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Re: HPV From: Danny Tucker (obgylist@obsdoc.demon.co.uk) Thu Apr 25 14:50:29 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Paul Prior MD: "Re: Induction for macrosomia" Previous message: Terrence.Jones@ncal.kaiperm.org: "HPV" On Thu, 25 Apr 1996, SAVARIS@vortex.ufrgs.br wrote: >Dear collegues, > >I am experiencing some difficults with HPV, the normal procedure here in Brazil >is to find it on pap smear, perfom a colposcopy and use one of the inumerous >treatment avaiable (I particularly like Tricloroacetic Acid 80%). I don't think that there is any point in treating genital HPV in the absence of genital warts. The identification of HPV on a smear is evidence of genital carriage that is likely to extend beyond the cervix. >Some places are using in situ hybridization and other molecular techniques to >identify the HPV type (which I believe is a good thing for preventing you from >being sued), nevertheless, when the patient comes to you and ask, " How did I >get this infection, if my husband and i were virgin when we got married, andwe >both never experienced extra matrimonial intercourse?" >Thats a very common question, and I feel quite distress to answer it. If they ask outright, surely you can't lie to them. It's a bit paternalistic to try & pretend it's not a sexually transmitted infection. I try & reassure them that carriage is extremely common in sexually active young people who are having unprotected intercourse. Tell them of the long latency period, the inability to identify where it came from, that not all of those who carry the virus actually develop genital warts, and that even if you do, it's not the end of the world. Unpleasant and aesthetically displeasing, yes, but it doesn't give them chronic pelvic infections, painful ulcers, infertility....etc. If they've heard that it may cause cervical ca then reassure them that only a small % of the viruses are oncogenic, and that they are lucky because they're seeing you, who is watching out for any early abnormalities with cytology & colp. Regards, Danny. --------------------------------------------------------------------- Dr Danny Tucker --------------------------------------------------------------------- SHO Obstetrics & Gynaecology -- --------------------------------------------------------------------- Nottingham, UK dtucker@obsdoc.demon.co.uk ~ The truth is out there ~ --------------------------------------------------------------------- Next message: Paul Prior MD: "Re: Induction for macrosomia" Previous message: Terrence.Jones@ncal.kaiperm.org: "HPV"

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