I hope I can bother you to briefly answer a few questions I have about genital
> warts.
> 1) I have read a number of doctors comment that hpv usually clears within one
> to two years. However,I've also read a number of articles indicating that the
> majority of patients who don't treat warts fail to regress over periods of
> time (the time periods are not always well defined, however). Thus, I'm not
> sure whether conventional wisdom is that WARTS usually clear within 1-2 years,
> or if only the hpv strains that don't cause symptoms are cleared by the immune
> system. Do you have any input on that?
>
> 2) Some authorities I've consulted have said that once a person clears an hpv
> strain, they are unlikely to get it again. However, with my limited knowledge
> of how hpv works and is treated, I am confused how that works. At least with
> warts that are removed with ablative therapy, isn't possible, and even likely,
> that the immune system did not clear the virus and thus no seroconversion
> occurred? Indeed, even if certain cells do finally trigger a cell-mediated immune
> response, why would that mean that other uninfected cells can't be invaded
> years later by the same strain?
>
> 3) Finally, I have been unable to locate information regarding whether two
> shots of gardasil might lead to protection as opposed to three. Is there any authority discussing, or do you have any opinions on, whether someone might seroconvert after two doses of the vaccine?
>
> Thank you so very much for taking the time to address my questions.