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Need HPV CIN information.
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LilaDuncan
medicine forum beginner


Joined: 28 May 2006
Posts: 1

PostPosted: Sun May 28, 2006 11:05 am    Post subject: Need HPV CIN information. Reply with quote

Hi, I have to talk to a consultant soon and need to learn as much as I
can
about HPV and CIN. Please can anyone help me with any information on
the
following questions?

Is it true that HPV can't be removed from the body but more strains can
be added?

If CIN III is diagnosed does this mean the the HPV strain *has* to be
type
16, 18 or 31? If this is so, will any future reoccurence usually tend
toward
producing a condition of CIN III?

Is the inflammation part of the HPV, CIN III condition a symptom or a
cause
of the abnormal cell development? If a cause (or even a symptom) would
the use of topical anti-inflammatories be beneficial? None have been
suggested so far.

Do high oestrogen levels exacerbate HPV induced CIN? If so, why would
it not
be suggested that use of high oestrogen birth control pills be
terminated?
If cryotherapy is one of the few, or perhaps the only excision method
that
allows for regeneration of healthy tissue. why is it not used in
preference
to the LEEP/LEETZ method?

Why, in the UK at least, is the STD status and effects of HPV not
emphasised
more in terms of advised abstinence and/or condom use? My impression is
that
this is played down almost to the point of exclusion from consideration
or discussion.

TIA
Lila Duncan
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madiba
medicine forum Guru Wannabe


Joined: 05 Jul 2005
Posts: 203

PostPosted: Wed May 31, 2006 12:12 am    Post subject: Re: Need HPV CIN information. Reply with quote

LilaDuncan <LilaDuncan@gmail.com> wrote:

Quote:
Hi, I have to talk to a consultant soon and need to learn as much as I
can about HPV and CIN. Please can anyone help me with any information on
the following questions?

Is it true that HPV can't be removed from the body but more strains can
be added?
Short-term, yes. But after definitive treatment (conisation etc) and

prevention of re-infections (condoms) HPV is cleared from the body
within 2 years.

Quote:
If CIN III is diagnosed does this mean the the HPV strain *has* to be
type 16, 18 or 31? If this is so, will any future reoccurence usually tend
toward producing a condition of CIN III?
No / Even if they are not the prime cause at a certain point in time,

later infections with these strains can of course result in dysplasia of
various degrees including CIN III.

Quote:
Is the inflammation part of the HPV, CIN III condition a symptom or a
cause of the abnormal cell development? If a cause (or even a symptom)
would the use of topical anti-inflammatories be beneficial? None have been
suggested so far.
Inflammation is part of the body's response to infection, it may be

aggrevated by accompaning poor vaginal hygiene. Regular rinsing (aka
vaginal douches in the US) and treatment with antimycotic- and/or
antiinflammatory ovulae are a good idea.

Quote:
Do high oestrogen levels exacerbate HPV induced CIN? If so, why would it
not be suggested that use of high oestrogen birth control pills be
terminated? If cryotherapy is one of the few, or perhaps the only excision
method that allows for regeneration of healthy tissue. why is it not used
in preference to the LEEP/LEETZ method?
Cryo kills tissue, the knife or the LEEP method removes it, cryo is just

a bit more elegant and quicker. The advantage of conisation is that the
removed tissue is examined histologically and the edges checked to see
if the dysplasia has been completely removed. One can still have kids
after conisation.

Quote:

Why, in the UK at least, is the STD status and effects of HPV not
emphasised more in terms of advised abstinence and/or condom use? My
impression is that this is played down almost to the point of exclusion
from consideration or discussion.
It would require info campaigns in schools, I'm not a local but I

suppose the Brits are too prude for this stuff..

--
madiba
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MikeyMuchos@gmail.com
medicine forum beginner


Joined: 01 Jun 2006
Posts: 1

PostPosted: Thu Jun 01, 2006 6:25 pm    Post subject: Re: Need HPV CIN information. Reply with quote

madiba wrote:

Quote:
LilaDuncan <LilaDuncan@gmail.com> wrote:

Hi, I have to talk to a consultant soon and need to learn as much as I
can about HPV and CIN. Please can anyone help me with any information on
the following questions?

Is it true that HPV can't be removed from the body but more strains can
be added?
Short-term, yes. But after definitive treatment (conisation etc) and
prevention of re-infections (condoms) HPV is cleared from the body
within 2 years.

If CIN III is diagnosed does this mean the the HPV strain *has* to be
type 16, 18 or 31? If this is so, will any future reoccurence usually tend
toward producing a condition of CIN III?
No / Even if they are not the prime cause at a certain point in time,
later infections with these strains can of course result in dysplasia of
various degrees including CIN III.

Is the inflammation part of the HPV, CIN III condition a symptom or a
cause of the abnormal cell development? If a cause (or even a symptom)
would the use of topical anti-inflammatories be beneficial? None have been
suggested so far.
Inflammation is part of the body's response to infection, it may be
aggrevated by accompaning poor vaginal hygiene. Regular rinsing (aka
vaginal douches in the US) and treatment with antimycotic- and/or
antiinflammatory ovulae are a good idea.

Do high oestrogen levels exacerbate HPV induced CIN? If so, why would it
not be suggested that use of high oestrogen birth control pills be
terminated? If cryotherapy is one of the few, or perhaps the only excision
method that allows for regeneration of healthy tissue. why is it not used
in preference to the LEEP/LEETZ method?
Cryo kills tissue, the knife or the LEEP method removes it, cryo is just
a bit more elegant and quicker. The advantage of conisation is that the
removed tissue is examined histologically and the edges checked to see
if the dysplasia has been completely removed. One can still have kids
after conisation.


Why, in the UK at least, is the STD status and effects of HPV not
emphasised more in terms of advised abstinence and/or condom use? My
impression is that this is played down almost to the point of exclusion
from consideration or discussion.
It would require info campaigns in schools, I'm not a local but I
suppose the Brits are too prude for this stuff..

--
madiba

Thank you very much for the helpful information. I appreciate it.
Lila Duncanj
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