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Human Papillomavirus- HPV

HPV at a Glance

  • A very common infection
  • A few types can lead to cervical and other cancers
  • Treatment available for cell changes in the cervix caused by HPV Spread easily by skin-to-skin contact
  • There are ways to reduce your risk of getting HPV
What is HPV? 

HPV stands for human papillomavirus. There are more than 100 types of HPV. Some types produce warts - plantar warts on the feet and common hand warts. About 40 types of HPV can infect the genital.

Genital HPV infections are very common. HPV is so common that nearly all sexually active men and women get it at some point in their lives. But most people who have HPV don't know it. Most HPV infections have no harmful effect at all. Some types of HPV may cause genital warts. These are called low-risk types of HPV. Some types of HPV may cause cell changes that sometimes lead to cervical cancer and certain other genital and throat cancers. These are called high-risk types. Although most HPV infections go away within 8 to 13 months, some will not. HPV infections that do not go away can "hide" in the body for years and not be detected. That's why it is impossible to know exactly when someone got infected, how long they've been infected, or who passed the infection to them.

If you have HPV, you should not be ashamed or afraid. Most people who have had sex have HPV at some point in their lives. And most infections go away on their own.

Does HPV Cause Cancer?

Yes, high-risk types of genital HPV can cause cancer of the cervix, vagina, vulva, anus, penis, and throat. The type of cancer HPV causes most often is cervical cancer.

Most HPV infections go away by themselves and don't cause cancer. But abnormal cells can develop when high-risk types of HPV don't go away. If these abnormal cells are not detected and treated, they can lead to cancer.

Most of us recover from HPV infections with no health problems at all. It is not fully known why some people develop long-term HPV infection, precancerous abnormal cell changes, or cancer.

But we do know that women who have diseases that make it difficult for them to fight infections are at higher risk of cervical cancer. We also know that cigarette smoking increases the risk of cervical cancer.

How Is HPV Spread?

HPV is spread by skin-to-skin contact — usually during vaginal, anal, or oral sex.

What Are the Symptoms of High-Risk HPV?

There aren't any HPV symptoms for high-risk types of HPV in women or men. Most people feel fine even when they have cell changes caused by HPV.

How Can I Know If I Have High-Risk HPV?

Because HPV is such a common infection that usually goes away on its own, there is often no reason for you to even worry about whether you have it. Most people never know when they have HPV.

If a woman does find out she has HPV, she usually finds out as a result of having an abnormal Pap test result. Pap tests are very important tests for finding abnormal cells on the cervix that are caused by HPV.

There is an HPV test for women, but it is only used in certain situations. Health care providers may recommend the HPV test

  • Women as a follow-up to a Pap test that finds abnormal cells or when Pap tests results are not clear
  • Women over 30 when they have a Pap test.
HPV testing is not recommended for all women because HPV is very common and usually goes away without causing any health problems. For women age 30 or older, a test for HPV can be done at the same time as a Pap test. If both results are normal, a woman has a very low risk of developing cervical cancer.

She will not need a Pap and HPV test for five years.

Some women age 30 or older see this choice as more appealing than having a Pap test every three years.


 

FBI INVESTIGATING JOHNSON & JOHNSON HYSTERECTOMY DEVICE FOUND TO SPREAD UTERINE CANCER

The FBI is investigating a Johnson & Johnson surgical device that was found to spread cancer in women. The FBI is also investigating the fact that J&J knew about the tool’s hazards before pulling it off the market last year.

The device is called a laparoscopic power morcellator, which is meant to remove tumors from the uterus. It is also a device used most in hysterectomies. It breaks up fibroids or benign tumors in the uterus. But they're suspected of spreading cancer cells in some women.

It is unclear what stage the inquiry is in. The Federal Bureau of Investigation’s Newark, NJ  office, which is overseeing the investigation according to the three people interviewed, declined to comment. A Johnson & Johnson spokesman said the New Jersey-based medical company isn’t aware of an investigation into the device.

Over the past several months, FBI agents have interviewed a retired pathologist who alerted J&J about potential problems with morcellators in 2006; a doctor who went public after her own cancer was worsened by the tool in 2013; and a California woman who has collected names of close to 400 patients and families of patients who may have been harmed by the tool, these people said.

Sarah Robinson, a physician assistant in Los Altos, California, said the FBI contacted her about two months ago. Ms. Robinson, who testified at an FDA hearing on the morcellator, has collected a list of women and families of women who believe their cancer was worsened by the device. Ms. Robinson said she sent an FBI agent a list of 386 names, which includes herself, on April 3.

Read the full story: wsj.com 

Pre-Eclampsia


Pre-eclampsia or preeclampsia, also called Toxemia, is a pregnancy complication characterized by high blood pressure and signs of damage to another organ system, often the kidneys. Preeclampsia usually begins after 20 weeks of pregnancy in a woman whose blood pressure has been normal. Even a slight rise in blood pressure may be a sign of preeclampsia. 

Symptoms

  • High blood pressure
  • Swelling
  • Protein in urine
  • Rapid weight gain caused by a significant increase in bodily fluid
  • Abdominal pain
  • Severe headaches
  • Changes in reflexes
  • Reduced urine or no urine output
  • Dizziness
  • Excessive vomiting or nausea
  • Vision changes

How does preeclampsia affect my baby?

Preeclampsia can prevent the placenta from getting enough blood. If the placenta doesn't get enough blood, the baby gets less oxygen and food. This can result in low birth weight. Most women still cant deliver a healthy baby if preeclampsia is detected early and treated with regular prenatal care. 

Treatment 

Treatment depends on how close you are to your due date. If you are close to your due date and you baby is developed enough, your healthcare provider will probably want to deliver your baby as soon as possible. 

If you have mild preeclampsia and you baby has not reached full development, your doctor will probably recommend you to do the following:

  • Rest, lying on your left side to take the weight of the baby off your major blood vessels.
  • Increase prenatal checkups
  • Drink at least 8 glasses of water a day. 
  • Change your diet to include more protein.





Importance of an OB/GYN


An obstetrician / gynecologist is a physician specialist who provides medical and surgical care to women and has a particular expertise in pregnancy, childbirth and disorders of the reproductive system. This includes preventive care, detection of a sexually transmitted disease, Pap test screening, family planning, etc.

Importance of an OB/GYN

OB/GYNs  are extremely important to all women, pregnant or not. OB/GYNs are also extremely familiar with most conditions and disorders that may arise during pregnancy. Some of them sub-specialize in maternal-fetal medicine, reproductive endocrinology, infertility, urogynecology, pediatric gynecology, or GYN Oncology.

When Choosing your OB/GYN

If have not yet chosen an OB/GYN and believe you are pregnant, you need to make sure  that the one you choose is able to meet all your needs. Factors you might consider include:

  • Your Insurance
  • The OB/GYN's availability
  • Which hospitals the doctors have admitting privileges to
  • The OB/GYN's personality
  • The location of the office itself
  • The nurses and other staff

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Welcome,

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The OBGynReports.com team