Tuesday, August 27, 2019

HPV can cause cancer, and It is preventable !

Human Papilloma Virus (HPV) is one of the most common sexually transmitted diseases (STDs). HPV is the virus that causes genital warts. Besides genital warts, an HPV infection can cause these other problems for both girls and guys:

  • In females, it can cause problems with the cervix that may lead to cervical cancer. HPV infection also can lead to cancer in the vagina, vulva, anus, mouth, and throat.
  • In males, HPV infection may lead to cancer in the penis, anus, mouth, and throat.
  • New research suggests that HPV may be linked to heart disease in women though not confirmed..

Both girls and guys can get HPV from sexual contact, including vaginal, oral, and anal sex. Most people infected with HPV don't know they have it because they don't notice any signs or problems. People do not always develop genital warts, but the virus is still in their system and it could be causing damage. This means that people with HPV can pass the infection to others without knowing it.

Because HPV can cause problems like genital warts and some kinds of cancer, a vaccine is an important step in preventing infection and protecting against the spread of HPV.

That's why doctors recommend that all girls and guys get the vaccine at these ages:

  • Girls: from age 11 or 12 through age 26
  • Guys: from age 11 or 12 through age 21

If needed, kids can get the vaccine starting at age 9.

How Does the HPV Vaccine Work?


The HPV vaccine is approved for people 9 to 26 years old:

  • For kids and teens ages 9–14, the vaccine is given in two shots over a 6- to 12-month period.
  • For teens and young adults (ages 15–26 in girls and 15–21 in guys), it's given in three shots over a 6-month period. Young adults who are at higher risk of getting infected can get it up to age 26.

It works best when people receive all their shots on schedule. If you're under age 26, and you've missed a shot, you can still catch up. Just ask your doctor about the best way to do that.

The vaccine does not protect people against strains of HPV that might have infected them before getting the vaccine. The most effective way to prevent HPV infection is to get vaccinated before having sex for the first time. But even if you have had sex, don't give up on getting the vaccine. It's still the best way to protect against strains of the virus that you may not have come in contact with.

The vaccine doesn't protect against all types of HPV. Anyone having sex should get routine checkups at a doctor's office or health clinic. Girls should get Pap smears when a doctor recommends it — usually around age 21 unless there are signs of a problem before that.

The HPV vaccine is not a replacement for using condoms to protect against other strains of HPV — and other STDs — when having sex.

What Are the Side Effects of the HPV Vaccine?


Most of the side effects that people get from the HPV vaccine are minor. They may include swelling or pain at the site of the shot, or feeling faint after getting the vaccine. As with other vaccines, there is a small chance of an allergic reaction.

A few people have reported health problems after getting the shot. The FDA is monitoring the vaccine closely to make sure these are not caused by the vaccine itself.

Most people have no trouble with the vaccine. You can lessen your risk of fainting by sitting down for 15 minutes after each shot.

Protecting Yourself Against HPV


For people who are having sex, condoms offer some protection against HPV. Condoms can't completely prevent infections because hard-to-see warts can be outside the area covered by a condom, and the virus can infect people even when a partner doesn't have warts. Also, condoms can break.

The only way to be completely sure about preventing HPV infections and other STDs is not to have sex (abstinence). Spermicidal foams, creams, and jellies have not been proven to protect against HPV or genital warts.

Friday, August 23, 2019

Menorrhagia in adolescents

Assessing Heavy Periods

The pictorial blood assessment chart is a semi-objective way of quantifying the amount of blood loss per menstrual cycle by recording the number and saturation of sanitary pads or tampons. Each row of the pictorial blood assessment chart (on the next page) represents a day of the month. Start using the chart on the 1st day of any given month. Count the number of sanitary pads and/or tampons you use each day (over 24 hours) for one month, indicating the amount of saturation. Calculate a score for each day using the scoring system below, then add up the score at the end of the month. 

 
What to do if you have:
  • Bleeding between periods: If you also experience bleeding between periods that requires sanitary protection, please record this on the relevant days.
  • C l o t s : If you pass clots, please indicate this on the relevant days and the approximate size (i.e. closer to an Australian 5 cent or 50 cent piece).
  • Double protection: If you use both a pad and a tampon at the same time and both sanitary items are stained with blood, please include both sanitary items on the assessment chart.
  • F l o o d i n g : If you experience any episodes of flooding/overflowing/staining of clothing/ underwear,  please indicate the number of episodes on the relevant d a y s .                                        

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