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    DSHS HIV/STD Program

    Post Office Box 149347, MC 1873
    Austin, Texas 78714

    Phone: (512) 533-3000

    DSHS strives to respond to all email requests in a timely manner. It is important to note, however, that messages that you send to us by email may not be secure and may be intercepted by a third party. Therefore, we recommend that you do not send any confidential health information to us by email.

Human Papillomavirus (HPV)

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What is HPV?

Human papillomavirus (HPV) infection is the most common sexually transmitted disease (STD) in the U.S. Most sexually active people will have HPV at some point in their lives. There are many different types of HPV.

HPV does not cause health problems for most people. However, certain types of HPV can cause cervical, anal, vaginal, vulvar and throat cancers in women. HPV can also cause throat, anal and penile cancers in men.

Other types of HPV can cause genital warts – growths around the vagina, penis or anus.

How do people get HPV?

HPV is easily spread by skin-to-skin contact during sexual activity with another person. Because a person can have HPV for a long time without knowing it, there is often no way to know who gave it to you or when you got it.

Sexually active younger women and teen girls are at greater risk for HPV infection because their cervical cells are not fully mature.

What are the symptoms of HPV?

Most people with HPV have no symptoms. The most commonly noticed symptom of HPV infection is genital warts.

Can HPV be treated?faces

There is no cure for HPV. However, the body’s immune system clears most HPV infections within a year.

Treatment is available for cervical cancer and the abnormal cell changes that can lead to cancer. Treatment is also available for genital warts caused by HPV.

Is there a vaccine against HPV?

Yes, HPV vaccines can protect females and males against some of the most common types of the virus that can lead to genital warts or cancer. As of January 2012, there are two approved HPV vaccines – Cevarix® and Gardasil®. The vaccines consist of three shots that are given over a six-month period. The vaccines are most effective if started at 11 or 12 years of age

Who should get the HPV vaccine?

Girls and women ages 9 to 26 can get Cevarix® or Gardasil®. The U.S. Centers for Disease Control and Prevention (CDC) recommends* that all 11 or 12 year old girls get either brand of vaccine to protect against the types of HPV that cause most cervical cancers. Gardasil® also protects against most genital warts, as well as some cancers of the vulva, vagina and anus. Girls and young women ages 13 through 26 should get the HPV vaccine if they did not get any or all doses when they were younger.

Boys and men ages 9 to 26 can get Gardasil®. The CDC recommends* Gardasil for all 11- or 12-year-old boys and for males ages 13-21 who did not get any or all doses when they were younger. CDC also recommends Gardasil for gay and bisexual men (or any man who has sex with men) and men with compromised immune systems (including men with HIV) through age 26 if they did not get any or all doses when they were younger. All men may receive Gardasil through age 26.

* U.S. Centers for Disease Control and Prevention immunization recommendations. To learn more go to www.cdc.gov/vaccines.

Pap tests can prevent cervical cancer!

Women should have a Pap test every year, or as often as recommended by their health care provider. When a woman gets a Pap test (or “Pap smear”), her health care provider is looking at the cells of her cervix to make sure there are no abnormal cell changes (dysplasia) that could lead to cancer.

If abnormal cell changes are found early, they can be treated before becoming cancerous. Because HPV vaccines do not protect against all types of HPV that cause cervical cancer, vaccinated women should continue getting regular Pap tests.

What do genital warts look like?

Genital warts appear as flesh-colored growths around the vagina, penis or anus. They may appear alone or in groups or clusters. The warts are usually painless, but they can cause itching or burning. Sometimes warts cannot be seen with the naked eye.

Genital warts may appear within several weeks after sexual contact, or they may take months to appear. Some genital warts may grow in size and number and may look like cauliflower.

The types of HPV that cause genital warts are not the types that can lead to cancer.

How are genital warts treated?

You will have to go to a doctor or health care provider to get treatment for genital warts. Possible treatment options include:

  • Cryotherapy (freezing the warts off)
  • Electrodessication (burning the warts off with electric current)
  • Laser therapy (using intense light to destroy the warts)
  • Surgery (cutting off the warts)
  • Treating the warts with chemicals
  • Prescription medication treatments

These treatments are just to remove the warts. They do not cure you of HPV and the warts may grow back.

Never use over-the-counter wart treatments for genital warts. These products can cause severe irritation and harm your skin.

What about HPV and pregnancy?

Most pregnant women with HPV do not have problems. However, active genital warts may cause problems during pregnancy or at birth. In rare cases, HPV can also be passed to a baby during childbirth. A pregnant woman should tell her doctor or health care provider if she or her sex partner(s) have ever had genital warts. Pregnant women should not get the HPV vaccine.

How can HPV be prevented?

  • Ask your health care provider about the HPV vaccine for you and your children. The HPV vaccine can protect people between the ages of 9 and 26 against some of the most common types of HPV that can lead to disease and cancer.

  • If you have sex, use latex condoms every time. Keep in mind that HPV can infect areas not covered by the condom. While condoms do not provide 100% protection, they are the best available form of protection for people who are sexually active.

  • If you have sex, stay with one partner who only has sex with you. Use condoms unless tests show that your partner does not have STDs.

How can I stay healthy?

  • If you are a woman over the age of 18, or if you are under 18 and sexually active, have a Pap test every year, or as often as recommended by your health care provider.

  • If you think you have genital warts or think you have been exposed to HPV, see your doctor or go to your local STD clinic. To find the clinic closest to you in Texas, visit knowmystatus.org or call 2-1-1.

  • If you are diagnosed with genital warts, do not have sex until you have finished your treatment and the doctor tells you it is okay.

  • If you are diagnosed with genital warts, ask your sex partner(s) to be checked for genital warts and other STDs.
 

HPV Resources

Where to get tested for STDs

HPV information [CDC]

HPV vaccine information [CDC]

Texas Cervical Cancer Strategic Plan (PDF)
Following the blueprint of the Texas Cancer Plan and the Action Plan on Breast and Cervical Cancers, the Cervical Cancer Strategic Plan provides a framework for guiding statewide activities and unifying efforts to reduce the impact of cervical cancer in Texas.

2010 STD Treatment Guidelines [CDC]
Includes treatment recommendations for HPV.

STD Facts and Fallacies
Facts and Fallacies is a two day course for health professionals who interact with client populations at risk for HIV, STDs and Hepatitis.

HPV Slide Presentation (PowerPoint : 1,960 kb)
From the HIV/STD Program.

National Cervical Cancer Coalition [NCCC]
To help women, family members and caregivers battle the personal issues related to cervical cancer and HPV and to advocate for cervical health in all women by promoting prevention through education about early vaccination, Pap testing and HPV testing when recommended.

The HPV Test [Qiagen]
Information about HPV testing and the link to cervical cancer.

HPV Resources
     
4-190
What you should know about HPV
(PDF : 1,005 kb)
(DSHS Brochure 4-190)
4-190a
Lo Que Usted Debe Saber Sobre el VPH
(PDF : 1,100 kb)
(DSHS Brochure 4-190a)
E13-11903
What you should know about HPV
(PDF : 37 kb)
(DSHS Fact Sheet E13-11903)
E13-11903a
Lo que debe saber sobre el VPH
(PDF : 58 kb)
(DSHS Fact Sheet E13-11903a)
HPV Materials
HPV

Last updated June 12, 2013