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Anal Intercourse Can Lead To Anogenital Warts

HPV can last for years without a single symptom.

What are anogenital warts or condylomata acuminata?

These are lumps which you get during unprotected anal intercourse with an infected person. They develop on the skin around the anus and inside the anal canal, on the head of the penis, on the scrotum, on the inner side of thighs, on the vaginal lips, inside the vagina, on the cervix as well as (possibly) in the mouth or throat.

What causes anogenital warts?

The virus causing anogenital warts is called human papilloma virus (HPV). There are over a hundred sub-types of HPV, but the viruses which causeanogenital warts are different than the ones causing warts on other parts of the skin. The appearance of the warts is different as well, particularly their softness and smoothness.

How do you get anogenital warts?

The principal way of spreading this infection is sexual intercourse - anal, vaginal and oral. Anogenital warts can also be passed on by towels, clothing, sex objects of the infected, or by giving birth. However, these latter ways of spreading anogenital warts are rare.

What is the incubation period of an infection?

It can take a few weeks, a year or even longer from infection to the development of anogenital warts. The risk of infection increases with multiple sexual partners, smoking and infection with other sexually transmitted diseases. However, most infections with human papilloma viruses don't cause problems and usually heal without treatment.

Do we have to see a physician?

It's recommended that men and women who practice anal intercourseundergo periodical preventive examinations of the anal canal, as anogenital warts only develop in the anal canal and don't cause problems for a long time.

Women also have to undergo the examination of the vagina and the cervix. It's recommended that homosexual men undergo preventive examinations once every three years, and in case of problems with the anus (itching, bleeding, diarrhoea and similar).

It's recommended that people who have weak or damaged immune system (HIV positive patients and people after the transplantation of an organ), which enables anogenital warts to occur more often and which makes the treatment longer and more difficult, undergo a preventive examination once a year.

Anogenital warts are a sexually transmitted disease, so it's good if both partners undergo an examination, and it's also recommended that they undergo tests for potential infections with syphilis, hepatitis B and C and HIV.

There's no cure for HPV, but there are methods to treat visible anogenital warts. (jlp)

How does the treatment look like?

The treatment aims to remove the symptoms. Larger anogenital warts have to be removed surgically because some rare forms are also malign, which may cause cancer of the cervix, the anal canal, throat, the penis and the vagina.

For milder forms of anogenital warts, Podophyllin has been used or freezing with liquid nitrogen. Because the disease tends to recur, monthly check-ups are necessary. For the most severe forms of anogenital warts, Imiquimod (Aldora) has been used.

Treatment for the sexually transmitted anogenital warts - condylomata acuminata - is long-term and difficult. It's important to reduce to the minimum the possibility of infection and passing it on to the partner. Therefore, prevention(safe anal sex) is of key importance.


How Safe Is Oral Sex ?

If you think that oral sex is a safer form of intercourse compared to other sexual practices, you are greatly mistaken. In some cases, sexually transmitted diseases can spread from the genitals to the mouth and vice versa.

HIV

You are more likely to contract HIV in unprotected vaginal and anal sex than inoral sex. Nevertheless, it's good to use protection in oral intercourse, especially if the person is a stranger or somebody who has a very active sex life. It is advisable to use latex condoms, female condoms or an ordinary aluminium foil usually used in the kitchen with which you cover the penis or vagina. If you don't use any protection in oral sex, there is a high risk of HIV infection. The smallest wound in your mouth can be fatal, and a direct ejaculation into the mouth also poses a great risk. The person who performs fellatio or cunnilingus is in greater danger. The person on whom fellatio is performed is less likely to be infected by the person who performs it, unless the latter has deep wounds in the mouth (for instance, after a major dental operation).

Herpes

Although genital herpes and mouth herpes are caused by different types of viruses (genital herpes by HSV1 and mouth herpes by HSV2), they can also combine and then spread further. You can therefore contract herpes by having oral sex. Herpes is transmitted even if symptoms do not appear. There are certain drugs which can reduce the risk of an infection, but they are not 100 per cent effective. If you decide to use a condom during oral sex, the protection is still not 100 per cent safe - the virus can spread from skin to skin.

Gonorrhoea

In the recent years, the international media have often been reporting news about teenagers with infected throats as a result of gonorrhoea. The figure is much higher in performing oral sex on the penis than the vagina. The reason is that in women the area of infection is harder to reach with the tongue. The affected area in women is the cervix which lies dee inside the vagina. Treatment of an infected throat is very difficult. The most appropriate protection against gonorrhoea in oral sex is the use of condom or transparent kitchen foil.

Chlamydia

Chlamydia is easily transmitted in oral sex performed on a man. Both partners are at risk, the person performing fellatio as well as the person receiving it. Infections contracted in performing fellatio on a woman are rare. With chlamydia, chances of an infection are the same as in case of gonorrhoea.

Syphilis

Syphilis is easily transmitted in oral sex. According to empirical statistics (data available for the USA), 15 per cent of syphilis infections are passed on during unprotected oral sex. Although syphilis is transmitted only if the symptoms develop, the primary and secondary signs are very difficult to detect.
Oral sex causes 15 per cent of syphilis infections.

Hepatitis B

There are no reliable data which would show that hepatitis B is contracted through oral sex. On the other hand, hepatitis A is easily transmitted in the so-called anilingus or oral-anal sex. Both types of hepatitis can be prevented with vaccination.
Therefore, oral sex is not as safe as people generally believe. When you have it, it is very important to know your partner well, and it is always a good idea to see your physician to examine you from time to time.

Vaginal Ring,A Type Of Hormonal Contraceptive

You do not like to use a condom? Forget to take birth control pills? Do not want to have children yet?
Vaginal ring, a type of hormonal contraceptive, may be the answer for you.
Hormonal vaginal ring may be placed in the vagina by a woman without medical help. This should be replaced once a month and effectively protects you from pregnancy. Vaginal ring should be removed after 21 days.
As the name suggests, a ring hormone release a small amount of hormones that prevent ovulation and thus stop the monthly release of an egg by the ovaries. After three weeks, she made a break of seven days, so it may be menstruating. After break, she repeated the process again with a new ring.
Inserting and removing the ring is very simple hormonal and vaginal muscles hold the ring very well, taking care that it remain in place.
How does the vaginal ring work?
The vaginal ring contains two types of hormones that prevent conception (like birth control pills), estrogen and progesterone, for example. Vaginal walls absorb the ring and send hormones into the bloodstream. When used properly, hormone ring guarantees a 99% protection, with a low content of hormone.
The vaginal ring is available in many countries, which can be taken with doctor's prescription.That hormonal contraceptive use is generally recommended for women over 35 years.

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