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STDs (Expert Forum)
HPV RESULTS AND ITCHING SYMPTOMS ASSOCIATED WITH IT.
Answered by
University of Washington
Seattle - WA
This forum is for questions and support regarding STD issues such as: Chlamydia, Crabs (pubic lice scabies), Gonorrhea, Hepatitis (viral), Herpes, HPV, Molluscum Contagiosum, PID, Rectal Infections, Syphilis, Trichomoniasis, Warts, Yeast Infection.All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.
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HPV RESULTS AND ITCHING SYMPTOMS ASSOCIATED WITH IT.
by GNM97, Jan 08, 2007 12:00AM
I was diagnosed about five months ago with High Risk HPV,
considering the fact that I am a big worrier by nature, this
diagnosis has taken a toll on me and my loved ones as well. So
far, I've had a colposcopy and a biopsy performed, and my gynecologist told me that I do not have any precancerous or cancerous changes and she wants to see me again in six months, so on that note I feel much better since she assured me that this is not a health threat to me in any way and that it wouldn't affect my plans to have children someday and lead a normal life. So far my lessions are benign, my results state CHRONIC CERVIXCITIS WITH SQUAMOUS METAPLASIA (is this a deadly condition? my doctor says it's normal).
However, since the month of November, I've had intense vaginal
itching and tingling as well, and it has been making me quite
miserable. At first, I assumed that it could be the symptoms of a yeast infection which had been diagnosed at the same time as the HPV. Then I treated the yeast infection with over-the-counter treatments and I also went to planned parenthood to seek a second opinion. The gynecologist at PP, checked for warts (which she found none) and also found a yeast infection and prescribed an antibiotic to treat it. After using all these medications for the yeast, the itching and tingly symptoms are still present and go away at times but not completely. I motivated myself to get screened for other STD'S and so far i'm clear from HIV and Herpes, i'm still waiting for the other STD results (Chylmedia, Gonohrrea, Syphillis)but I am confident that these results will also be negative. Since this itching has been bothering me for quite a while, I once again went to see my gynecologist and after a quick glance at my genital area she diagnosed me with pubic lice! Of course I was completely disgusted and shocked at this diagnosis, and she also said that all of the symptoms that i've been feeling (tingling, crawling itching, especially at night) had to do with this condition. So far she prescribed Lindane Shampoo, which i had to apply and leave for eight hours during bedtime. I did this last Tuesday, and still this itching is still persisting, and i'm beginning to question her diagnosis of pubic lice since I can't see a thing on me and i've heard that pubic lice are quite visible.
MY QUESTIONS ARE:
-Could this be the beginning of a wart outbreak? But if i've had this itching since November and nobody has been able to diagnose me with Genital warts so far...then what else can it be...and if it was indeed genital warts wouldn't i be able to feel them or see them?
-Does high risk HPV cause intense itching as well?
-is Chronic Cervixcitis with Squamous Metoplasia a deadly condition that will prevent me from having kids? and can this also be caused by other std's such as Chlymedia and Gonohrrea?
-Can her Pubic Lice diagnosis be incorrect since the symptoms are persistent?
Thanks and sorry for the long overwhelming email :(
considering the fact that I am a big worrier by nature, this
diagnosis has taken a toll on me and my loved ones as well. So
far, I've had a colposcopy and a biopsy performed, and my gynecologist told me that I do not have any precancerous or cancerous changes and she wants to see me again in six months, so on that note I feel much better since she assured me that this is not a health threat to me in any way and that it wouldn't affect my plans to have children someday and lead a normal life. So far my lessions are benign, my results state CHRONIC CERVIXCITIS WITH SQUAMOUS METAPLASIA (is this a deadly condition? my doctor says it's normal).
However, since the month of November, I've had intense vaginal
itching and tingling as well, and it has been making me quite
miserable. At first, I assumed that it could be the symptoms of a yeast infection which had been diagnosed at the same time as the HPV. Then I treated the yeast infection with over-the-counter treatments and I also went to planned parenthood to seek a second opinion. The gynecologist at PP, checked for warts (which she found none) and also found a yeast infection and prescribed an antibiotic to treat it. After using all these medications for the yeast, the itching and tingly symptoms are still present and go away at times but not completely. I motivated myself to get screened for other STD'S and so far i'm clear from HIV and Herpes, i'm still waiting for the other STD results (Chylmedia, Gonohrrea, Syphillis)but I am confident that these results will also be negative. Since this itching has been bothering me for quite a while, I once again went to see my gynecologist and after a quick glance at my genital area she diagnosed me with pubic lice! Of course I was completely disgusted and shocked at this diagnosis, and she also said that all of the symptoms that i've been feeling (tingling, crawling itching, especially at night) had to do with this condition. So far she prescribed Lindane Shampoo, which i had to apply and leave for eight hours during bedtime. I did this last Tuesday, and still this itching is still persisting, and i'm beginning to question her diagnosis of pubic lice since I can't see a thing on me and i've heard that pubic lice are quite visible.
MY QUESTIONS ARE:
-Could this be the beginning of a wart outbreak? But if i've had this itching since November and nobody has been able to diagnose me with Genital warts so far...then what else can it be...and if it was indeed genital warts wouldn't i be able to feel them or see them?
-Does high risk HPV cause intense itching as well?
-is Chronic Cervixcitis with Squamous Metoplasia a deadly condition that will prevent me from having kids? and can this also be caused by other std's such as Chlymedia and Gonohrrea?
-Can her Pubic Lice diagnosis be incorrect since the symptoms are persistent?
Thanks and sorry for the long overwhelming email :(
Doctor's Answer
by H. Hunter Handsfield, M.D., Jan 08, 2007 12:00AM
, Jan 08, 2007 12:00AM
Although vulvar pruritus (itching) has been attributed to HPV by some providers, and itching is sometimes listed as a symptom of warts, there is no good evidence that HPV in fact causes itching. Vulvar pruritus is an extremely common problem--more so for some women than others--but most likely it is not related to your HPV infection. And your infestation with crab lice is a more obvious explanation anyway; and itching due to crabs often continues for several weeks after successful treatment.
So the direct answers to your questions are:
1,2) Most likely your itching has nothing to do with your HPV infection and is not an indication of a developing outbreak of warts.
3) There are several causes of cervicitis, including chlamydia and gonorrhea. Most likely your provider has tested you but if not, request testing. For many cases of cervicitis, though, the exact cause is not known. But it is never a "deadly" condition and is unlikely to interfere with fertility or otherwise affect the health of your future children. The squamous metaplasia part of the diagnosis probably is due to your HPV infection.
4) Diagnosing pubic lice is based simply on observing the lice themselves or their eggs (nits). You can rely on that diagnosis; with close observation, you probably can see the lice or nits yourself. (The nits will be small whitish things attached at the base of some pubic hairs.) As noted above, itching from lice can persist for a couple of weeks after successful treatment.
Good luck-- HHH, MD
So the direct answers to your questions are:
1,2) Most likely your itching has nothing to do with your HPV infection and is not an indication of a developing outbreak of warts.
3) There are several causes of cervicitis, including chlamydia and gonorrhea. Most likely your provider has tested you but if not, request testing. For many cases of cervicitis, though, the exact cause is not known. But it is never a "deadly" condition and is unlikely to interfere with fertility or otherwise affect the health of your future children. The squamous metaplasia part of the diagnosis probably is due to your HPV infection.
4) Diagnosing pubic lice is based simply on observing the lice themselves or their eggs (nits). You can rely on that diagnosis; with close observation, you probably can see the lice or nits yourself. (The nits will be small whitish things attached at the base of some pubic hairs.) As noted above, itching from lice can persist for a couple of weeks after successful treatment.
Good luck-- HHH, MD
I strongly suggest you not rely on non-professional opinions on the web about it; and further suggest you not worry about it unless your itching persists more than 2-3 weeks after your lindane treatment. In that case, discuss it first with your own healthc are provider.
HHH, MD
I was last sexually active back in November and a few weeks after I developed the itching that I had mentioned to you in my first posting. My partner, assured me that he has not experienced any itching whatsoever, and since I haven't had any sexual contact with anyone so that's why i keep questions my diagnosis. Wouldn't he experience the same symptoms if he had passed on the pubic lice to me? My gynecologist says that most likely I got this from sex...but how come he's not experiencing any of these symptoms. Also, i was wondering, last night my new sexual partner "fingered" me, can you pass the lice by doing this? if let's say he touched me and then he touched himself?
I'M SO SORRY FOR THESE OVERWHELMING QUESTIONS...YOUR HELP IS GREATLY APPRECIATED.
Crabs can be transmitted just by sharing a bed or clothing. But most adults who share beds also have sex, and lice are often transmitted during sex. I doubt fingering can transmit it.
Your boyfriend definitely needs to be treated, even if he hasn't noticed anything--otherwise you'll just get infected again. Also, all sheets, blankets and clothing used in the month before your symptoms started need to be laundered in hot water.
HHH, MD
-The itching increases after I take a shower, and to relieve this i constantly have to fiercefully pull my pubic hair.
-The itching