—NANH

Genital warts, also called condyloma, are growths caused by certain strains of the human papillomavirus (HPV). They are often, but not always, spread sexually. The incubation time (time from exposure to appearance of growths) may range from a few weeks to many months or years. Some people harbor the virus and transmit it to others without ever developing the growths themselves. Researchers have found that the virus can be found in some people prior to sexual activity. With a long incubation period and the potential presence of the virus without any sexual activity, it's often difficult to determine who infected whom (not to mention when).

Available treatments for genital warts do not completely eliminate the virus from the body. Instead, treatment is aimed at removing uncomfortable growths, reducing the number of viral particles, and, perhaps, stimulating the immune response to help control the infection. Treatment depends on the areas involved. In most cases, chemical, electrocautery (heat), cryotherapy (freezing), or laser treatment is used. Excision (surgical removal of infected tissue) is used only occasionally. Most treatments are done in a health care provider's office, and are tailored to the needs of the patient.

Genital warts are not caused by the same strains of HPV that are linked to cervical cancer. If you do have genital warts, you could transmit the virus to future partner(s), however you would not be transmitting the type of the virus that has potentially serious long-term health effects for women (unless you are also infected with those strains). Although your partner may understandably not be thrilled about the idea of having genital warts, which can be embarrassing and uncomfortable, there are no serious health consequences. To help reduce the risk of transmission, you may want to use condoms and/or dams with your future partner(s). Remember that these methods aren't 100% effective, since the virus can be present on areas of skin that aren't covered.

Fortunately another prevention option exists. A vaccine that protects against four strains of HPV (including two strains that cause warts and two linked to cervical cancer) is now available and recommended for young women between ages 9-26. To learn more about the HPV vaccine read the related questions below. If your partner(s) are within this age range, the vaccine may be helpful in preventing transmission of genital warts.

In terms of long-term health effects of HPV for women, certain HPV strains (unrelated to genital warts) are associated with Cervical Intraepithelial Neoplasia (CIN), also known as cervical dysplasia (abnormal cell growth on your cervix). Unchecked and untreated it can progress, possibly to cancer; or, it can heal on its own. The more severe the dysplasia, the more likely it is to progress to cancer. Mild dysplasia may resolve on its own, without any treatment. (For more information on dysplasia, read What is dysplasia?.) There are effective treatments for CIN and cervical cancer. Women with suspected condyloma should be thoroughly evaluated, which includes viewing the cervix through a special microscope known as a colposcope. All women should also get Pap smears (which check for cervical dysplasia) at least every three years, within three years of the onset of sexual activity or when they turn 21, whichever comes first.

With your future wife, the two of you may decide you are comfortable with a mutual decision not to use condoms. Before forgoing safer sex precautions, you can ask each other; Am I willing to treat warts if I get them? Will transmitting the warts to my partner be a strain on our relationship? While you're at it, why not also consider getting tested together for other sexually transmitted infections (STIs)?

For more information, talk with the health care provider who gives you your test results. If you are a Columbia student you may call x4-2284 or log into Open Communicator to make an appointment. You can also try the American Social Health Association (ASHA) HPV and Cervical Cancer Prevention Resource Center's toll-free hotline at 1.800.2278922 [9:00 AM - 6:00 PM (EST), M - F] for information on diagnosis, treatment, prevention, emotional support, and referrals.

Alice

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