Questions & Answers About Human Papilloma Virus (HPV) (100 Questions & Answers about)

116 Pages·2010·1.06 MB·English

by  Don S. Dizon

Don S. Dizon, MD, FACP, is a 1991 graduate of the University Other books in the 100 Questions & Answers series
of Rochester School of Medicine and Dentistry. He trained in
Internal Medicine at Yale-New Haven Hospital and in Medical Acne Endometriosis Myelodysplastic Syndromes
Oncology at Memorial Sloan-Kettering Cancer Center, where Adult ADHD Epilepsy Myeloma, 2e
he received a Career Development Award from the American Advanced and Metastatic Erectile Dysfunction, 2e Osteoporosis and Osteopenia, 2e
Breast Cancer Esophageal Cancer, 2e Ovarian Cancer, 2e
Society of Clinical Oncology for work on platinum drug resis-
Aging Skin Fibromyalgia Overactive Bladder and
tance. He later joined the Developmental Therapeutics faculty
Alcoholism Gastric Cancer Urinary Incontinence
and Gynecology Disease Management Team of Memorial Sloan-Kettering Cancer
Allergies Gastroesophageal Reflux Pancreatic Cancer, 2e
Center. In 2003 he left New York City and assumed his current role as the Director Alzheimer’s Disease Disease (GERD): A Lahey Panic Disorder, 2e
of Medical Oncology for the Program in Women’s Oncology of Women & Infants Anorexia Nervosa Clinic Guide Parkinson Disease, 2e
Hospital of Rhode Island. In 2005 he helped establish the state’s first Center for Anxiety Gastrointestinal Stromal Peripheral Artery Disease
Arthritis Tumors (GIST) Plastic Surgery
Sexuality, Intimacy, and Fertility for women with cancer. In 2005 he was elected Fel-
Asthma Head and Brain Injuries Prostate Cancer, 2e
low of the American College of Physicians. He also serves as Medical Director of
Autism Head and Neck Cancer Prostate Disease
the Program’s Integrative Care Program. Nationally, he continues to pursue research Bipolar (Manic-Depressive) Heart Attack and Related Psoriasis, 2e
in the novel treatments of both breast and gynecological cancers and is active in the Disorder Cardiac Problems Schizophrenia, 2e
Gynecologic Oncology Group, serving on Phase I, Developmental Therapeutics, and Bladder Cancer Hepatitis C: A Lahey Clinic Sinusitis and Other Sinus
Bone Marrow and Stem Cell Guide Diseases
Cervix committees. Currently he is the President of the National Consortium of
Transplantation High Blood Pressure Sleep and Sleep Disorders, 2e
Breast Centers.
Brain Tumors, 2e (Hypertension) Spine Disorders
Breast Cancer, 3e Hip Replacement Sports Nutrition and Exercise
Michael L. Krychman, MD, is the Medical Director of Sexual Breast Surgery HIV and AIDS Stroke: A Lahey Clinic Guide
Medicine at Hoag Hospital, and the Executive Director of the Breastfeeding How To Quit Smoking Thyroid Disorders
Southern California Center for Sexual Health and Survivorship Cancer and Fertility Hysterectomy Valvular Heart Disease
Cancer Symptoms and Cancer Infertility von Willebrand Disease
Medicine, both located in Newport Beach, CA. He is presently
Treatment Side Effects, 2e Influenza Vulvar Cancer and Other
Associate Clinical Attending at the University of Southern Cal-
Caring for Family or Friends Kidney Cancer Diseases of the Vulva and
ifornia and University of California Irvine. He is the former Co- with Cancer, 2e (1e Spanish Kidney Dialysis the Vagina
Director of The Sexual Medicine and Rehabilitation Program at version available) Kidney Disease Women Living with Cancer:
Memorial Sloan-Kettering Cancer Center and was an associate clinical attending Celiac Disease and SPRUE: A Kidney Disease and A Practical Guide for
Lahey Clinic Guide Hypertension Survivorship
faculty member at Cornell-Weil Medical School in New York City. Dr. Krychman
Cervical Cancer Leukemia, 2e Women’s Sexual Wellness and
holds licenses from 3 states (CA, PA, NY), and is a board certified OB/GYN. He is a
Childhood Immunizations Life After Cancer: A Survivor’s Vitality
clinical sexologist and AASECT-certified sexual counselor, with a Masters in Public
Chronic Illness Guide Your Child’s ADHD
Health and Human Sexuality. Fluent in French and English, Dr. Krychman obtained Chronic Obstructive Pulmonary Liver Cancer, 2e Your Child’s Asthma
his doctorate in medicine and masters in surgery from McGill University School of Disease (COPD) Liver Transplantation: A Your Child’s Cancer
Medicine in Montreal, where he was named a “Great Distinction Medical Scholar.” Colorectal Cancer, 2e Lahey Clinic Guide Your Child’s Depression and
Communicating with your Lung Cancer, 2e Bipolar Disorder
Dr. Krychman’s clinical interests include sexual pain disorders, loss of libido, chronic
Healthcare Provider Lymphedema Your Child’s Epilepsy
medical illness, as well as breast cancer sexuality. He has a special interest in survivor-
Congestive Heart Failure Lymphoma, 2e Your Child’s Obesity
ship medicine, which focuses on reduction of recurrence, risk reduction, and optimiz- Crohn’s Disease and Ulcerative Macular Degeneration Your Child’s Obsessive
ing general health while maximizing quality of life. He is a well-known speaker who Colitis: A Lahey Clinic Melanoma and Other Skin Compulsive Disorder
is featured locally, nationally, and internationally. Dr. Krychman is on the editorial Guide, 2e Cancers Your Child’s Schizophrenia
Deep Vein Thrombosis and Men’s Health Your Digestive Health: A Lahey
board for the Journal of Sexual Medicine, Current Sexual Medicine Reports, and serves
Pulmonary Embolism Menopause Clinic Guide
as a reviewer on many other sexual medicine journals. Dr. Krychman is a committee
Depression, 2e Mesothelioma, 2e Your High-Risk Pregnancy
member of the International Conference on Sexual Medicine in Paris 2009 and was
Diabetes Migraine, 2e Your Sports Injury
the guest professor for human sexuality in Oxford, England. He has been featured in Eating Disorders Multiple Sclerosis
the New York Times, US News and World Report, The Wall Street Journal, Health Maga-
zine, Marie Claire, Coast, Cosmopolitan, and many others. He has also been on “Better
in Bed” with Dr. Laura Berman on Oprah radio several times and is often featured
in the media.
www.jbpub.com
81620_FMxx_FINAL.QXP 1/15/10 11:14 AM Page i
Questions & Answers
About Human Papilloma
Virus (HPV)
Don S. Dizon, MD, FACP
Program in Women’s Oncology
Women & Infants Hospital of Rhode Island
The Warren Alpert Medical School of Brown University
Providence, RI
Michael L. Krychman, MD
Medical Director of Sexual Medicine, Hoag Memorial Hospital Presbyterian
Executive Director of the Southern California Center for Sexual Health
and Survivorship Medicine
Associate Clinical Professor, University of Southern California
AASECT Certified Sexual Counselor
81620_FMxx_FINAL.QXP 1/15/10 12:00 PM Page ii
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Library of Congress Cataloging-in-Publication Data
Dizon, Don S.
Questions & answers about human papilloma virus (HPV) / Don S. Dizon,
Michael L. Krychman.
p. cm.
Includes index.
ISBN 978-0-7637-8162-0 (alk. paper)
1. Papillomavirus diseases—Miscellanea. 2.
Papillomaviruses—Miscellanea. 3. Generative
organs—Infections—Miscellanea. I. Krychman, Michael L. II. Title. III.
Title: Questions and answers about human papilloma virus (HPV).
RC168.P15D59 2011
616.9’11—dc22
2009052706
6048
Printed in the United States of America
14 13 12 11 10 10 9 8 7 6 5 4 3 2 1
81620_FMxx_FINAL.QXP 1/15/10 11:14 AM Page iii
Dedication
As always, I want to thank my publisher, Chris Davis, and friends
at Jones and Bartlett for the opportunity to collaborate with Michael
on this book.This book is dedicated to my spouse, Henry, and our
children, Isabelle, Harrison, and Sophia, who are my support and
inspiration for the work I do. I also want to dedicate it to the best
parents in the world, Millionita and Modesto Dizon, who gave me
every opportunity in the world to succeed from our little island in
the South Pacific. This is also for my sisters, Michelle, Maerica,
Precy, and Marie; their husbands, Mel, Ben, and Ed; and my niece
and nephew, Stella and Jude. Lastly, I want to dedicate this to the
people on my home island of Guam. Although far away, it will
always be home to me.
—Don S.Dizon,MD,FACP
To my healthcare team, I thank you for your support. For my par-
ents, the Franconis and Krychmans—a special thank you for the
unconditional encouragement during my career. To my co-author
Don Dizon, I am thankful for our friendship and am honored to
have you as an esteemed colleague in oncology and sexual medi-
cine. To my good friend and colleague, Susan, who has always
encouraged me— your friendship has been a source of inspiration.
For Bryanna, I hope all this talk about HPV has not completely
scared you. Thank you to Chris Davis and the Jones and Bartlett
team for their hard work and dedication.
And last but not least, for all the men and women, young and
old, married, single, divorced, heterosexual and homosexual, who
are desperate for education about HPV, its effects, and its treat-
ment.I do hope this book can help ease the suffering and distress.
—Michael L.Krychman,MD
81620_FMxx_FINAL.QXP 1/15/10 11:14 AM Page iv
81620_FMxx_FINAL.QXP 1/15/10 11:14 AM Page v
Contents
Introduction ix
Part 1:The Basics 1
Questions 1–7explain the basics of a virus and how it can affect
the human body:
• What is a virus?
• Do viruses infect humans in the same way?
• How do viruses make humans sick once they enter the body?
Part 2:Basics About HPV 7
Questions 8–15introduce basic facts about the Human Papilloma
Virus, including:
• How is HPV spread?
• What kinds of diseases are caused by HPV?
• How can you test for HPV?
Part 3:HPV and Cervical Disease 19
Questions 16–19discuss the relationships between HPV and other
cervical diseases:
• What is cervical dysplasia?
• Are there different types of dysplasia?
• How is it treated?
Part 4:HPV and Genital Warts 25
Questions 20–26review genital warts, including their diagnosis
and treatment options:
• What are external genital warts (EGW)?
• How are warts treated?
• Are there non-surgical therapies for wart treatment?
81620_FMxx_FINAL.QXP 1/15/10 11:14 AM Page vi
QUESTIONS & ANSWERS ABOUT HUMAN PAPILLOMA VIRUS (HPV)
Part 5:HPV and Cervical Cancer 31
Questions 27–34discuss the relationship between cervical
cancer and HPV:
• What exactly is cervical cancer?
• How big of a problem is cervical cancer?
• How is cervical cancer treated?
Part 6:HPV and Vaginal Cancer 39
Questions 35–41explain the basics of vaginal cancer:
• How common is vaginal cancer?
• How is vaginal cancer diagnosed?
• How is it staged?
Part 7:HPV and Vulvar Cancer 43
Questions 42–49discuss the symptoms and treatment options
available for those diagnosed with vulvar cancer:
• How do women present with vulvar cancer?
• Is there a precancerous lesion of the vulva?
• What is the primary treatment for vulvar cancer?
Part 8:HPV and Penile Cancer 49
Questions 50–56discuss the relationship between penile cancer
in men and HPV:
• What are the symptoms of penile cancer?
• How common is cancer of the penis?
• Can it be prevented?
Part 9:HPV and Anal Cancer 55
Questions 57–60provide an overview of anal cancer as it relates to HPV:
• What are some of the signs or symptoms of anal cancer?
• How is it diagnosed?
• How is it treated?
Part 10:HPV and Head and Neck Cancers 61
Questions 61–66discuss how HPV and different head and neck cancers
are associated:
• What are the signs and symptoms of head and neck cancers?
• How are they staged?
• How are head and neck cancers treated?
vi
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QUESTIONS & ANSWERS ABOUT HUMAN PAPILLOMA VIRUS (HPV)
Part 11:Prevention and Education 69
Questions 67–75present important information regarding the prevention of HPV
and associated cancers:
C
• What should I tell my partner about being HPV positive? o
n
• I would like to prevent HPV-associated cancers. What can I do? t
e
n
• If I am pregnant, will being HPV positive be a factor in the delivery t
s
of my baby?
Part 12:HPV Vaccination:What You Should Know 81
Questions 76–89explain common misconceptions and inquiries
regarding the HPV vaccination:
• What is the cervical cancer vaccine?
• What are the side effects to the vaccine?
• How long are you protected after you’ve had the vaccine?
Glossary 93
Index 97
vii
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