
Wednesday, March 18, 1998
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Lack of symptoms hides STD
By MEREDITH O'DONNELL
Collegian Staff Writer
Now that spring break is over and stories of drunken nights, sexual
conquests and lazy afternoons have all been told, reality has
returned. The days of break have passed, but the memories will
last forever.
However, other backlashes of spring break -- such as sexually
transmitted diseases -- may last forever, too.
Aside from the well-known STDs such as herpes, gonorrhea and AIDS,
there is a lesser-known STD that infects between 24 million and
40 million people in the United States, according to statistics
from the American Social Health Association.
Human papillomavirus (HPV) is a highly contagious sexually transmitted
disease that infects one of five people, making it one of the
most prominent STDs in existence. It often has no symptoms, but
more importantly, it cannot be cured.
College students are at a risk of HPV infection because of dangerous
behaviors and alcohol use, said Drew Bills, health promotion specialist
for the office of health promotion and education.
"We do see a high infection rate of HPV in the age bracket
of 18 to 24," he said.
Spring break is a time when risky behaviors are common, since
many students are using alcohol in conjunction with sexual activity,
said Elaine Jurs, assistant director of the office of health promotion
and education.
But spring break is not the only time students should use caution
in their sexual encounters, Jurs said. In any relationship, students
should get to know their partner before jumping into sexual relations,
she added.
HPV is transmitted by skin-to-skin contact during sexual intercourse,
Jurs said. Condoms can often be useless against HPV, since they
may not entirely cover the infected area, she said.
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"Even if you use a condom, there's no guarantee that you
won't catch HPV. "
- Elaine Jurs, assistant director of the office of health promotion
and education
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"Even if you use a condom, there's no guarantee that you
won't catch HPV," Jurs said. Abstinence is the only sure
way to avoid contracting HPV, she said.
Condoms should always be used, even when people have been tested
and believe they do not have STDs, said Dr. Michele Manting-Brewer
of OB-GYN Alternatives, 611 University Drive.
"You live with (HPV) for a really long time, so it makes
sense to consider (other STDs) as well," she added.
While HPV cannot fully be cured, those infected can lead full
lives, Jurs said.
"It's something that is manageable. You can live with it,
you can have a partner, you can have a sex life," she said.
Therapies are available to control the virus, but HPV can return
again at any time, Bills added.
"We rarely see re-occurrences, but it can happen," Bills
said. "It is a virus, which means we can't get rid of it."
HPV is a virus, which includes 60 or more types -- the most notable
type causing genital warts, Bills said.
But recognizing the symptoms of HPV once it has been contracted
can be difficult, since it often has no visible symptoms, Manting-Brewer
said. Fertility problems may result if an infection goes undetected,
Bills said.
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"But if it's not an active infection, a man might have (HPV)
but nobody is going to see it anyway."
- Dr. Michele Manting-Brewer
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When symptoms do appear, small bumps or growths on the vulva,
labia, penis or scrotum, accompanied by itching or a discharge
are signs of HPV infection, Manting-Brewer said. A yearly pap
smear, which tests for cervical cancer, is an effective way for
women to determine if they have HPV, she said. An association
has been made between cervical cancer and HPV, but there is no
conclusive data at this time, she added.
Diagnosis for men can be even more difficult, since HPV infections
often exhibit no symptoms, Manting-Brewer said. There is a procedure
that can reveal warts by wrapping the penis in a cloth soaked
in a vinegar solution, she added.
"But if it's not an active infection, a man might have (HPV)
but nobody is going to see it anyway," she added.
Once diagnosed with genital HPV, there are a number of different
treatments available, Bills said.
These include aggressive laser surgery or freezing to remove visible
warts and at-home treatment creams for patients to apply also
exist, Bills added.
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