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Do You Know Your HPV Type?

Do You Know Your HPV Type?

Victoria Gasparini
So, you’ve been told you have HPV.  Maybe you heard terms like “high-risk” or “low-risk,” or maybe you kind of zoned out after hearing the diagnosis and now aren’t quite sure what type you have or how concerned you should be. If you’re feeling anxious or confused, you’re not alone. HPV diagnoses are common, and naturally, they come with a lot of questions. Some may worry right away about cancer risks, while others simply want to understand the types of HPV and how they affect health. Let’s break it down so you can feel informed and empowered. There’s power in prevention, and knowing what type of HPV you have is a good first step to understanding your risks and preventing the development of more serious HPV-related cancers. Unfortunately, many of us don’t have the luxury of time with our medical doctors, or we just simply don’t know what questions we should be asking. Don’t worry, we’ve got you covered. Let’s start with the basics HPV, or human papillomavirus, is one of the most common viral infections, spread primarily through skin-to-skin contact. There are over 200 known strains of HPV, which can be categorized into two main types: high-risk and low-risk. Most HPV infections are harmless and may even clear up on their own. However, certain strains are more likely to lead to health issues, which is why it’s essential to know what type you may have.  High-risk vs. low-risk HPV: What’s the difference? High-Risk HPV: These strains are associated with a higher chance of leading to certain cancers, including cervical, anal, oropharyngeal (throat), and genital cancers. The most common high-risk strains are HPV-16 and HPV-18, which are responsible for the majority of cervical cancer cases. If you are reading this and have been told you have one of the above strains, please keep reading so we can walk you through this. Low-Risk HPV: These strains do not typically lead to cancer but can cause benign conditions like genital warts. HPV-6 and HPV-11 are common low-risk strains known to cause warts but aren’t linked to cancer. Being told you have high-risk HPV can be scary, but it’s important to remember that “high-risk” doesn’t automatically mean you’ll get cancer. Most high-risk HPV infections never progress to cancer, especially with regular screenings and proactive health measures. Why knowing your HPV-type matters Knowing whether you have a high- or low-risk HPV strain is valuable for guiding your health decisions. For high-risk HPV strains, regular follow-up appointments and screenings like Pap smears or HPV tests are crucial. These screenings help monitor any potential cellular changes that could, if left unchecked, progress over time. For low-risk strains, your doctor might recommend managing symptoms (like warts) if they arise. Knowing your strain can also help you understand which preventive measures may be best suited for you. What about CIN-1, CIN-2, or CIN-3? Understanding your HPV type is an important first step, but it’s also helpful to know about CIN, or cervical intraepithelial neoplasia. When it comes to HPV, CIN is another term that may come up, especially if you’ve had an abnormal Pap smear. CIN levels, like HPV types, tell us more about what’s happening in the body and help doctors decide on the best course of action. While knowing your HPV type can indicate whether your strain is high-risk or low-risk, CIN levels give us another layer of information by grading any changes in the cervical cells. Let’s take a look at what these different CIN levels mean and how they relate to your health. Understanding CIN grading If you’ve been told you have CIN-1, CIN-2, or CIN-3, these terms describe the degree of cell changes detected in the cervix.  If you’re feeling a bit lost - here’s a breakdown: CIN-1: Mild cellular changes, often due to low-risk HPV types or early high-risk HPV infections. CIN1 usually requires regular monitoring, as most cases clear up naturally with time as the immune system fights the virus. CIN-2: Moderate cell changes, usually associated with high-risk HPV types. CIN-2 lesions can sometimes go away on their own, particularly in younger women. Your doctor may recommend regular follow-ups or, in some cases, treatment to remove abnormal cells. CIN-3: These are typically more severe cell changes with the most advanced form of cervical dysplasia. CIN-3 is still not cancer but has a higher chance of progressing to cervical cancer if untreated. We know this sounds scary, but there are various options to prevent the progression of these cellular changes into cervical cancer. CIN-3 usually requires treatment to prevent any further changes, which is a discussion you will have with your healthcare provider. Knowing both your HPV type and CIN level helps you and your healthcare provider make informed choices about monitoring, treatment, and prevention. This knowledge empowers you to take control of your health, as you’ll know exactly what to watch for and how to approach the situation.  Not all HPV leads to cancer Now that you have a better idea of what your HPV type and grading mean, let’s talk about the elephant in the room - the cancer risk. One of the biggest fears after an HPV diagnosis is the risk of cancer. But it’s important to know that having HPV doesn’t mean cancer is inevitable. In fact, the body’s immune system clears most HPV infections within 1-2 years without causing any long-term issues. Cancer develops only in a small percentage of high-risk cases, often when the virus persists over many years without detection or treatment. Here’s where regular screening comes in: Pap smears and HPV tests detect cellular changes early on, well before they have a chance to develop into anything more serious. If any changes are detected, your healthcare provider can recommend treatment options to prevent them from progressing. Protecting Your Health with HPV There’s a lot you can do to stay empowered and protected when it comes to HPV: Get regular screenings: If you have a high-risk strain, keep up with your recommended screenings. Early detection is one of the most effective ways to prevent HPV from leading to more severe health issues. If you haven’t already, talk to your doctor about the HPV vaccine and whether this is the right option for you. Boost your immunity: A healthy immune system is your best defense against HPV. Focus on a nutrient-rich diet, high in antioxidants, cruciferous veggies, deeply pigmented fruits and berries, whole & high fibre grains. Get regular exercise and manage your response to stress to support your body’s natural ability to fight off infections. By supporting our immune system through these means, we give our body the tools to clear HPV on its own. Stay educated and informed: The more you know about your HPV status, the better equipped you’ll be to make decisions about your health. Understanding your strain, its risks, and preventive measures allows you to take control of your wellness journey. Knowledge is power An HPV diagnosis can feel overwhelming, but remember, knowledge is power. By understanding your HPV-type, staying up to date on screenings, and exploring preventive options, you’re taking steps to protect your health. HPV is common, and with regular care and attention, most people can manage it without it ever becoming a serious concern. This journey is about education and empowerment—taking small, informed actions to support your well-being.
Nov 19, 2024
5 min read
Does a Pap Smear Hurt?

Does a Pap Smear Hurt?

Lovisa Alatalo
We understand that the thought of a Pap smear can be intimidating for many women. Many individuals feel anxious about the potential discomfort or pain associated with the process. If you're wondering, "Does a Pap smear hurt?" you're not alone. In this comprehensive guide, we'll address your concerns, explain what to expect during the exam, and provide tips to make the experience as comfortable as possible! Understanding the Pap Smear A Pap smear, also known as a Pap test, is a routine screening to check the health of the cervix. The test involves gathering cells from the cervix, the lower part of the uterus that opens into the vagina. These cells are then examined under a microscope to detect any abnormalities that could indicate potential health concerns. The Purpose of a Pap Smear The primary goal of a Pap test is to detect any changes in cervical cells that might indicate potential problems. Catching abnormal cells in their initial stages allows for preventive measures and treatments that can help maintain cervical health. Does a Pap Smear Hurt? The experience of a Pap smear can vary from person to person. While some women report mild discomfort, others may find the exam more uncomfortable. However, it's important to note that a Pap smear should not be painful. Factors Influencing Discomfort Several factors can influence the level of discomfort experienced during a Pap smear: Anxiety and Tension: Feeling anxious or tense can make the muscles in the pelvic area tighten, increasing discomfort. Positioning: The position in which you lie in during the exam can affect comfort. Your healthcare provider will guide you into a position that allows for easy access to the cervix while keeping you as comfortable as possible. Speculum Size: The speculum, a medical instrument used to hold the vaginal walls open, comes in different sizes. Your healthcare professional will choose the appropriate size for you. Technique of the Examiner: The skill and experience of the professional performing the Pap smear can also influence comfort. A gentle and experienced examiner can make the process more tolerable. What to Expect During a Pap Smear Understanding what happens during a Pap smear can help alleviate some of the anxiety and make the experience smoother. Preparing for the Exam Before the exam begins, your healthcare professional will explain the process and answer any questions you may have. You will be asked to undress from the waist down and lie on an examination table with your feet placed in stirrups. Insertion of the Speculum The healthcare professional will gently insert a speculum into your vagina. The speculum holds the vaginal walls open, allowing the examiner to see the cervix. This part of the exam may cause a sensation of pressure or mild discomfort but should not be painful. Collection of Cervical Cells Once the speculum is in place, the examiner will use a small brush or spatula to gather cells from the cervix. This may feel like a light scraping or brushing. The cell collection process is usually quick and should not cause significant pain. Removal of the Speculum After the cells are collected, the examiner will carefully remove the speculum. The entire exam typically takes just a few minutes. Who Performs a Pap Smear? You might be wondering who exactly performs this important test. Rest assured, there are several types of healthcare professionals who are well-trained and experienced in conducting Pap smears. Here’s a closer look at who you might encounter during your appointment: Gynecologists: Gynecologists are specialists in women’s reproductive health. They frequently perform Pap smears as part of routine gynecological exams. If you’re seeing a gynecologist, you can feel confident knowing they have extensive experience with this procedure. Primary Care Physicians: Your primary care doctor, who you see for general health check-ups, might also perform Pap smears. They are trained to handle a wide range of health issues, including routine screenings like the Pap smear. Nurse Practitioners: Nurse practitioners (NPs) are advanced practice nurses with specialized training. They can perform many of the same tasks as doctors, including Pap smears. NPs are known for their patient-centered approach, often taking extra time to ensure you’re comfortable and informed throughout the process. Physician Assistants: Physician assistants (PAs) work closely with doctors and are also trained to perform Pap smears. They are skilled in many medical procedures and can provide comprehensive care under the supervision of a physician. Obstetricians: If you’re pregnant or planning to be, you might see an obstetrician, a doctor who specializes in pregnancy and childbirth. Obstetricians often perform Pap smears during routine prenatal visits to ensure your reproductive health is monitored. No matter who performs your Pap smear, these professionals are dedicated to making the experience as comfortable as possible. They understand that the procedure can be intimidating and will take steps to ensure you feel at ease. Tips for a More Comfortable Pap Smear Here are some tips to help make your Pap smear experience as comfortable as possible: Communicate with Your Healthcare Provider:  Let your healthcare professional know if you are feeling anxious or have concerns about discomfort. They can take steps to make the exam more comfortable for you. Practice Relaxation Techniques: Deep breathing, visualization, and other relaxation techniques can help reduce anxiety and tension during the exam. Try to focus on your breathing and maintain a calm mindset. Schedule Wisely: If possible, schedule your Pap smear when you are not menstruating, as this can make the exam more comfortable. Although it is not ideal, this does not automatically mean you need to reschedule. Click here to learn more. Use the Bathroom Beforehand: Emptying your bladder before the exam can help reduce discomfort caused by pressure. Consider Pain Relief: If you are particularly anxious or sensitive, you may ask your healthcare professional about taking an over-the-counter pain reliever before the procedure. Managing Anxiety and Tension Feeling anxious about a Pap smear is completely normal. Here are a few techniques to help manage your anxiety and make the experience more comfortable: Mindfulness and Meditation:  Practicing mindfulness or meditation before your appointment can help calm your mind and reduce anxiety. Listening to Music: Some clinics allow you to listen to music during the exam. Bringing your favorite calming playlist can help distract you and keep you relaxed. Bringing a Friend:  If allowed, consider bringing a friend or family member for support. Having someone you trust can help you feel more at ease. Addressing Common Concerns Bleeding After a Pap Smear Light bleeding or spotting is common after a Pap smear and is usually not a cause for concern. Here's what you should know: Why It Happens: The process of collecting cervical cells can sometimes cause minor irritation to the cervix, leading to light bleeding or spotting. Duration: This bleeding typically lasts for a day or two and should be very light. When to Worry: If you experience heavy bleeding or prolonged spotting, contact your healthcare professional for further evaluation. Pain During the Exam "What if I feel pain during the Pap smear?"  If you experience pain during the Pap smear, let your healthcare professional know immediately. They can adjust the exam to make it more comfortable for you. Remember, the goal is to ensure your comfort and health. Embarrassment and Self-Consciousness "I'm embarrassed about the exam." It's natural to feel embarrassed or self-conscious about a Pap smear. Remember that healthcare professionals perform these procedures regularly and are focused on your health and comfort. They are trained professionals who have seen it all and are there to help you. Understanding Abnormal Results "What if my results are abnormal?"  Receiving abnormal results can be concerning, but it's important to remember that abnormal Pap smear results do not necessarily mean you have a serious condition. Many factors can cause abnormal results, such as infections or inflammation. Your doctor will guide you through the next steps, which may include additional testing or treatment. Importance of Regular Pap Smears Regular Pap smears are crucial for maintaining cervical health. The American College of Obstetricians and Gynecologists recommends that individuals with a cervix begin Pap smears at age 21 and continue with regular screenings as advised by their healthcare professional. Knowing when to start getting Pap smears and how often to have them is crucial for maintaining your cervical health. Here are the current recommendations based on age and health history: Ages 21-29 For individuals between the ages of 21 and 29, it is recommended to have a Pap smear every three years. Starting at age 21, regardless of sexual activity, is important because it allows for early detection of any potential abnormalities in the cervical cells. Ages 30-65 For those aged 30 to 65, the recommendations can vary based on individual health needs and the type of testing. There are two common options: Pap Smear Every Three Years: Continue with the Pap smear alone every three years if your previous results have been normal. Pap Smear Plus HPV Testing Every Five Years: Another option is to have a Pap smear combined with HPV (human papillomavirus) testing every five years. This co-testing is effective because HPV is a significant risk factor for cervical health issues. Over 65 For individuals over 65, the necessity of continuing Pap smears depends on your health history: Regular Screening History: If you have had regular screenings with normal results over the past ten years, you may be able to stop having Pap smears. However, it’s important to consult with your healthcare professional to make this decision. History of Abnormal Results: If you’ve had a history of abnormal Pap smear results or other cervical health issues, your healthcare professional may recommend continuing with regular screenings. Special Circumstances Certain health conditions and risk factors might alter the frequency of your Pap smears. For instance: Weakened Immune System: Individuals with a weakened immune system, such as those with HIV, may need more frequent screenings. History of Cervical Health Issues: If you have a history of cervical dysplasia or cervical issues, more frequent monitoring may be necessary. Exposure to DES: Those who were exposed to diethylstilbestrol (DES) before birth may require more regular screenings. Preventive Measures In addition to regular Pap smears, you can take other steps to reduce your risk of cervical issues, including: Getting the HPV Vaccine: The HPV vaccine can help protect against the types of HPV that most commonly cause cervical issues. Talk to a doctor about if this option might be right for you. Practicing Safe Sex: Using condoms and having regular STI tests can help reduce your risk of HPV and other sexually transmitted infections. Avoiding Smoking: Smoking can increase your risk of cervical issues, so avoiding tobacco products is beneficial for your overall health. Things to Remember While a Pap test may cause mild discomfort for some, it should not be painful. Understanding the process and following the tips provided can help make the experience as comfortable as possible. Regular Pap smears are an essential part of maintaining your cervical health and detecting any abnormalities early, ensuring the best possible outcomes. Don't forget, your healthcare professional is there to support you and address any concerns you may have. Don't hesitate to communicate openly with them to ensure a positive and comfortable test. By addressing your concerns and providing detailed information about the Pap smear, we hope to alleviate any anxiety you may have and encourage you to prioritize your cervical health through regular screenings.
Jun 18, 2024
10 min read
Screening for HPV at home?

Screening for HPV at home?

Victoria Gasparini
In a groundbreaking move towards enhancing women's health and preventing cervical cancer rates from the continuing incline, new guidelines outlined in the Journal of the American medical association (JAMA), suggest that direct-mail self-sampling kits for HPV, increased cervical cancer screening by 14% in those who were past due for their pap smears.  A study in JAMA found that the most effective way to increase screening rates was a direct-mail approach for individuals overdue for screening, rather than simply encouraging a pap smear appointment or implementing an “opt-in” approach, where women who chose to receive at-home sampling kits would receive them in the mail. With this new discovery, many Canadian provinces and US states are moving away from traditional pap smears, recommending the use of HPV tests which detect high-risk strains of the virus, with screenings offered every 5 years for those aged 25-65.  The move towards at-home HPV testing is gaining traction, with the potential to significantly improve early detection rates for abnormal cells and possible subsequent cervical cancer. Dr. Aisha Lofters, a scientist and physician at Women’s college hospital in Toronto, ON, notes that self-swabs for HPV, similar to Covid-19 at-home swabs, could overcome barriers such as scheduling constraints, traumatic experiences or a lack of awareness. “Pap smear accuracy is around 60%. However, in HPV testing, which examines the DNA of the virus, accuracy can rise to 90%”, explains Dr. Gina Oglivie, who led pilot projects on at-home tests in British Columbia. The increased accuracy of HPV testing allows doctors to have more confidence in negative results, providing a clearer indication of a woman’s health status.  Drawing inspiration from successful initiatives abroad, particularly in Australia where self-testing for HPV has proven an effective approach, healthcare professionals are optimistic about the potential impact of at-home HPV screening. Dr. Diane Francoeur, CEO of the Society of Obstetricians and Gynaecologists of Canada (SOGC), claims the shift to HPV at-home tests is one of the greatest revolutions for women’s health possibly since the invention of the birth control pill in the early 60’s.  While the HPV vaccine is one effective method for prevention of high risk HPV strains, Francouer emphasizes the need for continued screening, as not everyone receives immunizations. She envisions a future where women can easily access testing kits, similar to the convenience of obtaining COVID-19 swab tests from local pharmacies.  Dr. Craig Earle, CEO of the Canadian Partnership against cancer, echoes the sentiment of completely eliminating cervical cancer by the year 2040 and sees the switch to HPV testing as the solution to addressing various obstacles to screening, including equity issues. However, he acknowledges the challenges faced by provinces and states in adapting to this new approach, including the need for a revamped lab infrastructure to accommodate a shift such as this one.  Can you imagine a world in which we’ve eradicated cervical cancer? The introduction to at-home HPV screening emerges at a transformative step, offering women a more accessible, accurate and empowering option for safeguarding their health.  Let’s continue this conversation over at our instagram. You tell me, would you prefer to self-screen for HPV? 
Jan 15, 2024
2 min read
Condyloma Acuminatum: Genital Warts

Condyloma Acuminatum: Genital Warts

Adrienne Hill-Strathy
Condyloma Acuminatum is a fancy way of saying genital warts - a common symptom of a Human Papillomavirus (HPV) infection. Genital warts can be alarming and irritating. If you are experiencing genital warts, you are probably wondering how you can get rid of them. Is there anything you can do naturally? In this blog, we provide ways to respond to genital warts naturally, both internally and externally. The HPV family While most of the focus on HPV surrounds cervical cancer, the HPV family includes over 100 different viral strains, each having a slightly different impact on the body. HPV is responsible for common and plantar warts found on the hands and feet, as well as genital warts that grow around the vulva, vagina, penis, and scrotum. Only a few of the strains of HPV have the potential to become carcinogenic, causing cervical, oral, and anal cancers.  90% of genital warts are linked to HPV strains 6 and 11: These strains are considered “low risk” because they rarely develop into cancer. 70% of cervical cancers are caused by HPV strains 16 and 18: These strains are known as the highest risk strains and can progress into cancer. What do genital warts look like? Genital warts look like soft, fleshy growths. They may appear as a single or in multiples, some describe them as looking like cauliflower. Genital warts can be irritating but are rarely painful. Genital warts can affect both men and women. The estimated 5-year prevalence of genital warts is 1.3% in men and 1.7% in women. Warts typically emerge around the genitals a few weeks to two to three months after infection. HPV is easily transmitted from one individual to another through skin-to-skin contact, most commonly through sexual activity. Even if the individual has no symptoms or the warts have gone away, they may still be able to transmit HPV. If you suspect that you have genital warts, we recommend seeking advice from a medical professional. Other STIs, like herpes or syphilis, can present with similar symptoms and may warrant further treatment. The lesions may also be something harmless like a mole, ingrown hair, or skin tag - so it’s always better to check! Can I naturally respond to genital warts? Most people’s immune systems will naturally clear HPV infections in anywhere from a few months to a few years. The immune system includes several immune molecules like natural killer cells, cytokines, and macrophages that identify and eradicate viral infections. The immune system also keeps cancer cell growth in check through a process of tumor cell identification and cell death.  A few natural compounds have been found to enhance these immune players, leading to viral clearance. How to respond internally Green tea extract: Green tea extract is a key player when it comes to antiviral support. Green tea is high in compounds called polyphenols that benefit the immune system. Two polyphenols, epigallocatechin gallate (EGCG) and polyphenol E are effective at treating cervical lesions and warts caused by HPV. Drinking green tea as well as supplementation has been found to contribute health benefits and support wart clearance. If drinking tea isn’t your thing or you want to amplify your dose, Papillex supplies the recommended daily serving of green tea to support the immune system. Diet: It is estimated that 80 percent of the immune system is located in the gut. So what we eat and put into the body plays an important role in our immune defense. Eating a diverse array of fruits and vegetables provides ample micro and macronutrients. Amino acids obtained from proteins are essential for immune function as well as probiotics and fiber to support the intestinal microbiome. We also recommend trying to limit sugar, which can act as an immunosuppressant. AHCC: Emerging research on a medicinal mushroom extract called AHCC may support the immune system in eradicating HPV that causes genital warts. AHCC has been found to enhance the production of NK cells and cytokines, known for their role in viral clearance. The extract has not been clinically tested on genital warts but has been found to help eradicate persistent high-risk HPV infections in individuals with cervical dysplasia. How to respond externally Topical treatment for genital warts: Conventional treatment offers several prescription chemical treatments that can be applied topically. Some topical treatments include Podofilox, a gel solution with active podophyllin, has been found to prevent local irritation, and Imiquimod, a topical immune modifier that comes in single-use packets. In addition, there are natural solutions on the market. Green Tea Extract: Green tea extract has also been shown to have benefits when applied topically. The FDA has approved a standardized extract of green tea leaves for topical use on warts. The extract contains 15% catechins, the potent polyphenols found in green tea. Research evaluating the use of green tea extract topically found it to be effective and safe. The study evaluated a 10% green tea catechin ointment on over 100 adults with genital warts. The findings showed that those that used the green tea were 2-fold more effective at clearing existing warts and preventing recurrence 12 weeks after treatment. Tea tree oil: Tea tree is an antimicrobial herb that can be applied topically with a carrier oil such as coconut oil. Tea tree oil should not be taken internally or applied to the vaginal canal. One case report evaluating the use of tea tree oil twice daily with a carrier oil found clearance within 10-20 days for warts to disappear completely. More research is needed to determine the effectiveness on genital warts in larger, randomized clinical trials.  Bottom Line Few people are willing to talk about their experience with genital warts, and this stigma makes it difficult to know what to do. We hope this article gives you an assurance that genital warts are harmless and mostly self-limiting. If you are having trouble clearing genital warts, there are natural ways to respond both internally and externally. When in doubt, we always recommend you consult with a trusted natural health practitioner to find what works best for you.
Aug 23, 2021
5 min read
How To Prepare For a Colposcopy Exam

How To Prepare For a Colposcopy Exam

Adrienne Hill-Strathy
Scheduling a colposcopy exam can come with a flood of anxieties - will it be uncomfortable? What if you receive an abnormal Pap? What comes next? If you’re feeling these concerns, you are not alone. We are here to equip you with a few ways to prepare your body, mind, and cervix for your next appointment.  If you have never had a colposcopy before, here is a little bit about what you can expect in the exam.  How To Prepare For Your Next Colposcopy Appointment Pre-Appointment: Feeling prepared for your appointment can reduce some of your anxieties and fears, we recommend: Scheduling your Pap appointment at an appropriate date and time can be helpful to reduce the stress leading up to the exam. Aim to schedule the appointment for the morning so you won’t increase your anxiety by spending the entire day thinking about it. It can also help to pick a day when you have fewer commitments. With less to do that day, you can schedule some time to do something nice for yourself after your appointment. Write a note for the appointment including important information and any questions you may have. For example: The last date of your period and cycle length Any medications you are taking Additional diagnosis Plans to conceive Remind your doctor of your unique situation. Jot down any questions you might have about your appointments, test results, and procedures. Knowing when and what is being tested over the coming months and year can help you plan and feel more prepared.  Take some time to get into your body. Doing something that engages your physical body or senses can help get you out of your mind and into your body. We recommend: Try a morning meditation Go for a walk Practice yoga Listen to relaxing music Inhale some essential oils Release your fears. Writing or speaking about your fears can be a helpful way of releasing them from inside of us. Take a few minutes to notice and acknowledge the thoughts you are having. Are they true? Are they helpful? Can you reframe your thinking? Create a mantra. Creating a mantra to repeat to yourself when anxious thoughts arise is another helpful technique to release anxiety. Something as simple as, “I am healthy, I am strong, I trust myself” can help bring us back into an empowered mindset.  At the Appointment: Share your questions, anxieties, and fears with your doctor. Most doctors understand the stress of the situation and voicing your fears can help them reassure you about the process and your health.  Bring a token with you. During the appointment, it can be helpful to have something you can hold in your hands to ease anxiety. You may want to bring a crystal, stress ring, or bracelet.  Use touch to calm the mind. Use your finger or hands to gently massage the back of your neck or wrist areas. These areas contain pressure points that can help bring us back to the present and increase feelings of relaxation.  Be your own advocate. Often, we look to authority to guide us instead of looking within. Remember that your doctors see many patients every day and despite caring for your health, they don’t live and experience your body as you do. You know your body and know what feels right or wrong. You are the best advocate for your health - so, voice something if you feel it is needed. After the Appointment: You did it! A colposcopy is hard, so be proud of showing up and making it through. Give yourself a hug and reward yourself with something you enjoy. Take a quiet bubble bath with candles, buy yourself flowers, release the tension with a sweaty yoga class, or schedule a catch-up with your most supportive friends. Do what makes you feel best. Schedule your follow-up appointments and reflect on where you want to be at that time. Are there elements of your lifestyle you want to focus on changing between now and then? Make a list of things you can do to support yourself through this time.  Obtain your results online. Many offices now offer online results. For some, it may be helpful to review your results at home before your appointment. Take time to think of any questions or concerns and allow yourself to enter your next appointment feeling informed. Unfortunately, we sometimes have to go to uncomfortable appointments because it is important for our health. In these times, we need a little extra self-care and grounding. We hope these tips provide some value and stress relief for your next visit but keep in mind that you are your own expert - your best guide is to look within!
Jun 14, 2021
4 min read
HPV And Fertility: What's The Impact?

HPV And Fertility: What's The Impact?

Adrienne Hill-Strathy
HPV is now considered the most common sexually transmitted infection among North Americans. The Center of Disease Control estimates that nearly everyone who is sexually active will have contracted a strain of HPV at some point in their lives. With HPV being highly prevalent in the young female population and infertility now affecting one-fifth of couples trying to conceive worldwide, many wonder whether contracting HPV will negatively impact fertility. Here, we outline the link and potential risks between HPV and fertility as well as some tips on what you can do about it. The HPV Fertility Link Most HPV infections do not pose fertility risks, but in some cases, they can. A healthy immune system will typically clear an HPV infection within a few years. Leaving the cervix and reproductive system in health to conceive and carry a baby. However, in the small percentage of HPV infections that do progress to cellular changes, lesions on the cervix, and inflammation have been associated with premature labor and low birth weight. Recent research on HPV infections and fertility is finding a correlation between HPV infections and reduced fertility through a higher number of premature ruptures of the membrane and spontaneous abortions. However, before you go sound your alarm bells, remember these studies are correlation-based, not causation. Many other factors can be contributing to this decline in fertility that was not identified in the study. More research is needed to make any conclusions that HPV does indeed reduce fertility. Does Treatment of Cervical Dysplasia Affect Fertility? Although most HPV infections will go away on their own, some require treatment that may affect the ability to conceive or reach full term in pregnancy. Cryotherapy, cone biopsy and LEEP procedures remove cells on the cervix and change your cervical mucus production. Procedures may also cause stenosis, or narrow the cervix, making it more difficult for sperm to reach the egg and get fertilized. The cervix may also weaken during treatment, leading to cervical insufficiency when your cervix widens and thins before coming to full term. Most women do not ever reach the stage of cervical cancer or require treatment. Cell progression is caught easily in pap tests, and preventative measures can be taken. The recommendation for disease control and prevention is to get one pap test every three years to keep an eye on your cervical cells, and more frequently if you have ever had an abnormal pap test. Can You Give HPV to Your Baby? There is a very low risk of transmission of a pregnant woman’s HPV infection to a child. One study followed 153 pregnant women through their pregnancies, some of which had previous HPV infections, and some with newly diagnosed HPV diagnoses through their pregnancies. Most pregnancies continue to full-term with no complications and babies are born with no signs of being carried by someone with an HPV infection. HPV Infection in Men There is growing interest in the impact of HPV in men and on male fertility in particular. Studies have found HPV infections are associated with reduced sperm quality, altering both motility and concentration of sperm. It was also found that HPV infection decreased cell count of normal-shaped cells and increased levels of ani-sperm antibodies. Nevertheless, research on the impact of HPV on male fertility is still developing and more research is needed to make any conclusions. What Can You Do About It? Fertility is impacted by a number of factors including hormones, stress, diet, age, lifestyle, etc. We know that taking proactive steps to protect and support your overall health and immune system will not only help fight off an HPV infection but foster a healthy home for a new life. Making lifestyle changes like eating better, exercising, sleeping well, keeping your stress levels low, cutting out smoking, alcohol consumption, and other toxic components of your life, will not only help you clear an HPV infection but also benefit fertility. Can I Take Papillex while Pregnant? Papillex is a great supplement for you prior to pregnancy. It will help keep your immune system robust, fighting the HPV infection. Papillex also contains supportive compounds like folic acid that helps with neural development and protects against birth defects. As well as vitamin C and E for a healthy immune system. However, Papillex is not recommended during pregnancy due to the mixed carotenoids in the ingredient formula. While beta-carotene, great against HPV, has not been associated with any complications in pregnancy, high doses of vitamin A have been. It is always important to consult your healthcare practitioner when taking any new supplements, especially if you are pregnant. For more information, head to our HPV and Pregnancy article.
Nov 01, 2020
3 min read
Ending the Stigma Around HPV

Ending the Stigma Around HPV

Christine Chung
There is no shame around HPV. At least, there shouldn’t be. Yet many women who have HPV feel shameful about it and are worried about sharing the information with future partners, at the risk of being judged. You’re not alone. HPV is Growing HPV is now considered to be the most common sexually transmitted infection in the US. It can be transmitted through any skin-on-skin contact with the affected area, including oral and anal sex, as well as intimate touching. There are over 100 different strains of HPV identified, but most do not carry a significant risk. Only a few high-risk strains have a small possibility to cause cancers. HPV 16 and 18 are the high-risk strains that cause 70% of cervical cancers. This risk is the reason why routine gynecological exams are recommended. Cervical cancer progression is preventable if caught early enough and appropriate measures are taken. The Social Stigma Around HPV In a survey of over 2,000 women, there was a wide range of stigmas associated with HPV, including shame, fear, and promiscuity. Almost 40% of the surveyed women were worried about what others may think of them if they had known of their HPV diagnosis. Marcia Cross, an actress most known for her role on Desperate Housewives appeared publicly on television to end the shame surrounding HPV. She was diagnosed with anal cancer, likely as a result of HPV transmission from her husband’s throat cancer, caused by the same strain of HPV. On an episode of CBS This Morning, she said: "I know that there are people who are ashamed, you have cancer. Should you then also feel ashamed like you did something bad because it took up residence in your anus?" Marcia Cross and many other celebrities and high-profile individuals are coming out to the public about their HPV diagnosis. There should be no shame attached to any medical conditions that result from HPV. The stigma associated with HPV prevents people from seeking out attention from their healthcare providers or friends and family because of the fear of judgment. This doesn’t have to be the case. What can you do naturally? There are options. Most HPV infections are cleared by a strong, healthy immune system. You will most likely clear the infection and any symptoms with a robust immune system. And your immune system can be naturally well supported in a number of evidence-based ways: Consume plenty of fruits and vegetables Quit smoking Reduce alcohol consumption Drink green tea Exercise to sweat In addition, Papillex is a clinically-researched, nutrient-rich supplement designed to increase your body’s ability to respond to HPV naturally. By optimizing your natural immunity and replacing missing and low nutrients, Papillex™ helps you create an environment inhospitable to HPV and its common symptoms, such as cervical dysplasia and genital warts.
Nov 13, 2019
2 min read
HPV and Anal Cancer

HPV and Anal Cancer

Christine Chung
Anal cancer is a topic that no one wants to talk about, but should be discussed. The American Cancer Society estimates about 8,300 new cases of anal cancer in the United States and over 1,200 deaths to occur as a result.  These are not insignificant figures. HPV can lead to and cause anal cancer, which is why it is first important to understand what HPV is and how it can develop into something more serious. Anal Cancer Anal cancer is when cancerous cells grow in the anal canal, a short tube where stool exits your body. Symptoms to look out for include: Anal bleeding, often the first sign Anal pain Anal Itching Discharge from the anus Lumps or masses in the anal opening Feeling of fullness in the anal area Swollen lymph nodes in the anal or groin areas Changes in stool, such as narrowing of stool Causes Anal cancer occurs when there’s a shift in cell metabolism. Cancer is described in layman’s terms as “cells gone wild”. Abnormal cells that form are an anomaly and should be properly terminated by your body. When these are not terminated, they accumulate and form tumours and can eventually spread to other areas of your body. Anal cancer is very rare; those cases that are found are likely to be considered a cause of sexually-transmitted infections. Risk Factors History of cancer Older age - most cases occur in those 50 years of age and older Anal sex Multiple sexual partners Positive HPV diagnosis How HPV Become Anal Cancer? Anal cancer can be caused by certain high-risk strains of HPV. Once HPV is contracted, cancer is not instant. It may take years of living without symptoms, with a higher likelihood of having no symptoms at all. Most people with strong immune systems are able to pass HPV without getting cancer. Anal cancer is rare in those younger than 35, with an average age of early 60s being most common. As well, not all HPV strains cause cancer. There are over 100 strains; only a handful of them can cause cancers, like anal cancer. However, anal cancer can be a complication of an HPV infection, especially in those with weakened immune systems. It begins with anal dysplasia, or an abnormal growth of precancerous cells in the lining of your anus. Prevention While using a condom reduces risk of anal cancer greatly, it does not eliminate the risk completely. It is difficult to screen for anal cancer, as it requires a cell sample from the area; not something routinely completed by your healthcare provider. However, anal cancer is very preventable if caught early. Women may get a digital rectum exam during a gynaecological exam, while men over 50 or those with a history of colon cancer may receive DREs. Those at high risk may get an anal pap smear from their healthcare provider. The HPV vaccination may be beneficial in reducing risk of contracting HPV.
Oct 30, 2019
2 min read

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