using condoms helps prevent the spread of HPV during sex.

  • And there are three safe, effective vaccines that all target HPV 16 and 18.

  • The vaccine comes in two or three doses a few months apart,

  • and it's only beneficial if you receive them all.

  • Right now the vaccine is part of standard care for girls aged 11 to 18

  • in many countries

  • though it's increasingly becoming available to boys as well.

  • Adult women and men in countries including the United States and the United Kingdom

  • can opt to receive the vaccine,

  • and evidence suggests that vaccination of women and men

  • could reduce the worldwide incidence of cervical cancer by almost 90%.

  • Researchers are also developing an injection

  • for people who are already infected with HPV 16 and 18,

  • which would target the infected cells

  • to stop them from developing into cancerous ones.

  • So while there's still room for improvement in screening,

  • treatment, and access to each,

  • condom use, vaccination, and cervical screening

  • can each reduce the harm caused by HPV.

At some point,

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