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I
had
HIV Testing done through
STDWeB. I just wanted to let
you know how much I appreciated Your
service.
Thank you so much...
-Client in Chicago, IL
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From:
Anonymous To:
dr.gian Subject:
I have a Question About H.P.V
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I just found out that I have H.P.V and I was wondering if my son has it and
how he can be tested for it? He's only 5 months old. Also how can my boyfriend
get tested to see if he has it?
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Hi,
I think your concern for your son is unnecessary and, as far as testing men
for HPV, here is the situation. Although some sperm banks utilize a PCR test to
test sperm for HPV, men are typically screened clinically with a visual
inspection to check for lesions (such as warts). There is no specific way to
test directly for HPV in men and there are no commercially available,
FDA-approved tests to detect HPV in men. The current thinking seems to be that
since it is so difficult to test men, coupled with the fact that HPV rarely
causes disease in men, that women should bear the brunt of this situation.
However the great new is that on June 8th, the Food and Drug Administration
approved the first vaccine against HPV which will lower a woman's risk of
developing cervical cancer. The vaccine, Gardasil, prevents infection by four
strains of human papilloma virus and was approved for use in girls and women
ages 9 to 26.
In good health,
Dr. Gian
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From:
anonymous To:
dr.gian Subject:
I cant find the answer...
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HI,
My question is simple. Can a serum blood test distinguish between a HPV virus
and an HSV 2 virus?
I know that for herpes you can have the specific type, but with a regular HSV 2
test it only shows the antibodies. I'm really not sure about the HPV, I know
that it is a virus, so can it be detected when they take blood for the HSV 2?
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Hi,
No, the blood test cannot distinguish between the Herpes and the Human
Papilloma Virus The Herpes test is a blood test whereas the HPV test is a
cerical swab done in women. The is no test available for man for HPV.
The HPV test is available only in women and looks for evidence of infection by
high-risk types of human papillomavirus (HPV). HPV is a group of about 100
related viruses that cause skin warts and genital warts (also called condylomata).
Common in young men and women, most HPV infections are short-lived and
relatively benign. A few types of HPV (such as HPV-16, HPV-18, HPV-31, and
HPV-45), however, are considered high-risk. They do not usually cause visible
warts, but they are persistent and have been linked to cervical, penile, and
other forms of genital cancer.
Be well,
Dr. Gian
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From:
anonymous To:
Dr.Gian Subject:
question
Hello, I just want to make sure you don't list my email address or name when
you list this on the website...just for confidentiality. I am a male and I had
sex with a woman about 4 months ago. We did not use protection. About 2 months
passed and I noticed a very small pump right below the head of my penis(the back
side) which is the side that lays against the testicles. Anyway, the bump is
soft and is barely noticable. It is basically skin color. Basically, looks like
a small zit that would be on my face without the reddness and the hardness.
There is no burning when I urinate but the tip of my penis will sting a little
bit sometimes but not all the time. Very slight itching sometimes. Everything
else is normal. I am just worried about this and I have not been with anyone
else since her. It has been a little over 2 months since the small bump emerged
and it hasn't changed at all and nothing else has developed. I have really done
my homework but none of the descriptions I have read or seen match my symptoms
really. I have concluded it is either herpes 2, Chlamydia, or HPV..or if any. I
would like your opinion on this and maybe you could tell me what I should do.
Thank you so much and all your answers to everybody on the website are very
helpful and educational.
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Hi,
Your description is highly suggestive of a small Genital Wart which is an
infection due to a virus called Human Papilloma Virus (HPV). In man this is not
a serious problem if wasn’t for the fact that man spreads it around. In women
HPV is all another story. We classify the family of HPV’s in two main classes
called:" high risk and low risk". Of what? Of causing chronic inflammation in
women cervices which lead to the appearance of abnormal cells when they get
tested with a PAP smear. For women there is a very useful and accurate test that
can be performed easily. In man we do not have a test unless you want to have a
small biopsy done of the tissue. Anyway you should visit your Doctor and get
tested at least for Herpes and HIV if you are not sure about your partner.
And... if this is what it is, let your future partners know about the situation.
Best wishes.
Dr. Gian
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From:
"Dan"
To:
dr.gian
Subject:
Gonorrhea
I was wondering if you could possibly send me some information on the
sexually transmitted disease; HPV. My ex-girlfriend recently found out that she
has the disease and it is cancerous, but she had surgery a couple of weeks ago
for it. We had sex about a month ago (stupidly, without a condom), and she took
the test before we had sex, but found out her results after. I m going to get
checked, but I was wondering what kind of possibility I have of this disease
spreading to me and/or creating cancer. I haven t shown any signs of symptoms
yet, but I would like to find out anything about this disease as soon as
possible. I was also wondering where I could go locally to get tested. I live in
WI.
Thank you so much for your time and effort.
>Dan
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Hi Dan,
Sorry to hear about your girlfriend. Human Papilloma Virus is the name of a
group of viruses that includes more than 100 different strains or types. More
than 30 of these viruses are sexually transmitted, and they can infect the
genital area of men and women including the skin of the penis, vulva (area
outside the vagina), or anus, and the linings of the vagina, cervix, or rectum.
Most people who become infected with HPV will not have any symptoms and will
clear the infection on their own.
A small group of these viruses are called “high-risk” types, and may cause
abnormal Pap tests. They may also lead to cancer of the cervix, vulva, vagina,
anus, or penis. Others are called “low-risk” types, and they may cause mild Pap
test abnormalities or genital warts. Genital warts are single or multiple
growths or bumps that appear in the genital area, and sometimes are cauliflower
shaped.
Approximately 20 million people are currently infected with HPV. At least 50
percent of sexually active men and women acquire genital HPV infection at some
point in their lives. By age 50, at least 80 percent of women will have acquired
genital HPV infection. About 6.2 million Americans get a new genital HPV
infection each year. Most women are diagnosed with HPV on the basis of abnormal
Pap tests. A Pap test is not a tests for HPV but may make evident the effect of
the chronic presence of HPV and its related chronic inflammation and
precancerous changes in the cells of the cervix. Only in women there is a
specific test available which detects the DNA of the Papilloma virus. This test
is used in women when they show mild Pap test abnormalities, or in women >30
years of age at the time of Pap testing. The HPV DNA testing can distinguish
between the low and the high risk group of viruses and helps in deciding if
further tests or treatment are necessary.
Unfortunately no HPV tests are available for men. You need to rely on visual
inspection which I encourage you to do 3-4 times a year. If warts should appear
several modalities of treatment are available although they have primarily only
a cosmetic value in man. There is no “cure” for HPV infection, although it is
not uncommon to see the infection going away on its own.
Thanks for sharing your concern.
Dr. Gian
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From:
Anonymous To:
Dr.gian Subject:
STD question for
Dr.Gian
Dear Dr. Gian,
I am a 37y old married man, married for last 15 years. About 7 years ago, I had
protected and unprotected sex with a women during the 5-6 months time period and
in the middle of that time itching started around and top of the my penis and
was pain in the middle of my penis when pressing to my penis or taking the
shower (when water falls on, it hurts me). Sometimes I feel pain during the sex.
I have visited different Doctors and they did not find anything wrong in my
blood and my HIV test is negative and they gave me PENICILLIN tablets Several
times for 7 to 10 days (once they gave me Penicillin shot ) and it reduce my
pain almost to 100% but pain is not going away permanently and comes back. My
sex partner told me that she has popsmear or pap smear problem and her body was
producing more cells than she needs and her Doctor advised her not to do
unprotected sex with new partner (but I was too late) and she was OK after
taking some medicine but she did not tells me what medicine. My wife is okay.
Questions for you:-
1. Did I get some type of STD or my pens is hurted/scratched with the dry condom
from the top and it is just injury?
2. If I am effected with STD, why it is not passing to my wife?
3. I made mistake and suffered too much and want to know, how this pain and
itching will go away forever?
What type of this disease is and what medicine you will suggest me?
My English is not good and I hope you will excuse my writing and Grammar
mistakes.
Sincere you,
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Hi,
from your description it seems to me that your concerns are:
1) your other partner has an abnormal PAP test
2) you have a concern about a possible sexually transmitted infection from the
other partner and
3) if you might have infected your wife
The symptoms you described are not specific for a sexually transmitted condition
and I do not understand the several oral and intramuscular treatments with
penicillin that you received.
It is possible that you partner might have an HPV infection given the history of
abnormal PAP test, so be aware of that possibility and do frequent self
examinations of your genitals. It is also a good idea to have your wife undergo
a PAP and Papilloma check.
In good health,
Dr. Gian
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Please remember that the purpose of these conversations with Dr. Gian is that of information and education only, and that STDWeB.com, its staff and Dr. Gian are not engaged through this forum in rendering legal or medical advice or professional services. The information provided is of the general type only and should not be used for diagnosing or treating a health problem or a disease, or relied upon as legal or other professional advice. This information is not a substitute for professional advice or care. If you have or suspect you may have a health or legal problem, you should consult your own health care provider or your attorney
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