2015年12月2日星期三

Genital warts and HPV

Two types of HPV vaccine are currently available from your doctor. Both vaccines protect against the two HPV strains (16 and 18) associated with cervical cancer, but only Gardasil protects against the two HPV strains (6 and 11) that cause most genital warts.

In Australia, girls in year 7 of secondary school, or those aged 12 to 13 years, are offered free vaccination against HPV. From 2013, the vaccine program was extended to include boys, so both boys and girls in year 7 are offered Gardasil® vaccine through an ongoing school-based program. In 2013 and 2014, boys in year 9 of secondary school, or those aged 14 to 15 years will be offered the Gardasil® vaccine as part of a time-limited catch-up program.


The vaccine provides best protection if it is completed before a person becomes sexually active. The three-dose course of Gardasil vaccine should be completed. Dose two is given two months after dose one and dose three is given four months after dose two.

Where Genital Warts Occur

Genital warts are caused by a virus HPV (human papillomavirus). HPV is caught during sexual contact with someone who is already infected with it. If you develop genital warts, try not to feel too upset remember they are very common and lots of people have them, they are not dangerous and there are many effective ways of treating them.
You may feel angry with the person you think you caught them from. But in fact that person may not know that he or she had HPV for the following two reasons.
Some people carry HPV, but do not have any warts. In fact 15–40% of people under 40 are carriers of HPV, though it is less common in older people. In most people who carry HPV, it goes away in a year or two.
A man may not know that he has a wart, because it can be hidden inside the urethral opening (pee hole). Similarly, a woman can have a wart on the cervix (that is, deep inside the vagina) that she does not know about.
Where genital warts occur
In women, genital warts usually occur around the opening of the vagina (vulva), but they may occur in the folds of skin alongside the vaginal opening, or between the vagina and the anus, and around the anal opening. The figures (Archives of Dermatology1984;120:472) are as follows:
around the opening of the vagina (vulva) – 66%
in the vagina – 37%
between the vagina and anus – 29%
around the anus – 23%
on the cervix (neck of womb) – 8%
at the opening of the urethra (where the urine comes out) – 4%.
In men, genital warts often occur just under the foreskin, but can be anywhere on the penis, on the scrotum, in the groin or around the anus. The figures (Archives of Dermatology 1984;120:472) are as follows:
on the shaft of the penis – 51%
around the anus – 34%
on the glans (head of the penis) – 10%
inside the hole (opening of the urethra) – 10%
under the foreskin – 8%
between the anus and scrotum – 3%

on the scrotum – 1%.

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