Genital HPV is a very common sexually transmitted infection, which usually causes no symptoms and goes away by itself, but can sometimes cause serious illness. HPV is responsible for almost all cases of genital warts and cervical cancer, anal cancers, vaginal cancers, vulva cancers, penile cancers, oropharyngeal cancers (cancers of the back of the throat, including the base of the tongue and tonsils). One out of five people has at least one type of HPV at some time in their lives. It is sometimes called the ‘common cold’ of sexual activity. HPV infects both men and women. The virus is spread through intimate contacts with genital-skin during sexual activity, via tiny breaks in the skin. Usually, this happens without anyone ever knowing it or it causing any problems.

HPV and cancer

There are many different HPV types, which are considered either ‘low-risk’ or ‘high-risk’.  Some high-risk HPV types can cause serious illness, including cancer. Sometimes HPV does not clear the body naturally – usually when the infection is with high-risk types­. We call this ‘persistent’ HPV infection.  Persistent HPV infection can cause abnormal cells to develop on the cervix, which may develop into cervical cancer, usually over many years, if they remain untreated. Although cervical cancer is the most common type of cancer caused by HPV, persistent infection is also known to cause other cancers affecting men and women, including penile, anal, vulval, vaginal and mouth/throat.

HPV and genital warts

Having genital warts does not mean you are at risk of cancer.  Genital warts are caused by low-risk types of HPV, which do not cause cancer. Genital warts are a very common sexually transmitted infection in Australia, especially in young people. Warts are small growths on the skin caused by a viral infection in the skin’s top layer. They can happen anywhere on the body but usually appear on the hands, genitals, and feet. Warts are usually harmless and painless, but they can be quite embarrassing.

Causes

The following leading questions can be of help in exploring the causes of warts in children:

Has the child contracted an infection from the mother; either from finger warts or genital HPV infection?

Has the child contracted an infection from the male caregiver through sexual transmission or horizontal transmission?

Could the child have picked up the virus from the male caregiver or the mother via fomites?

The human papillomavirus causes warts. It is easier to catch a virus that causes warts when you have a cut or scrape on your skin. This explains why so many children get warts.

Certain types of human papilloma virus cause genital warts. The types of HPV that cause genital warts are usually spread by direct skin-to-skin contact during vaginal, anal or possibly oral sex with someone who has this infection. In adult females, warts may appear around the vulva (entire outer female genital area), in or around the vagina, in or around the anus, the groin (where the genital area meets the inner thigh), or the cervix (although this is less common than external warts). In adult males, warts may appear on the penis, scrotum (balls), in or around the anus or the groin area.

Prevention

Condoms offer some, but not total, protection from HPV as they don’t cover all of the genital skin. They do offer protection from many other sexually transmitted infections though and help to prevent unwanted pregnancy. You can be exposed to HPV the first time sexual activity occurs, from only one sexual partner.

Treatment

In children, warts often go away without treatment. The doctor may put special medications on warts or remove them with treatments.

Common, flat, and plantar warts: non-prescription preparations, using salicylic acid, are available over the counter.

Genital warts: The doctor will either apply podophyllin weekly or prescribe a podofilox for you to apply. Other applications, such as silver nitrate preparation, may also be used. A vaccine is now available to protect women from contracting the HPV virus responsible for genital warts. The vaccine is between 90 and 100 per cent effective in protecting against HPV, the disease.

Sometimes warts can come back. So, you may need to visit the doctor again. Sexual partners should also be checked for genital warts. In children younger than three years of age, genital warts are thought to be transmitted by nonsexual methods, such as direct manual contact. Nevertheless, the presence of genital warts in children should raise the suspicion for sexual abuse. Up to 20 per cent of people with genital warts will have other sexually transmitted diseases.

  PUNCH.

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