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HPV distress
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The STD Forum is intended only for questions and support pertaining to sexually transmitted diseases other than HIV/AIDS, including chlamydia, gonorrhea, syphilis, human papillomavirus, genital warts, trichomonas, other vaginal infections, nongonoccal urethritis (NGU), cervicitis, molluscum contagiosum, chancroid, and pelvic inflammatory disease (PID). All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.

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HPV distress

I am a 37 year old male with no serious past health issues.  About a year ago I dated a women in whom I eventually went on to have a relationship with and I eventually had unprotected sex with.  Even while we were having protected sex she would often bleed while engaged in certain positions and after my symptoms I recalled that at one point she had indicated that she had dsplaysia but was in the process of getting it resolved.  It was just never explained to me properly and again I never researched it until months later.

Roughly about 5 months ago I noticed a stalk maybe about 1/4" on the tip of my penis not only on the glans (glands) about 1/4" to my urethral opening.  At that point I realized that I may have an hpv infection.  At that point I went the sex clinic.  At the clinic the doctor never really say yeah or nay as far as an hpv infection and she never really removed the remainder of the stalk. She prescribed me aldra and sent me on my way more worried than anything else.  Since then I have noticed other lesions.  Apparently I have one of those types of infections where the lesions are nearly invisible.

1.Will the warts themselves be cleared as well or are those to say until you get them removed?  
2.Will procedures like cryo-therapy remove the small legions invisible type lesions over the entire glands?  
3. Are there levels of infection associated to this virus (mild moderate, severe)? and how can you tell if you the have high or low strain of the virus.  
4. Who would be predisposed to get penial cancer, or even for the growths to grow or spread?  Immune suppressant individuals or can this happens in even immune competent individuals?  
5.Generally how long will it take for a typical infection to clear of symptoms, not the virus?  Months, years, decades…never?
6.Since I saw clinical ministrations of 2 different types of warts are these 2 different strains or can the same strain cause various types of warts?  

thanks.












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Your rambling repetitive explanation of your problem suggests that this is creating a lot of anxiety for you.  I will try to answer your questions. In addition however, please search "HPV" and warts" on this site as many of the questions you ask have been answered.  

Why do women get the disproportionate focus?  Because they get most of the serious disease. Only the smallest fraction of persons with HPV get cancer and the fraction of men who get cancer of the penis from HPV is orders of magnitude smaller than the portion of women who get cancer and precancerous lesions.

AS for your warts, if you do not want Aldara or chemicals, the best thing to do is see a dermatologist who can freeze, laser or excise the lesions.  Any of these are one step processes which will end the problem of the visible warts.  

Penile cancer.  Best detection is self inspection.  A persistent (months) abnormality should be seen by a dermatologist for diagnosis and therapy.  Persons are increased risk are those who are immunosuppressed, those who are uncircumcised, and those with multiple partners (and thus multiple, recurrent infections).  That said, only the smallest proportion of persons with any of these so called risk factors will go on to get cancer.

Typical clearance of HPV/wart infections- best data are from women (sorry) but average duration of infection is less than 6-9 months.

The reason we only treat visible warts/infections is because all therapy has side effects and for HPV is, almost by definition destructive.  Thus chasing infections which could be wide spread and self resolving only would set you up for scarring and other misfortune when the infections are typically self limited and asymptomatic.

I've now answered at least some of your questions.  If you want to ask a limited number of specific additional questions after searching our site for additional information, I will be happy to try to address them

Hope this is some help.  EWH

4 Comments
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Avatar_n_tn
hi doc,  (this is the full story, i couldnt initially post more than 2000 words)

i am on the verge of information overload and need some answers to ease my mind if nothing else.  

I am a 37 year old male with no past serious health issues.  Other than smoking and apparently the uportced sex that I had (which now I am finding it really may of not mattered anyway) I dont really engage in any high risk activities including drink alcohol.  I maintain a high diet in fruits and vegtiables and try to take care of my body as much as possible.  In short I am a somewhat healthy male with a compentant immune system.

About a year I met and dated a women in which I eventually went on to have a relationship with and I eventually had unprotected sex with.  Even while we were having proteced sex she would often bleed while engaged in certain positions and after my symptoms I recalled that at one point she had indicated that she had dsplaysia but was in the process of getting it resolved.  Me not questioning it and my own ignorrance about the subject just ignorded it and figured it was just a pleatreau of various "woman problems" that I really didnt want to know or care about knowing.  It was just never explained to me properly and again I never researched it until months later.

So Roughly about 5 months ago I noticed a stalk maybe about 1/4" on the tip of my penis not only on the glans (glands) about 1/4" to my my urthreal opening.  At that point I realized that I may have an hpv infection.  Especially after recalling what I was told and researched it.  After a few days, i decided to use the "tape method" and severed the stalk.  However, part of the stalk as well as the base remained.  Plus after that it was pretty sore, so I didnt fool with it.  At that point I went the sex clincn to see if they could remove the rest and actually confirm that I actually had HPV and that it wasnt some form of penile cancer (HPV related or not, which again I am fining that even though very rare, it still does occurer and kills ppl and that any wart is a pre cancercour growth, wheather beninge or otherwise).  At the clinc the doctor never really say yeah or nay as far as an hpv infection and she never really removed the stalk, I should also mention that by then I stared noticing some other growths again on the my glans (glands) only.  She prescribed me aldra and sent me on my way more worried than anything else.  After reading about aldra, side effects, as well as horror stories about this product, plus the cost and also being told that even after use warts may still come out.  I figured I would wait until the full infection was shown and if nothing else pray for the best that it would clear.  Since then I have noticed and not too far from when I went in to the dr's office, I noticed various changes to my glans (glands).  Apparently I have one of those types of infection where the lesions are nearly invisible.  I only say nearly because upon extreme close examination you can clearly see it.  Otherwise you can not tell that I am infected at all.  However from what I have noticed and read soemthing you had written another individual about the various types of warts is that there seems that I have 2 different types of warts.  The cluster type acumata as well as the preduncted type.  In which I only had 1 stalk and no more have shown up since.  However the other type seems to kind of be all over the glans (glands).  It doesnt appear that there is any on my foreskin or penis shaft and that it is localed just the the tip of my penis.  SO needless to say even though a quick flacid examinatin i appear to be totally fine, once erect i notice all the "bumps/lesions" assciated to the infection on my glans (glands).  
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Avatar_n_tn
What is frustrating me is that everyone is just so non claunt about this infection in males and everything is geared towards women and the problems assocated with them.  I can not get a clear answer and even the dr i ended up seeing was a woman.  I am not saying that I want a male doctor to treat me, but I figure he would know more about it and the male body!!  Doc, I really need to put my mind to rest and cant seem to do it because I cant get any good answers.  

I understand that males pass/clear the virus easier than females and we typically dont have any health issues from it other than visible warts.  Will the warts themsevels be cleared as well or are those to say until you get them removed.  

Since its so widespread on my glans (glands) and so exremley small how in the world can I effectily treat the warts other than cream.  Will procesdure like cryotherapy remove the small legions over the entire glands.

Since I now know that my former parter had cancer bascially, leading me to believe that I have the high strain type that causes cancer, should I be worried and either by chemical, buring or freezing get these lesions resolved?

Are there levels of infection associated to this virus? If there is I am assuming that I have mild to moderate as some of the pictures I have seem look nothing like my condition but rather a total nightmare!  Also since I saw clincal minfistations of 2 different types of warts are these 2 different strains or can the same strain cause vaurous types of warts.

I really dont want to use aldara.  I really havent heard anything good about it and I have also ready that it usually comes back...actually it comes back after ANY treament.  Would you yourself either recommend or even prescribe aldra for a mild condition or symotoms of something lie mine??  Is it helpful or can it cause more harm.  I know you cant see but from what you have read does it even sound like its mild, or is it a runaway to disaster!

Anyway one last thing.  To assit my body at this time, I have been boosting my immune system as well as using vaious topicals.  At first I just applied aloe and that actually seemd to slow or even stop the spread and has remained in that stat since...not growing but not going away either....just there.  I developed a hypersensitity to aloe so I discontuned and started applying a topical mixture i came up with of vairous vitamen and essetial oils and garlic.  Mainly Vitan A, E, C, tee tree oil if for nothing else to ease the free radical celss from permantly destroying my tissue and I am hoping that this may actually aid in my healing.  The later I have just started doing.  Is this all for not? or will it actually have an effect on the rate of healing.

On a side note and this may be irrelevant, but I have also noticed a large amount of mole growth all over my body.  These are the freckle type moles, in which they aren’t raised but more like light brown to dark patches up to an including 2 on the soles of my feet and a couple on the top, 2 on my penis shaft, some on my shoulders and chest.  I noticed most of these mole especially the ones on my penis around the same time. I am not sure if the 2 are related, but figured I would mention it.
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Avatar_n_tn
it was thank you.  I just have never delt with anything like this before and am just utterly terrified.   I'm 5 months in and I am just going to work on my immune system and treat the lesions if they dont go away, change or get bigger.  It doesn't sound like there is much else that I can really do.
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