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Ebola Virus What if a woman has precancerous changes dysplasia of the cervix? Women who have evidence of moderate or severe precancerous changes in the uterine cervix require treatment to ensure that these cells do not progress to cancer. In this case, treatment usually involves surgical removal or destruction of the involved tissue. Conization is a procedure that removes the precancerous area of the cervix using a knife, a laser, or by a procedure known as LEEP loop electrosurgical excision procedure , which uses an electric current passing through a thin wire that acts as a knife. Cryotherapy freezing or laser therapy may also be used to destroy tissue areas that contain potentially precancerous changes. Will birth control protect against genital warts or HPV infection? Abstinence from sexual activity can prevent the spread of HPVs that are transmitted via sexual contact. A person who abstains from sex may still become infected with other HPV types, such as those that cause common skin warts. Some researchers have postulated that HPV infection might be transmitted from the mother to her infant at the time of delivery because some studies have identified genital HPV infection in populations of young children and cloistered nuns. Hand-genital and oral-genital transmission of HPV has also been documented and is another means of transmission. HPV usually is transmitted by direct genital contact during sexual activity. The virus is not found in or spread by bodily fluids, and HPV is not found in blood or organs harvested for transplantation. Condom use seems to decrease the risk of transmission of HPV during sexual activity, but it does not completely prevent HPV infection. Spermicides and hormonal birth control methods cannot prevent the spread of HPV infection. Take the Quiz on STDs What to do if you have been exposed to someone with genital warts Both people with HPV infection and their partners need to be counseled about the risk of spreading HPV and the appearance of the lesions. They should understand that the absence of lesions does not exclude the possibility of transmission and that condoms are not completely effective in preventing the spread of the infection. It is important to note that it is not known whether treatment decreases infectivity. Finally, female partners of men with genital warts should be reminded of the importance of regular Pap smears to screen for cervical cancer and precancerous changes in the cervix, as precancerous changes can be treated and reduce a woman's risk of developing cervical cancer. Similarly, men should be informed of the potential risk of anal cancers, although it is not yet been determined how to optimally screen for or manage early anal cancer. Is there a test to diagnose genital warts? HPV sometimes can be suspected by changes that appear on a Pap smear , since pap smears identify infected abnormal cells that may be precursors to cancer. HPV infection can lead to precancerous changes in the cervix that are recognized on a Pap smear. If a woman has an abnormal Pap smear, more advanced tests may be performed. HPV also can be seen on biopsy for example, from a genital wart or from the uterine cervix. In , the U. These tests do not replace standard Pap testing or clinical examination, and they are used in combination with traditional screening methods to help estimate a woman's risk and aid in management decisions.
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