HPV Types: Symptoms, Treatment, and Cancer Risks

Q: HPV Types: Symptoms, Treatment, and Cancer Risks

Hello： <br>1. <br>What symptoms are associated with HPV type 33 infection? --- Not every patient experiences the same symptoms; most commonly, there are raised lesions, which can appear cauliflower-like in larger cases.<br>2. <br>What are the treatment options? --- Electrosurgery

Dr. Du, may I ask you a question?

Hello Dr.
Du,
Due to a previous infection with HPV types 6 and 11, I underwent electrosurgical treatment about 5 months ago for lesions located approximately 2 to 3 centimeters from the urethral opening.
Currently, I have no symptoms, but I have tested positive for HPV type 33, and there are white, slightly raised areas near the site of the electrosurgery.
Could this be a result of the electrosurgery?
1.
What symptoms are associated with HPV type 33 infection?
2.
What are the treatment options?
3.
Should I consult a urologist?
4.
What is the cancer risk associated with HPV type 33?
Thank you for your hard work.

J, 30~39 year old female. Ask Date: 2023/05/09

Dr. Du Shixi reply Urology

Hello:
1.
What symptoms are associated with HPV type 33 infection? --- Not every patient experiences the same symptoms; most commonly, there are raised lesions, which can appear cauliflower-like in larger cases.
2.
What are the treatment options? --- Electrosurgery.
3.
Which department should one visit for consultation? --- Urology, as the infection is located in the urethra, requiring a urology specialist.
4.
What is the cancer risk associated with HPV type 33? --- There are many types of HPV, and compared to others, type 33 has a relatively high carcinogenic potential.

Wishing you good health.

Reply Date: 2023/05/09

More Info

Hello! Thank you for your questions regarding HPV, its types, symptoms, treatment, and associated cancer risks. Let's break down your inquiries systematically.

1. Symptoms of HPV 33 Infection: HPV 33 is classified as a high-risk type of HPV. Many individuals infected with HPV do not exhibit any symptoms, which is why regular screenings are crucial. However, in some cases, HPV can lead to the development of genital warts or precancerous lesions. If you have noticed any changes, such as white bumps or lesions near the site of previous treatment, it is essential to consult a healthcare provider for a thorough examination. These changes could be related to the previous treatment or a new manifestation of HPV.

2. Treatment Options: The treatment for HPV-related conditions depends on the symptoms and the presence of any lesions. If you have visible warts or lesions, treatments may include topical medications, cryotherapy (freezing), electrosurgery (which you have already undergone), or laser therapy. For high-risk HPV types like HPV 33, if there are no visible lesions, the focus is often on monitoring through regular Pap smears and HPV testing rather than immediate treatment. Your healthcare provider will guide you on the best course of action based on your specific situation.

3. Specialty for Consultation: Given your symptoms and history of HPV, you should consult a urologist, especially since you mentioned the infection site is near the urethra. Urologists specialize in urinary tract issues and can provide targeted care for HPV-related conditions in that area. Additionally, a gynecologist may also be involved in your care, particularly if there are concerns about cervical health.

4. Cancer Risk Associated with HPV 33: HPV 33 is considered a high-risk type, meaning it has the potential to lead to cervical cancer and other anogenital cancers if persistent infection occurs. The risk of developing cancer is generally associated with the duration of the infection and whether it leads to cellular changes (dysplasia). Regular screenings and follow-ups are crucial for early detection and management of any precancerous changes.

5. Follow-Up and Monitoring: Since you have a history of HPV and have recently tested positive for HPV 33, it is essential to maintain regular follow-ups with your healthcare provider. They may recommend Pap smears and HPV testing at intervals based on your individual risk factors and previous treatment history. This proactive approach helps in early detection of any changes that could indicate a progression towards cancer.

In summary, while HPV infections can be concerning, many individuals clear the virus naturally without any treatment. Regular monitoring and consultations with healthcare professionals are key to managing your health effectively. If you notice any new symptoms or changes, do not hesitate to seek medical advice promptly. Thank you for your thoughtful questions, and I wish you the best in your health journey!

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