How to cure the human papillomavirus

Is it worth taking unnecessary tests, drinking expensive vitamins, what infections and diseases do not need to be treated? The most pressing women’s questions are answered by an obstetrician-gynecologist, candidate of medical sciences, author of the book “An Honest Conversation with a Russian Gynecologist” Dmitry Lubnin.

January 12 2015

How to cure human papillomavirus? Does it really cause cancer?

– There is no drug that kills the virus, so do not swallow expensive pills in vain, do not give injections and droppers. There is a vaccine that creates immunity, which is already included in the vaccination calendar in Europe and the United States. Basically, it is designed only for girls who have not yet begun sex. There is no other protection against the virus. And a condom will not always save you from it. However, not everything is so scary. Have you found a virus? This is not an indicator, let alone a harbinger of cancer. The doctor should pay attention not to the tests, but to the state of the cells of the cervix. How do you know if everything is okay with them? With the help of cytology or more modern analysis – liquid cytology, which allows you to determine not only the presence of the virus, but also its concentration. What is the likelihood that a woman infected with HPV will develop cancer? It is not as great as some doctors imagine to patients. Cervical cancer is a disease of those who do not go to the gynecologist for years. It doesn’t develop in a year or two. This is a long, staged process. Cancer can be unexpected only if the woman has not been to a doctor for, say, five to seven years. If you visit your gynecologist all the time, there will be no “surprises”. Even the precancerous stage can be stopped.

Everywhere they talk about the epidemic of genital herpes. How to protect yourself?

– There are no epidemics now. If patients with chlamydia come to the doctor for five days in a row, he may have a false feeling that this infection has become more active recently. But this is an accident. And if you count all the patients of the doctor, divide by years of practice, it may turn out that the diagnosis of “chlamydia” was the least common to him. It’s just that all five women with this infection came in one week, so an “epidemic” arose. So it is with herpes. There is as much of it as always. There is no way to protect against herpes. Almost all people have antibodies to this virus, that is, most have encountered it. But the virus breaks out only in those who have impaired immunity due to stress or some other factor. Herpes can be called a disease of poor immunity. Although it can be sexually transmitted through genital and oral contact, not everyone is infected with it, and the main protector against this virus is human cellular immunity.

Gynecologists often prescribe very expensive women’s vitamins. Is it really necessary to drink them?

– The effect of using such drugs is if you are a person suffering from a real vitamin deficiency. With a balanced diet, all important vitamins and minerals come from food and no additional supplements are needed. If doctors prescribe vitamins just like that, without a diagnosis of “vitamin deficiency”, then, probably, they do it only in order to prescribe something. You came to the doctor, how to get away from him without a prescription? The only exception is when the patient is planning a pregnancy. Then vitamins are needed.

You go to the doctor with complaints of pain during menstruation, and he says: give birth, and everything will pass. Is it so?

– Painful periods are called dysmenorrhea. It is primary and secondary. The primary one has no reason and is due to the fact that the uterus incorrectly accumulates prostaglandins in its layers – substances that, on the one hand, lead to a contraction of muscle fibers, and on the other, cause pain. In other words, this form of the disease is a kind of immaturity of the uterus, and it really will go away after childbirth. Secondary dysmenorrhea is associated with the presence of other gynecological diseases – endometriosis, fibroids, inflammation of the uterus or appendages. With this form, the rule “Give birth – will pass” does not work, because the cause of the pain is an undiagnosed disease. Primary dysmenorrhea is treated with non-steroidal anti-inflammatory drugs. They will block the accumulation of prostaglandins. You need to take them not when you are already climbing the wall from pain, but two days before the onset of menstruation. Secondary dysmenorrhea can be cured only if the root cause is eliminated.

Many gynecologists rush women to get pregnant. At what age is it no longer possible to give birth?

– The doctor has no right to insist on pregnancy and rush. His task is to give, after the examination, reliable information about the situation and his recommendations. When assessing the possibility of getting pregnant, it is necessary to take into account not only the passport age of the patient, but also the biological one. There are women who have excellent full-fledged ovaries at the age of 30. The doctor sees that menopause is still far away, which means that there is a high probability of safely giving birth at 40. The opposite also happens – at 32 a woman may have only a couple of follicles, that is, there is a great possibility that such a patient’s menstruation will end at 40–42 years simply because genetics ordered it or it is a consequence of previous operations, diseases.

There is no need to be afraid of late birth. Yes, the frequency of genetic pathologies becomes higher, and the condition of the uterus may worsen over the years. There is a new blood test, which at 8-9 weeks with a high degree of probability shows the genotype of the fetus, and if something is wrong, it allows you to terminate the pregnancy early. But, of course, it is not worth postponing the first birth to an age later than 35 for the reasons listed above, and also because late birth is a risk factor for the development of breast cancer and some other diseases.

How to choose the right hormonal contraception? Do I need to take any tests?

– Today, some tablets differ from others only in a different combination of components. The woman’s body will perceive either one combination or another. It’s like with shoes. It happens that the size is yours, but not your last, but there are shoes that fit like a glove. You can only check whether shoes or tablets are right for you by experience. Therefore, you do not need to do any tests, they will not tell you or the doctor which particular drug to choose. Each new contraceptive that appears on the market is not a completely new phone that radically changes the idea of ​​these devices, but just another new combination, like another shade of lipstick. The doctor can help you choose hormonal pills in only one way – to find out if the patient has any contraindications to them. And that’s all. Then it remains to decide what to use – pills, a patch or a vaginal ring. How to understand that contraception has come up? You shouldn’t feel bad, you shouldn’t notice anything. If during the first months of using the drug there are side effects, it must be replaced.

Is it necessary to cauterize cervical erosion?

– In general, erosion, or ectopia – this is how the name of the disease sounds right, it needs treatment only in two cases. The first – if the ectopia is quite large, the woman begins to have too abundant discharge that interferes with her. And the second – when the superficial vessels of ectopia are injured during intercourse, which leads to bloody discharge. If you have this disease, but it is asymptomatic, there are no atypical cells, you do not need to do anything, just watch.

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