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Overview

HPV: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Human papillomavirus, a sexually transmitted virus cause infection in many people who experience sex at a very early age or have sex with a partner having many partners or have many sex partners and it often gets cleared up without any treatment, without making people fall sick. There are 100 different types of HPV and most of them do not cause serious health issue. In case they persist and cause problems like genital warts, leading to cancer or even precancerous changes, then the symptoms might require treatment. Women may be prescribed to take some tests like Pap test to do a follow up of the affected cells. The analysis tests the presence of there are abnormal changes in the cells due to HPV infection, it could lead to cervical cancer which will need treatment or cervical dysplasia which is a precancerous cell change or another cell defect called cervical entraepitheial neoplasis, both of which get healed on their own. For treatment of these abnormal cells some methods like conisation, laser therapy, loop electrosurgical excision procedure (LEEP) or cryotherapy are used on people. If the infection by HPV type 6 and 11 causes some raised or flat growths on your scrotum or cervix or thigh or groin or on the penis or anus, they are called genital warts and can be treated using Podofilox or Imiquimod cream or Podophylin and trichloroacetic acid, surgical removal.

How is the treatment done?

Only if HPV causes genital warts or cancer in the cervix or anus or penis of individuals, appropriate treatment would be required. To treat genital warts medications like podofilox, podophylin, imiquimod and trichloroacetic acid can be used. Surgical interventions like cryotherapy would involve freezing of the virus infected cells with liquid nitrogen thereby inhibiting their functions by forming a blister around the warts, burning the abnormal cells with electric current, surgical removal of the cells with the help of a scalpel, laser therapy to remove infected cells using intense light rays and LEEP technique is used wherein the abnormal cells are discarded with an electric current. Imiquimod (Zyclara, Aldara) works by boosting up the immune system helping to fight the HPV, podofilox and podophyllin simply destroy the genital wart tissues. In case of cervical cancer also, if the cells are present only on the upper layers and have not migrated into the deeper layers the same surgical treatments can be applied as in case of genital warts. Only if the cancer recurs after other treatments, simple hysterectomy is carried out. Radiation therapy like high dose X-rays is also used to destroy cancer cells, chemotherapy is a common treatment for getting rid of cancer cells. HPV can also cause penile cancer in some men and the treatments include surgery, radiation therapy, chemotherapy and biologic therapy. Surgery can be performed by cutting the tumor from the skin in thin layers using a microscope or by using laser beam to cut the lesions, circumcision that removes the affected foreskin of the penis or even by amputating partial or the whole penis. Radiation therapy uses high-energy X-rays or may be other types of rays to inhibit the growth of cancer cells, chemotherapy uses drugs to kill or stop the cancer cells form growing.

Who is eligible for the treatment? (When is the treatment done?)

Treatment can be given to patients only with visible warts eliminating as many lesions as possible. HIV positive patients or immunosuppressed patients require other treatment methods too for complete eradication. Pregnant women with HPV infection are also eligible for treatment using keratolytics and cryotherapy, even surgical excisions in some.

Who is not eligible for the treatment?

People who do not have visible genital warts are of course not eligible for the respective treatment. If there is presence of mucosal human papillomavirus (HPV) or subclinical anogenital HPV, but there is no co-existence of dysplasia, then treatment cannot be recommended. This is because the latent virus present in the healthy skin beside the lesion may get activated by the treatment causing the condition to recur. Pregnant women cannot be treated with medications like podophyllin, 5-flurouracil and interferon.

Are there any side effects?

There are side-effects of medication and surgery of genital warts. Application of Imiquimod (Aldara) causes redness of the skin along with blisters, body aches, fatigue, rashes and cough. Sinecatechins (Veregan) have side effects on the skin causing reddening, burning, pain and itching. Podophyllin and podofilox can cause mild skin irritation, aches and sores. Also, if too much of the ointment is used or is not let air dried, it could spread to other areas and thereby cause side effects. Laser treatment can cause swelling, itching or pain in the affected area, sores in the treated area, scarring and shedding of tissues, discharge from vagina or penis and even tissues that stick together. Post-surgery you can expect a fever, a severe pain or bleeding continuing for about a week or a foul smell with a yellow discharge thereby giving rise to an infection.

What are the post-treatment guidelines?

Once your warts are treated you need to develop a few good habits to avoid their come back. The foremost step is to maintain proper hygiene, keep the area clean and avoid scratching it. If the area feels swollen or if it hurts then a cold pack may soothe it or over-the-counter medicine can also be taken. You should also wash your hands each time you touch your genital warts and lastly avoid sex if you feel uncomfortable and till they are completely gone. Women must regularly go for Pap tests and should be checked whether vaccine has been taken or not.

How long does it take to recover?

It takes about several weeks to months or even year to completely recover and totally get rid of the warts but they may also relapse which occurs more often. Some people can never get cleared of them in their life. The cancer also takes years to heal completely.

What is the price of the treatment in India?

The normal consultation fees for treatment of genital warts ranges between Rs.200 to Rs.2000. The treatment involves certain tests like PAP Test and HPV Test wherein PAP Test is charged somewhere around Rs. 200 to Rs. 1,500 and the HPV Test cost around Rs.2,000. 12.5 mg of Imiquimod cream cost around Rs. 268. Cost of Cervical cancer treatment ranges between about Rs. 3 lakh to Rs. 5 lakh.

Are the results of the treatment permanent?

The results for genital warts treatment are usually not permanent and have more than 50% chance of getting relapsed. Cervical and penile cancer treatments are generally permanent. But, as the virus cannot be eradicated easily, the condition can prevail.

What are the alternatives to the treatment?

If the symptoms of your HPV or the genital warts are not very prominent and do not cause you much discomfort it is not necessary to get a treatment done. You can maintain simple hygiene, abstain from sexual contact, always use barrier protection like condoms while sex, wash hands every time you touch the warts and avoid rubbing the affected area.

Safety: Medium Effectiveness: Medium Timeliness: Medium Relative Risk: Medium Side Effects: Medium Time For Recovery: Medium Price Range:

Rs. 300 to Rs.10,000

Popular Health Tips

HPV During Pregnancy - How Does It Affect You?

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Allahabad
HPV During Pregnancy - How Does It Affect You?

Human Papillomavirus is a disease caused by the sexually transmitted virus leading to cervical cancer and genital warts. It is estimated that as many as ten million people fall prey to this disease every year. While there are more than 100 varieties of HPV, there are close to 30 viruses that spread through sexual transmission. There are many Human Papillomaviruses that can affect the ability of a woman’s ability to get pregnant. There are viruses that can affect pregnancy as well. It is, therefore, important to understand the impact of Human Papillomavirus during pregnancy.

How does HPV affect a person during pregnancy?
It is not very difficult to get pregnant with Human Papillomavirus. However, there is an increased risk of the disease getting passed to the partner. A doctor should be consulted before conceiving. If a person is already suffering from HPV, she has a rising estrogen level that could make genital warts become larger bleed or even multiply very quickly. Since there is a greater tendency of infection and bleeding, doctors often recommend not to remove warts during pregnancy. If a person is suffering from HPV without any symptoms, the chances of pregnancy getting compromised are less likely.

How could HPV affect the baby?

For the most part, HPV doesn’t affect the baby, or the infection gets passed on. If a mother has active genital warts, there are possibilities of transmitting the infection to the baby. In this case, the baby might end up getting a wart on the throat leading to problems in breathing. Genital warts can also lead to blockage of the birth canal. In case of a mother suffering from active genital warts, most doctors prescribe cesarean delivery to safeguard baby’s health. There is no such treatment that can make warts go away. All a medical professional is left with is to monitor the outbreak of warts in the mother and the baby.

How does a pregnant lady know that she is suffering from HPV?
Genital warts are the most common symptoms of this condition. Warts might cause pain along with itchiness. In appearance, warts might occur as flat lesions, small bumps, and finger-like projections. It might appear on the cervix, vulva, vagina or surrounding areas of the anus. There are cases where there could be no symptoms at all. However, if warts are felt on any parts of the body, it is wise to consult a medical professional for further help. A doctor performs a pap smear to collect the cells of the cervix and decide whether a person is suffering from HPV. Treatments related to this condition revolve around the removal strategies of warts.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2585 people found this helpful

HPV - How It Affects You? + How It Can Be Treated?

DGO , MBBS
Gynaecologist, Pune
HPV - How It Affects You? + How It Can Be Treated?

The Human Papillomavirus or HPV is a large group of about 170 related viruses, each of which is given a number also called its type. This dangerous virus serves as one of the most commonly occurring cancer. The pre-cancerous lesions increase the risk of cancer of the cervix, vulva, vagina, penis, anus, mouth or throat. Out of the 170 viruses, about 40 of them are transmitted through sexual contact and are responsible for developing pre-cancerous conditions.

What are the symptoms and how do you detect them?
HPV infection is transmitted through sexual contact. Usually, when you have vaginal, anal and oral sex with someone carrying the HPV virus, you are bound to be affected by it. Genital areas provide the virus with a much suitable environment for them to survive. As it is a sexually transmitted infection, people with more active sex life (with multiple partners) are at a risk of being infected with this virus.

Depending upon the type of infected virus, symptoms vary from person to person and some don't seem to experience any symptoms. General warts and genital warts are the most commonly seen symptoms. If one experiences genital warts, they surely have HPV. Not all genital warts look the same. Some just look like raised or flat pink, flesh like, whereas some seem to have a cauliflower like an outgrowth. There may be one wart to several numbers of them. Some are bigger, and some are insignificantly small.

These symptoms may take up weeks to appear after you have sexual contact with any infected one. If these symptoms start appearing it might happen that the cells of those areas have already begun developing pre-cancerous stages.

How to avoid such infections and what to do if I start observing such symptoms?
There is not much to do, to eradicate any case of HPV infection. As it strikes the most sexually active ones, keep a healthy check on your sex-life. Make sure the ones whom you have intercourse with are not infected already. But as this is not possible every time, maintain a proper intimate hygiene. Keep your private areas clean, and besides that, you may opt for a periodic check-up of your intimate areas to make sure you don't get infected.

But if you have already started observing such symptoms, better not be late to pay a visit to your doctor as soon as possible. If caught at an early stage such infections are easily curable as it is one of the most commons ones. Although there is no HPV test for men in the healthcare sectors, for women HPV tests are available which are not to be confused with Pap smear tests. Your doctor may carry out a lab test to detect the virus.

What are the treatments?

Most of the HPV infections get destroyed over time, but if that is not the case, your doctor may use methods like cryotherapy, conization, laser therapy and loop electrosurgical excision procedure, which are to cure you easily.

In case you have a concern or query you can always consult an expert & get answers to your questions!

5645 people found this helpful

HPV Vaccine - What You Must Know About It?

MBBS, DGO, MRCOG
Gynaecologist, Mumbai
HPV Vaccine - What You Must Know About It?

Human Papillomavirus (HPV) is one the most common sexually transmitted virus and an HPV vaccination protect you against this virus. It is estimated that HP infects at least 50% of the population during their sexually active phase. Although the virus is not a deadly type of a virus asit goes away on its own, in some cases, it can lead to anal, throat cancers and genital warts as well.

The common vaccine
Gardasil is the common form of HPV vaccine that is routinely given for such conditions. It is given to people who’re between the age group of 9 and 26. HPV vaccine is not fool-proof as these don’t work effectively against all types of HPV. But, these vaccines are effective against the high-risk strains that account for nearly 75% of all cervical cancers. The vaccine is also effective against the cancer of the vagina and vulva.

The correct dose
The vaccine has a virus-like strain but it is not the actual virus. The patient is given three doses over a period of six months, and there are no side effects associated with it, apart from giddiness and instances of fainting spells (in some cases). However, these are only passing phases and should disappear in some time.

Small facts
It’s always advisable that you consult a well-trusted doctor before going for one of such vaccines. Thanks to marketing gimmicks, many people can be misguided into this, so it’s always better to know if you’re the right person for this or not. Check your report with a doctor, and then decide. Recently, Gardasil 9 was approved by the medical associations and this strain of vaccine is far more effective than its counterparts.


Know the age factor
Ideally, the vaccine should be endorsed for the population at the ages 11 to 12. It is advisable to give the vaccine at a young age, before the sexual activity of a person starts or the start of the puberty.

Gender talk
Gardasil vaccine can be given to women till they reach the age of 25 or 26 and in case they are not exposed to the vaccine at an early stage. Gardasil vaccination is also effective for men in the age group of 9 to 25 and it helps in the prevention of genital warts which is the most common STI among men.

Prevent cancer?
Gardasil has also been used in the prevention of cancer. It should be noted that the vaccinations are not an exact cure for HPV but it minimizes the chances. It also doesn’t mean that women can skip the Pap smear tests once they are vaccinated that are used to rule out the chances of cervical cancer.

Above all the vaccination should not be taken without consulting your gynaecologist. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

3851 people found this helpful

Reduce the Risk of Cancer - Get Tips!

MBBS, MD - Oncology, DNB - Super Speciality, Immuno Oncology
Oncologist, Delhi
Reduce the Risk of Cancer - Get Tips!

We live in an age where every single individual, more or less, is exposed to the risk of cancer. It is probably an unfavorable lifestyle we lead that deprives us of good health. This might alarm many but considerable changes in lifestyle can help you realize cancer as a preventable disease. Cancer does not only make you undergo severe suffering but it also affects your friends and family. The pallor of misery spreads wider than you think.

  • Abstain from tobacco: Consuming raw tobacco or smoking tobacco can be equally detrimental to your health. Tobacco increases your chances of contracting the disease. As is known, passive smoking can also affect your health adversely. Tobacco can be the potential cause behind cancer of the mouth, throat, larynx, lungs, oral cavity and even the pancreas. It might harm your kidneys and cervix. It is upon you to quit tobacco at the earliest possible. One should also try and persuade friends and relatives to give up smoking.
  • Drink alcohol in moderation: Complete abstinence from alcohol might not be possible if you have already been ushered into your work- life. The society might require you to be an occasional drinker. It is important to drink in moderation. Crossing the limit can propel consequences as serious as cancer of the stomach, pancreas, liver and the heart.
  • A balanced and nutritious diet: Deciding on a plant- based diet or a Mediterranean diet can aid your fight against the risk of cancer. A Mediterranean diet will involve green leafy vegetables, lots of fresh fruits, whole grains, mixed nuts, legumes and also the use of extra- virgin olive oil. Fish can be a safe bet but red meat should be avoided. One must also try to avoid processed meat as they tend to make you prone to the risk of cancer.
  • Immunization: Hepatitis B and HPV or Human papilloma virus vaccines are extremely necessary to protect you against the sexually transmitted types of cancer.
  • Sun protection: Caring for your skin doesn't arise from vanity. Skin cancer is one of the most prevalent kinds of cancer; the chances of this disease can be restricted by remaining in shade especially during midday, by wearing covered clothes and by using a good sunscreen lotion repeatedly while outside.
  • Exercise diligently: Did you think it was okay to have weaker muscles and bulging layers of fat? If yes, you probably have grown numb to the inadequacies you face in result. Unchecked fat can lead to obesity which further complicates health conditions. Metabolic activity differs from person to person. Regular exercising can help regulate metabolism according to the needs of your body. Physical exercise protects you against the risk of breast and colon cancer. Moderate or vigorous physical activity for 150 to 75 minutes a week respectively can reduce the risk of cancer. If you wish to discuss about any specific problem, you can consult a oncologist.
4011 people found this helpful

Vaginal Rashes - What Do They Indicate?

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
Vaginal Rashes - What Do They Indicate?

What is a vaginal rash?

Although vaginal rashes can be identified with non infectious conditions, for example, hypersensitive responses and contact dermatitis, many are because of sexually transmitted diseases. The zone around the vagina might be blushed with sores or blisters or it might hold its typical shading yet have bumps. Different side effects, for example, discharge, burning sensation during urination, pain or tingling, may likewise happen.

Not all sexually transmitted diseases cause vaginal rashes; the ones that most regularly do are syphilis, genital herpes and human papillomavirus (HPV). Genital herpes normally causes groups of excruciating red blisters that might be irritated. Syphilis might be connected with a lone, painless, red sore on the vulva that might be followed by a rash on the hands and feet. Genital warts may develop as an after effect of HPV disease.

What is it caused by?

It can happen as a result of rubbing against the skin, like from uncomfortable underwear or rough sanitary napkins. These are not harmful and non-contagious. Also, these are usually minor and get cured with home remedies.

  1. Contact Dermatitis: This can be caused when you come in contact with a substance that can cause irritation or an allergy. This is called contact dermatitis. It can be very itchy, but it is not serious very often.

  2. Pubic lice: These are caused by tiny parasites, such as insects that survive by sucking on blood from humans.

  3. Candidiasis (yeast infections): This can cause rashes in the moist folds of the vaginal skin.

  4. Scabies: It is a skin condition, which can get very itchy and is caused due to little mites digging into your skin.

  5. Psoriasis: These are characterised by little red or wine red coloured bumps with silvery scaly skin on top of that. It is commonly found on the knees, elbow or scalp, but it can occur on any part of the body. If you wish to discuss about any specific problem, you can consult a dermatologist.

4238 people found this helpful

Popular Questions & Answers

Request you to share the knowledge on HPV vaccination, I am 25 years old, and is it advisable to take that vaccination? If so ,three doses or ?Please also share the vaccination cost. Thank you in advance.

MBBS, MS - Obs and Gynae, MRCOG(London), DNB, Fellowship In Uro Gynaecology
Gynaecologist, Mumbai
There are 2 types of HPV vaccines- Cervarix and Gardasil. Cervarix prevents infection from HPV 16 and 18 which cause 70% of cervical cancers whereas Gardasil prevents infection from HPV 16, 18, 6 and 11. HPV 6 and 11 cause 90% of genital warts which are also sexually transmitted. These vaccines should ideally be taken by girls between 9 to 13 years of age, but can be taken up to 26 yrs. Best if taken before the girl becomes sexually active, as she might have already acquired the virus if vaccine is taken after start of sexual activity. Three doses are given at 0, 1 and 6 months intramuscularly. The cost per dose for Gardasil is Rs. 3000 and for Cervarix is Rs. 2190 in India. Pap smears for screening of cervical cancer should be done routinely at 3 years intervals even in women who have been vaccinated.

Hello Doctor, My friend done HPV test and it is positive. Earlier (about 20 days before) she was suffering with a vaginal cyst and doctor did a immediate operation of this. Can you please tell me that if this virus is present in the body that is 100% cervical cancer or it may be any other reasons also to present this virus.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
hi if HPV is positive then you need to monitor 6-12monthly for cervical cancer, if HPV is positive then it doesn't mean that it is 100% risk of cervical cancer. it depends upon strain of HPV and associate risk factors.

HI Sir/mam, due to sexually course with two different partners I have some small white dry appearance like mass in hindi we can say, around-penis from past 2-3 month. Initially were small but now I am feeling there increasing size. There is no itching or swelling. It may be HPV. PLEASE say me the treatment.

MBBS, Diploma in Nutrition and Health Education (DNHE), Diploma in Clinical Cosmetology
General Physician, Noida
Maintain hygiene avoid tight and synthetic undergarments consult skin specialist as you need physical examination.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Cancer Of Cervix (Cervical Cancer)
Hello friends,

I am Dr. Jayanti Kamat, director of Srishti Fertility Care Centre and Women's Clinic I am an IVF Consultant, an obstetrician and gynecologist practicing for the last 20 years.

So today I will be talking about Cancer of the cervix, Cancer cervix is the commonest cancer found in Indian women after breast cancer. Every year according to WHO studies 1, 24,000 cases have been detected and annually there are 64,000 deaths, so cancer cervix is a very deadly disease. So what is this cancer cervix, the cervix is the mouth of the uterus? Now, what are the causes of Cancer cervix there are many causes of Cancer cervix but the commonest cause is a virus called as HPV or Human Papilloma Virus, now this virus is responsible for 70% of cases of Cancer cervix. HPV is a very common virus it is usually contracted during sexual intercourse so what does this HPV virus do, it enters into a normal cell and it changes the mechanism and the machinery inside the cell and once it changes the mechanism in machinery of the cell, the cell start behaving little differently and then these abnormal cells they multiply and once they multiply they form a tumor called as cancer cervix. Now, what are the other causes of Cancer cervix that is an early age of marriage then repeated pregnancies the more the number of pregnancies more is the incidence of Cancer cervix, then sexually transmitted diseases, smoking also increases the incidence of cancer cervix? Now this HPV virus it is not that every woman who is infected with HPV virus will develop cancer cervix it all depends on the dose of the virus which infects the cells and the immunity of the person as well. In some women the HPV infection becomes a self-limiting disease in the sense, it gets cured by itself. And in some women say after the period of 5, 10 or 15 years it can cause dysplasia or changes in the cells which later on formed cancer cervix. Fortunately, friends, cancer cervix is one of the few cancer which can be detected at an early stage very easily and how can we do it, there is the simple test called for Pap Smear and also we do have vaccines as of today or HPV vaccines which helps to prevent this HPV infected cells to get converted into cancer. HPV vaccine, now this HPV vaccine is one of the few vaccines which have been invented for the prevention cancer, so we are lucky to have such a vaccine. So this vaccine it has to be given to all girls between the ages of 9 and 26 days before they become sexually active. So this vaccine will prevent the HPV cells from HPV infected cells from developing into cancer there are three roses of this vaccine which have to be completed within 6 months. Now what is this Pap test is a very simple test it can be done on a small clinic or in a big hospital it can be done anywhere, it is an OPD procedure the patient does not have to go for fasting nor it is painful, nor does it required anaesthesia. So when should this Pap test is ideally done, Pap test should be ideally done after menses preferably between the 5th and 10th day of menses and what should you expect during the Pap test procedure the gynaecologist will examine you and take a few cells from your cervix with the help of a spatula and then send those cell to the pathologist for examination. So by examination these cells the pathologist will know whether the cells are normal or abnormal. So what are the advantages of Pap smear so when the gynaecologist examine you she or he will also find out whether your cervix is normal or whether the cervix has Erosion. So this erosion can also cause white discharge so what is that erosion the cells from inside the cervix they just come out so the treatment for this erosion can be done by cautery or just burning the tissue. The gynaecologist will also see that if you have some cervical polyp that also will be visible during the Pap test procedure. So if the polyp is there the polyp can be removed at the same sitting. Now, what is the Pap test come abnormal, the next step will be colposcopy. What is colposcopy? Colposcopy is when the cervix is visualized with an instrument called as colposcope which magnifies, which gives a very magnify review of the cervix. So what does the doctor see through the colposcope, the doctor will see whether the cells are normal or abnormal, there are different criteria blood vessels, the pattern of blood vessels etc and by observing all these things the doctors will be able to make out whether there is some suspicious area which is indicative of malignancy. So from such a suspicious area the biopsy is taken and the biopsy is again sent to the pathologist, so ensure the biopsy will be the test in which we can find out whether the lady has cancer or not. So now what are the symptoms of cancer cervix, so cancer cervix in its early stage has no symptoms at all and that is why we do Pap smear? Pap smear my dear friends is a screening method and not a diagnostic method, what is the screening method that we try to find out the early stages of the disease even before the patient has symptoms and why do we do that because if this cancer is detected in early stage the treatment is very simple and if it is detected in the later stage, the treatment can get complicated and goes much agony and pain to the patient. Now cancer in the little later stage will give rise to symptoms such as white discharge, blood stained discharge, discomfort, pain during sex, bleeding immediately after sexual intercourse and even with the small gynaec examination also the patient may start bleeding, patient may have swelling of feet, sudden loss of weight or pain during urination so all these can be the symptoms of cancer cervix. So whenever lady has these symptoms she has to go and consult her gynecologist. Now what if the biopsy report comes as positive for malignancy there are various methods in which cancer cervix is treated, one is surgery where we remove the cancerous part. The next is radiotherapy, radiotherapy can be two types of radiotherapy, one is external radiotherapy whereas the radioactive source is kept outside the body of the uterus and there is another method called as the intracavitary radiotherapy whereas the radioactive source is kept inside the body of the lady. Then we have chemotherapy as well or sometimes the patient may require a combination of various therapies. So, friends, it is my earnest request to you please get a Pap test done today itself and Pap smear has to be done once in every 3 years for all women under the age of 40 and after 40 it has to be done every year, the Pap test has to be done every year after the age of 40 combined with the HPV testing as well. So we can reduce the incidence of Cancer cervix by being very vigilant, by following safe practices, by avoiding things like smoking and of course getting a Pap smear and an HPV testing done just as we have eradicated polio from India, I strongly believe that if all of us are vigilant we can surely reduce the incidence of cancer cervix in India today, thank you.

If you have any queries about Cancer Cervix, please contact me on Lybrate.
Play video
Cervical Cancer
Symptoms, causes and treatment for Cervical Cancer

Namashkar. Hello, I m Dr. Shalini Tiwari. I m a gynaecologist practicing at East Delhi Surya Hospital. Aaj main apko cervical cancer ke bare mein kuch batana chahti hoon.

Today in India, there are so many women who are dying due to cervical cancer. It is one of the most common cancers in the world due to which women are affected. Why today I m talking about cervical cancers? Today, sexual relations are on rise. Even young women like 16, 17, 18 year old are going for sexual relationship. I m not saying that sexual relationship is wrong, but why I am talking about cervical cancer is because sexual relationships are one of the highest factors of cervical cancers. So let s understand what actually cervical cancer is. To understand this, we need to know what cervix is. So I d like to tell you that we have a uterus where our baby is grown and then born afterwards.

See, this is the uterus, and this is the cervix. So just as we have our face, as we have our lips, so our uterus has lips which is known as cervix. It is this portion which is affected most. Why? Because during sexual intercourse, due to repeated infections, and anything which is outside and which is externally entering into the vagina, first it will infect or affect this part of the uterus. This is known as cervix. So any infection, any erosion, any bleeding, any white discharge, anything which is affecting the cervix can give rise to cervical cancer. This is a very broad statement, there are definite there are definitely some definite reasons, definite viruses which give rise to this cancer.

Coming on to symptoms of cervical cancer. So many of us have irregular menstrual bleeding, but we tend to ignore it. We should not. Abnormal menstrual bleeding is one of the finest and one of the earliest symptom of cervical cancer. So please don t ignore it and visit your gynaecologist. Now you would like to know what abnormal bleeding is? So abnormal bleeding would be bleeding after intercourse, abnormal bleeding would be bleeding in between menstrual cycles, abnormal bleeding can be excessive bleeding during regular cycles. So any three of them, if it is there, you please visit your doctor, and get yourself checked.

Why so much of a hush-hush over cervical cancer all over the world? Because, number 1, it is common, number 2, it is a preventable cancer. It is a very slow growing cancer. It starts from the cervix, and then gradually gradually gradually it involves all of the uterus. But this gradual is so much that if we diagnose it, it can be actually cured 100%. That s why we really need to be careful. You should be having a regular checkups, all women, specially all sexually active women. You should have regular checkups.

So what are the preventive checkups for cervical cancer?

Pap test. All of us know Pap test. It is being advertised in TV, it is being advertised by WHO off and on. So every sexually active woman should get a Pap test every three years.
Similarly there is a virus called HPV virus, i.e, Human papillomavirus. This virus is a sexually transmitted virus. And if this virus is there, there are high chances that patient will develop cervical cancer. Though once infected with this virus, it doesn t mean that it will be there throughout your life. Because it titles goes down in one year or two years, but then there are two specific types, like 16 type and 18 type of HPV virus, which can really give your body a potentiality to grow into cervical cancer. So you should get your HPV testing also done.
Third is colposcopy. Colposcopy is a screening test, and through colposcopy we see the cells of cervix directly under acetic acid, which really helps us to diagnose if the cells can grow into cancers, or these cells are benign cells. And these three tests are absolutely noninvasive tests, non-painful tests, and just OPD procedure for two to three or five minutes maximum. So you should all of you should get these tests dine regularly. Number three, supposing we do these tests, and we diagnose that element of cancer is there. So if it is in initial stages, like we call it carcinoma, you won t believe, to treat this we don t even need to do hysterectomy. This is just we need to do a cryo, ye ek prakar ki thandi si jo layman ki bhasha mein bolte hain, or use puri tarah ye erosion theek ho jata hain. Uske baad use jo cervical cells hote hain cancer waale, wo bhi mar jaate hain. And the chances of progressing into a frank carcinoma becomes almost negligible.
That s why cervical cancer is everywhere. So we need to be very careful, we need to be very vigilant. Our health is in our hands. So if we are not vigilant about our health, no one else is going to tell us, please go to the doctor. Humein pata hona chahiye ki hamare mein infection ho raha hain, white discharge humein zyaada ho raha hain, bleeding humein zyaada ho rahi hain, so ;et s viosit the doctor.

In the end, agar apko dikhana hain, aap chahte hain ki aap cervical cancer se bachein rahein, please come to me. I sit as Surya Hospital in East Delhi, or you can contact me through Lybrate. Thank you.
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5 Do's + Don'ts for a Healthy Sex Life
1. Wash Your Hands Thoroughly - Before having sex, do remember to wash your hands. Maintaining such a basic sexual hygiene habit is important as you will be running your fingers over the tender parts of your partner. Since your hands would have come into contact with germs of all kinds, having sex with dirty hands can bring about infections of those parts. Just as you would wash your hands before having your food, don't skip this habit when it comes to having sex.

2. Communicate - Communication is vital for a healthy sex life, and you'll both feel extremely satisfied if you're on the same page. Whether you need to have conversations about STDs such as HIV, HPV or on different sexual positions and techniques, talking to one another can help you and your partner to understand each other better in between the sheets.

3. Reciprocate - Reciprocity can make or break your sex life. Sex can be satisfying only when you both you and your partner experience the same amount of pleasure. So if your partner focuses on your pleasure spots, make sure to return the favour by turning your attention to his/her erogenous zones.

4. Don't be Afraid to Ask - Good sex is also about letting your partner know what your desires are. By doing so, your partner would be able to respond better to what you want and you'll find your sex life improving for the better.

5. Don't Criticise - In case of any sexual issue that may arise between you and your partner, it's best to solve it together instead of blaming each other. Whatever suggestions you may have for each other, always put them forward in positive terms. Criticism may make your sex life bitter and can also adversely impact your relationship in the long run, so it's best to avoid it.

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Cervical Cancer
Here are screening and treatments of cervical cancer.

Hi all I am Dr Gunjan Gupta Govil . I am director by Gunjan s Gynae and Neuro clinic. I am senior consultant gynaecologist at Max hospital, Vaishali and Shanti Gopal hospital, Indrapuram. My field of interests are infertility, laparoscopy, IVF and quantroscopy. I Have trained from St George Medical College Lucknow and Mulana Azad Medical College and then I further moved to United Kingdom. I am a member of Royal College of Obesteration and Gynaecologist, London and trained into Laparoscopy from France. My other field of interest which is very close to my heart is about women health and their upliftments, so that is why I plan to speak about cervical cancer screening and treatment.

The one to talk about cervical cancer. Well it is the most common cancer in females of India. It surpasses the battle breast cancer also in this country, whereas worldwide it comes at number three. Believe me one out of seven are diagnosed with disease in this country, so why in our country we are having such a high incident of cervical cancer. Well because we do not have a organised screening system which runs worldwide. It is so sad that a simple test like Pap smear which can diagnose the condition. All the abnormalities of the cervix at much earlier stage than cancer that it is 100% curable is not been done in our country. We can diagnose the abnormalities of the cervix by Pap smear and there is advancement in the technique or liquid based hydrology and further evaluation is done by cytoscope and HPV DNA testing.

A common myth is that pap smear is painful, well they are not. They are a simple procure including LBC and Colposcopy can be done in the outpatient basis in clinic requires 10 to 15 minutes. No bed rest is required and you can resume your day to day activity after that. How is LBC done? This is done by simple brush which we take, we take brushing from the month of the uterus or the cervix and send it to the lab for testing. The test takes 3 to 5 days to come and further evaluation is done by cytoscopy if abnormalities are diagnosed. During cytoscope we can see and diagnose abnormalities of the cervix like ulcers on the mouth of the uterus which are know cervical erosion or pre cancerous lesions of the cervix which we call cervical displacias. In the procedure we take special images by means of a microscope or special equipment called a scroscope put certain filter and colours to it and certain medicines to it. Its gives us the exact mapping of the abnormalities and on the bases of the abnormalities simple procures can help us in treating the condition.

At this stage the treatment is as simple as freezing procure called cyro by means of extraction which we call leap. So here I would like to show you a simple thing. This is how cytroscope report looks in which there is a normal normal cervix and this has no abnormalities in it therefore it is dark brown in colour whereas this is a image of abnormal cervix which does not take up any stain and it is yellow in colour and here we see it white. So these are simple test which help us to diagnose the condition. Here I Gunjan s Gynae and Neuro clinic we are doing this procure as a routine.

If you want to connect with me, you can call, chat or picture call me through Lybrate.com
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Symptoms and Treatments of Cervical cancer
My name is Dr Vandana Singh, I am a gynaecologist practising at the women clinic at sector- 30, Noida and my field of choice are high-risk pregnancy and infertility.Today, I want to talk about cervical cancer which is the most common cancer in India in women.

Cervical cancer is the cancer of the lowermost part of the uterus called cervix. This virus is caused by a virus called the human papillomavirus. This virus comes around in 90-100 days but in that 4 types of human papillomavirus can cause infection and then cause cervical cancer in the future. Some women get infected with this virus in their early reproductive stage and in 5-10 % cases this HPV virus infection catch cord can cause cervical cancer in future. There is a vaccine which is available nowadays for last 10 to 15 years and the awareness for this vaccine is very less in our country. I want to create awareness for this cervical cancer vaccination. This cervical cancer vaccination is for females around 9-14 years, but we can give up to 45 years.

Two types of the vaccine are available in our country, one is Cervarix, one is Gardasil.

Cervarix is all against human papilloma virus and we give this vaccine in three doses, 0, then one month, then 6 months.

The Gardasil is also available against the human papilloma virus and the doses of this vaccine are at 0 doses, then 2 months, then 6 months. Gardasil can be given to male also to prevent the ward infection in males. This vaccine can be given at the age of 9 years, but according to the WHO recommendation we should give it to people at 10 to 14 years and the doses are different according to the age group.

If you want further information about the vaccination and the benefit of the vaccination and who can get this vaccination, you can call me at my number and can definitely book an appointment from the lybrate.com.

Having issues? Consult a doctor for medical advice