Chlamydia, Herpes, and HPV: Key Urology Concerns Explained - Urology

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Regarding issues related to herpes, chlamydia, and HPV?


Hello Doctor: I would like to ask the following questions:
1.
If the Chlamydia test results show IgM (-), IgG (+), and IgA (+), does this indicate a current infection or no infection? Additionally, when referring to a recurrence of Chlamydia infection, does it mean that the existing Chlamydia has increased in number, leading to reinfection, or does it mean that the previous infection had resolved but the individual has been reinfected?
2.
If the urine test results are normal, but there is a slight burning sensation and mild stinging during urination, with normal urination patterns and slight frequency but not constant urges to urinate, is this indicative of urethritis or could there be other issues? Could it also be a psychological perception (though there is indeed a burning sensation)?
3.
If urethritis is caused by Chlamydia or herpes, is the treatment the same as for urethritis caused by Escherichia coli or Candida? Would general antibiotics or anti-inflammatory medications suffice, or are there other treatments required? If different treatments are necessary, how can one determine the cause of the urethritis?
4.
Regarding HPV types 84 and 61, what potential health risks are associated with these strains? With a viral load test showing (+++), does this indicate a high or low viral load?
Thank you for your assistance!

hen jiao lv, 20~29 year old female. Ask Date: 2020/03/12

Dr. Du Shixi reply Urology


Hello: 1) Diagnosing Mycoplasma is complex because the strains are not necessarily sexually transmitted.
Therefore, if there are no symptoms, testing cannot provide a diagnosis.
If IgM is elevated, it typically indicates a recent infection; IgA suggests an ongoing infection, while IgG is more common in recurrent cases.
However, the diagnosis should be made by the examining physician based on the values.
2) In my personal experience, if two urine tests are completely normal, it is unlikely to be an infection.
It may be advisable to drink more water and pay attention to lifestyle factors.
3) Both Mycoplasma and bacteria are treated with antibiotics, but different types of antibiotics are used.
Herpes is treated with antiviral medications, so a diagnosis must be made before treatment can begin.
Bacteria can be cultured from urine, and Mycoplasma can be detected through urine tests, although neither method is 100% reliable.
Sometimes, clinical experience is also necessary.
4) HPV, commonly known as genital warts, has over 100 types, and some studies suggest that certain strains may lead to cancer in the future; however, these two strains are not on that list.
The viral load should be explained by the testing physician.
Wishing you good health.

Reply Date: 2020/03/12

More Info


Understanding Chlamydia, Herpes, and HPV: Key Urology Concerns Explained
When it comes to sexually transmitted infections (STIs) such as Chlamydia, Herpes, and Human Papillomavirus (HPV), it’s essential to understand the implications of test results and symptoms, as well as the appropriate treatment options. Let’s break down your questions one by one.

1. Chlamydia Test Results (IgM(-), IgG(+), IgA(+)):
- The presence of IgG antibodies indicates that you have been exposed to Chlamydia at some point in the past. However, the negative IgM suggests that there is no current acute infection. IgA can indicate a more recent infection or ongoing immune response. Therefore, while you may not have an active infection, it’s crucial to consult with a healthcare provider for a comprehensive evaluation and possibly further testing to confirm your status.

- Regarding recurrence, Chlamydia can recur if the original infection was not fully treated or if you were re-exposed to the bacteria. This means that if you had a previous infection and it was treated, you could still get infected again if you come into contact with the bacteria from another infected partner.

2. Symptoms of Burning and Pain During Urination:
- Experiencing a burning sensation or slight pain during urination, along with increased frequency, can indicate a urinary tract infection (UTI) or urethritis. However, since your urine test is normal, it could also be due to irritation from other causes, such as dehydration, certain foods, or even anxiety. It’s important to monitor these symptoms and consult a healthcare provider if they persist, as they can help determine the underlying cause.

3. Treatment for Urethritis:
- If urethritis is caused by Chlamydia or Herpes, the treatment differs from that of a UTI caused by E. coli or Candida. Chlamydia is typically treated with antibiotics such as azithromycin or doxycycline. Herpes, on the other hand, is treated with antiviral medications like acyclovir. If the cause of urethritis is unclear, your healthcare provider may perform additional tests to identify the specific pathogen responsible, which will guide the treatment plan.

4. HPV Types 84 and 61:
- HPV types 61 and 84 are generally considered low-risk types, meaning they are less likely to cause serious health issues compared to high-risk types like HPV 16 and 18, which are associated with cervical cancer. However, they can still lead to benign conditions such as warts. The viral load indicated by (+++) suggests a higher quantity of the virus, which may increase the likelihood of transmission but does not necessarily correlate with the severity of disease. Regular monitoring through Pap smears and HPV testing is essential for managing any potential risks associated with HPV.

In summary, it’s crucial to maintain open communication with your healthcare provider regarding your test results and symptoms. Regular screenings, safe sexual practices, and prompt treatment of any infections are key to managing your sexual health. If you have further concerns or symptoms, do not hesitate to seek medical advice.

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