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HPV (Genital Wart Strain)

http://www.youtube.com/watch?v=IGVXip1Nwtc

This is a very alarming Video I saw on youtube that scared me about my condition. I was recently diagnosed with HPV through a visual examination of my genital area. Unfortunately I can only be informed about my condition by my doctor at the dermatology clinic I was diagnosed with the virus (who is a physicians assistant and not a certified dermatologist). The information I received from him suggested that most of the patients he treats have on going symptoms and require routine check ups. He also informed me that in his experience patients normally return. I mentioned to him that from my online research I had come across the statistic that 90% of people clear the virus or it will go into remission to a point that it can not be traced. He replied that this statistic was absurdly high. I am very confused and I will admit that what ever the response I receive from this post will only add to the bank of knowledge I have. The response to this post will not reduce my skepticism. I am relatively new to this because I was diagnosed today. I have been researching heavily, and I am actually interested in many things. I will post more questions in different threads. I will outline my questions below.

1. Is there a statistic that outlines the rate of successful remission in infected patients.
2. Is there a test that will inform the infected person what type of HPV he/she has
3. My dermatologist led me to believe that in his experience most people return within months, and return for  treatment at that rate continuously. Is this statistic acceptable or is it not
4. How can I find a specialist that works exclusively with this type of disease so I can receive expert information.
5. Is there any website that can be recommended for information/treatment/lifestyle changes due to genital warts
6. When urinating how should one handle one's genitals to prevent auto inoculation (infecting one's self in different areas)

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Avatar universal
I have been diagnosed with HPV Genital warts known as Condyloma Acuminata, Verruca Vulgaris or Verruca plana.
I know that I got it from the PA C at The VA Medical Center, because I was being treated by him for open eczema sores on my inner thighs and he failed to follow protocol, by not washing his hands and changing his gloves, between touching my open eczema lesions and the computer keyboard, as well as leaving and re-entering the room. He ended up telling me they are genital warts a few months later when I returned and complained, asking what these were and why they appeared. He admitted to having another patient who had these all over himself and that he had seen him a few times, though I have no idea how long before me or if he had just seen him prior to seeing me that visit in question. The VA admitted to firing that PA C after about 1 year of my complaining, and they admitted it was for the same reasons I mentioned, stating they had several complaints from other patients, although that is unnofficial and I can not prove they told me this.
Here is some other information I have located which further verifies that even though medical personnell like to argue that HPV hasn't been reported as being transfered via cross-contamination, there have been cases of just such actually occurring. Here is evidence.

Cases of cross contamination with internet ref. points:

http://books.google.com/books?id=4y9ltnfmtlgC&pg=PA61&lpg=PA61&dq=verruca+acuminata+cross+contamination&source=bl&ots=pHKNl1YXhl&sig=IoL55R7pRSx-01dH1vzsitL_MSc&hl=en&sa=X&ei=9XeWUY3TKurhiALOs4GoDQ&ved=0CDAQ6AEwAQ#v=onepage&q=verruca%20acuminata%20cross%20contamination&f=false  


Surgical Dermatology: Advances In Current Practice
edited by R. K. Roenigk, Henry H. Roenigk

Page 61 and 62
AVOIDING CROSS-CONTAMINATION IN CRYOSURGICAL TREATMENT
Use of strict precautions against transfer of the HIV virus from an infected patient to the physician, other health care workers, as well as to another patient has gained worldwide acceptance. Although cryosurgery has an advantage over scalpel excision, curettage or electrosurgery in that in most instances the equipment does not touch bleeding surfaces, there is still a danger of cross-contamination. If liquid nitrogen spray is used to treat a lesion which has been biopsied or is ulcerated, contaminated blood can spatter or rebound on the tip of the spray unit. This holds true even for intact lesions which have been anesthetized by injection. Frequently a drop of blood oozes out of the puncture site. Cryoprobes obviously can even more easily be contaminated. Contamination can also occur from body fluid when moist mucous membranes are treated. The HIV virus gets the most publicity with blood contaminants, but the Hepatitus B and C viruses are much more likely to cause infection.
Therefore it is important to use noncontaminated cryosurgical devices for each patient. Cryoprobes and spray tips can be sterilized by autoclave or a dry heat sterilizer. This routinely takes several hours. However, all metal cryoprobes and spray tips can be rapidly sterilized in small ovens at high heat. One that may be used is a toaster oven which heats the equipment to 250*C in less than 5 minutes. An oven thermometer is afixed behind the glass door so the temp. can be confirmed. If the equipment is to be used  immediately after sterilization it can be cooled in cold water or by squirt of liquid nitrogen before handling.

http://www.phac-aspc.gc.ca/lab-bio/res/psds-ftss/papillome-eng.php
HUMAN PAPILLOMARVIRUS
PATHOGEN SAFETY DATA SHEET - INFECTIOUS SUBSTANCES
SECTION II - HAZARD IDENTIFICATION
PATHOGENICITY/TOXICITY: HPV viruses infect the basal epithelial cells of cutaneous and mucosal keratinized epithelia. Cutaneous infections affect most commonly the hands and feet, while mucosal infections target the lining of the mouth (small nodules can develop into cancerous cells), throat, respiratory tract, and anogenital epithelium(1). When mucosal infections do not clear spontaneously on their own, they can progress into cervical intraepithelial neoplasm, which can lead to cervical cancer(6). IARC has identified 25 proven or likely high-risk types, including HPV 16, 18, 31, 33, 35, 39, 45, 58, which can lead to head, neck, and mucosal anogenital cancers(5). All cervical cancers and 4% of all cancers are the result of HPV infections(6,7). Low-risk genotypes, such as 6 and 11, can cause benign or low-grade cervical tissue damage and warts (including common, genital, and anogenital) in regions of the cervix, vagina, vulva, anus, penis, or scrotum(8); however, 90% of infection with both high risk and low risk types clear spontaneously within 2 years and most are asymptomatic.
EPIDEMIOLOGY: HPV infections are common worldwide, with higher prevalence in certain population and regions, such as sub-Saharan Africa, south-central and south-east Asia, Latin America, and the Caribbean(8). It is one of the most common sexually transmitted diseases in North America, with prevalence as high as 25 million cases, and 1 - 5.5 million new cases occurring per year in the United States(1,9,10). Infection with genital warts is especially prevalent in the 18 - 3 0 age group(6).
HOST RANGE: Observed in humans only, papillomaviruses are completely species- specific(6).
INFECTIOUS DOSE: Unknown.
MODE OF TRANSMISSION: Infectious cells can be transmitted through direct virus- cell contact, such as skin-skin contact, sexual activity, and prolonged exposure to contaminated clothing as the virus may be carried on fomites.

In several instances, I know that the instrument was not sterilized before it was used on me and I didn't see anyone prepare to sterilize it when it was done being used on me. It was set back on the table where it probably stayed until it's next use. Aside from what I've just shown you, there are very few other places online I was able to find, which verified that this is a viable transmission / cross-contamination point, although it is a bonified medical report and a genuine Pathogen Safety Data Sheet.
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Avatar universal
Have you been clear or has your condition persisted a while now?
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Avatar universal
well some "very small" warts can be confusing, true. When a doctor said "it isnt a wart", I usually went to see another 2 doctors. 90% in the case they would always say "it isnt a wart" though, and when 3 doctors confirmed it isnt a wart, i chose to believe them. It turned out to be true, apparently, as the "suspected" warts from time to time usually go away on its own after several days, so yeah it couldnt be a wart.

There was one case though where one doctor said "i suspect it's a wart but not sure" while 2 others say it isnt. So it can be confusing but in my country it's very easy to visit a clinic/hospital and at the same day get a diagnosis. So i can easily visit 3 doctors in the same day to get a diagnosis although as of now I rarely go as I can differ which one is a wart and which one isnt (although not always).

You will learn by time to differ which one is wart and which one is just normal skin issue. I have had total 6 outbreaks as i have mentioned in this website and a lot of suspected single warts (which appeared to be not wart), so I think that has helped me. As for you, there's no way except to learn from doctors who (would) keep diagnosing you from time to time.
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Avatar universal
Its true i know you were trying to rase my mind and it helped...the girl I'm currently with is a good girl. I am more worried about the lovation of a wart now. I fear I have one on the opening of my penis and the dermatologist seems to think it isn't. This is the physicians assistant,like before, who is providing the diagnosis. I will be monitoring it. The visit for treatment seemed to work for all the warts that were treated but one. He treated it by freezing again. I am healing faster this time it seems. I wanted to know if shaving the area is a good idea to monitor things? I just don't know if doing that will spread the virus to other parts.
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Avatar universal
I didnt recommend you to not wear condom or recommend you to go ahead and play with random women.

While I keep recommending you to STAY AWAY FROM RANDOM SEX AS WELL AS USING CONDOM IN EVERY SEX ENCOUNTER, I do not want you to get all the anxieties over and over again as it actually can kill yourself. You do realize continuing stress itself is very harmful, dont you? It can lead you to dangerous diseases, both mental and physical. You would sleep less than 6 hours a day, you would unable to control your diet properly, you would prob stop going to gym, and so on. Dont you realize all these domino effects do nothing but harm you?

I mentioned the above statistics so people like you would stop worrying too much and move on. Im not saying the above statistics so everyone can "have sex with whoever they want without condom". Nope, i still RECOMMEND everyone to use condom in every sex encounter as well as having sex only with their long run partner (and make sure that long run partner is a good girl as well). But for you who already did a mistake, you shouldnt worry too much and get a test within 3 months and that's it. Worrying would only make it worse.
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Avatar universal
Still I will say EVERYONE should wear one unless you really know the person. Take it from me, the anxiety and fear is not worth not wearing one. I will report what I was told today and if I need ask for some input.
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Avatar universal
You dont have to worry too much about HIV. Well it's proven that you are negative. HIV is not something you really have to worry about when it comes to "random sex". According to studies, the chance for you to get infected is actually less than 1%, and this is ONLY if your partner is already HIV-positive and you DONT use condom.

Let's say you have been with 10 prostitutes in the past. Out of these 10 random women, probably only 1-2 of them who have HIV. We are talking about prostitutes here, how about random women in the bar (who likes to have one night stand)? Probably out of 1000 random women, only 10 of them have HIV. So your chance to get infected even without condom is probably less than 0.01% and with condom it's even 0.001%.

People who get HIV from sexual encounter are usually those who keep having sex for 20 times a month with different ****** all the time and didnt use condom consistently (or never use condom at all)
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Avatar universal
I will be seeing the dermatologist tomorrow to check my status. So far four of the five warts treated seem to have been removed successfully. There is one that looks like it hasn't fully been taken off completely.
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Avatar universal
HIV negative! I will never have sex w/o a condom till I'm married.
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Avatar universal
I've never been in this situation so I never knew the procedure. I just found out that there is one for HIV that test in 20mins and I guess the other results will arrive by weds. The clinic told me that if the don't contact me in two weeks after the exam that I am negative but the HIV blood test result I took there isn't available till the 27 of July. Today I'm going to get a rapid HIV exam. I am very stressed and very nervous.
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Avatar universal
seriously? STD test results arrive in 2-3 weeks? Where do you live? Usually blood test results can be taken within 24-48 hours...as of gonorrhea/chlamydia it can be 1-7 days, but not 3 weeks...seems like the lab is lazy
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Avatar universal
The results should arrive by July 27. This is why I have more paranoia.
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Avatar universal
I think that the person who I got this from is from 6 months ago. I got STD test for everything. I have some discomfort in my abdomen. I am not sure if it is my lymph nodes. I am confused where this pain came from, or if it came from my removal treatment. There is still some bruises that look like they are turning into scabs I believe.
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Avatar universal
i dont think there's any relationship between risk of getting another STD and having wart...unless if you have sex when your wart is present, but other than that there's no relationship..

you can, of course, get 2 STDs at the same time. You said it's been 4 weeks and you get tested? Yeah it's good time to test. You might want to get another test after 3 months for HIV and syphilis but for the rest you dont have to
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Avatar universal
**now...instead of not...I can't even write..):
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Avatar universal
I guess I am freaking out, because if I was able to catch HPV, I am not worried I could easily catch anything else...
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Avatar universal
I have been in a panic for the last two days. I have been worried since my confirmed HPV diagnosis. I went immediately after the diagnosis to get a full STD exam. I have not received any results, but I am not frantically searching for symptoms and any sign of a problem. I did have a physical about a month ago where the doctor mentioned that my vitals were good, and that my immune system was up to par. This information was followed by a concerned examination of my lymph nodes. I remember him saying that they were swollen and that he wanted to check up on me in two months. This was like I said before my diagnosis of HPV, do these two have any correlation other than the fact that my immune system is fighting HPV?
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1306047 tn?1333243591
Paranoia is by far the worst effect of HPV, that and losing a relationship over it.  I've had both.  Carrying HPV stigma into another relationship is lame too.  I've been clear for six months now and the doctors say that means that I've cleared the virus and am no longer contagious.  I'm seeing someone who wants sex, but I keep saying no because I have enough worry where I can't actually keep it up long enough to get that condom on and penetrate without it being rushed and forced... and therefore lame!  I don't want to tell her and technically I don't have to.  If i have no threat of transfer then it's not really her business.  Also, for all practical purposes I should be more scared of her than she of me.  She admitted to having three protected sex episodes with this dude last month and the latest was within three weeks ago.  I have no way of knowing whether she has a strain now and doesn't know it!  It's hard though to shake the brain fear.  I can tell you stories man of nights not slept and all sorts of stuff.  You have your own as well.

Quick thoughts:   You will never become like the google pics.  Those are extreme untreated warts and noone gets like that.  Also, warts will never lead to other symptoms.  Also also, you will def clear the virus and most likely in about a year but it could be less or slightly more.  I'd be very surprised if you were still dealing with this two years from now and that includes the six month period waiting with fingers crossed.  The hardest part of warts for most of us is the act of returning to sex.  It's a stigma and we are under it's thumb, much of it self imposed.  Our only recourse is to put it in perspective, fight the fear and stigma and all that comes along with it.  Sooner or later, as well, enough time will have gone by with no warts that you'll know for sure in your brain that you are not contagious.  Then a lot of this will be gone I'm betting.  
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Avatar universal
I understand what you are saying, and the fact that I am in a very understanding relationship helps. I guess in a way I'm empathetic to the thought process of someone who is single or had to end a relationship because of this issue. This is probably one of the main reasons that people look for an answer that makes them feel it will clear. I feel like from my experience thus far it is purely cosmetic apart from some soreness I feel due to treatment (I believe). The problem is the embarrassment and fear that it may progress to the stage shown on images online. The truth is before I got diagnosed it looked like ,to what I've seen it referred to, a skin tag. It did not look disfiguring at all. I was ,immediately after diagnosis, terrified I would end up like a google image. I know immunological response is a key factor in the resilience of this virus. I admit I am still terrified. I am afraid that from now on relationships and sex will never be as before. I am scared this virus will worsen and lead to other symptoms. The worst enemy is ignorance followed by paranoia. That is why I posted this thread. I want to know and feel like I understand this problem and that I am not the only person with these questions. Thanks to everyone again, the post really do help my moral and knowledge.  
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1306047 tn?1333243591
Getting your warts frozen off doesn't look too cool during the healing process.  No treatment does.  It may look as if it is going to scar but it won't.  The skin down there is pretty resilient.  I have one tiny little mark from one of my treatments but you can't notice it unless pointed out. I'd say the average healing is around a week or so.  I think the treatment is pretty effective.  But the virus is still active so for whatever unknown reason it can decide to rise again so just be ready for that.

I would also like to mention that you don't necessarily refrain from sex now.  I would completely until the treatment heals, but after that, if she's willing you can engage.  As long as you aren't touching skin to skin you should be alright.  Remember that warts are merely a cosmetic issue so there is no actual medical scariness to them.  Consider leaving your underwear on during foreplay longer, perhaps do self masturbation or let her do it to you to get you ready for sex.  Wear that condom and then go for it.  As long as you pay close attention to the contact issue you'll be alright I would say.
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Avatar universal
Btw i apprecite your responses. I am in the second day post treatment. I have slight abdominal soreness and the warts have become, in a sence, highlighted. The have what looks like a purple bruise surrounding a light brown spot that is the wart.

1. Are these normal symptombs for freezing them off
2. What is the average healing time
3. What is the effectiveness of this treatment
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Avatar universal
Yes this is very confusing, and honestly I hope that I was unable to infect her or that she has had it and "cleared" it from her system. We talked about the possibility that she isn't infected and I am. One of the options if that is the case is that I told her she should get the Gardasil vaccine if that is the case. Her mom, who used to work for a pharmaceutical company, advised against the vaccine due to her fear of its side effects. I had myself planned to get the vaccine despite the fact I am infected until I heard this. I will now do research on this matter and report what I find. I have been looking from thread to thread and once again I am finding more and more people who claim that they seem to be having a hard time clearing the symptoms (i.e warts). I talked to my girlfriend and we decided I will not have sex with her until my warts have cleared, and I go into remission. I am afraid though that this might never happen. I have also been running into more and more cases where people report having spread their genital warts to their partner and they show signs of oral warts. I have not seen many articles on this, and I am wondering if this is something that can happen to anyone or if it is actually that rare. I am confused if this is rare because people refrain from oral sex compared to vaginal or anal sex, or if it is actually something that is difficult to transmit to that area.  
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Avatar universal
this is why you can see a lot of people complained that their sexual partner never grew any wart but then they got infected.

For example, I infected my GF but then she never grew any wart. Obviously she would think she's clean, right? Then let's say I break up with her and she has a new BF. That new BF might grow genital wart even though this girl never grew any wart in the past few years. That's a very common case, i have read a lot about them.

HPV is confusing, indeed.
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Avatar universal
magic thing about HPV is that it differs from one person to another. Myself ever had sex with this girl after I was diagnosed with genital warts but she claimed she never grew any wart. I even recommended her to go to doctor for checkup (as it's harder for women to spot their warts) and yeah the doctor said she was clean (and that's 6 months after our last sexual encounter).

I have read somewhere (i forgot where) that even when you got the same HPV strain that cause genital warts, it might not grow on you (despite it grew on your sexual partner).

This is the magic about HPV. Let's say I have HPV strain 6 that cause genital wart. I had sex with this girl and she supposed to get the same HPV strain 6, right? But then, she actually never grew any wart despite she might have that strain 6 already...there are a lot of cases out there and I believe the link I read before was from a trusted source. It's true that on some people they dont grow genital wart EVEN AFTER they got the virus itself from us.
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