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HIV And Anal Cancer And Anal Warts

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Gay Men's Health Crisis

Anal Cancer, HIV and Gay/Bisexual Men

In the general population, anal cancer is a rare disease. Few people knew about it before Farrah Fawcett made public her struggle with the illness. Among men who have sex with men (MSM), and especially HIV-positive MSM, the incidence of anal cancer is significantly more prevalent and increasing annually. 1 However, the majority of gay and bisexual men know little about the disease, have never been tested for it, nor know that screening tests...
Ask the Experts

Screening for anal warts (Anal PAP smears)

What are the current recommendations for anal pap smears in HIV positive men and women?...
Bruce Dezube, M.D.

Response from Bruce Dezube, M.D.

Harvard Medical School
Excellent question. There are NO official guidelines regarding anal PAP smears. (A PAP smear is a test by which a health care provider checks a patient's cervix and/or anus for cells which are precancerous or cancerous). The following is one... Read more »

All about anal warts-- Treatment for internal anogenital warts; what happens to people infected with the wart virus?

what is the treatment for internal anogenital warts? I heard there was a pill, is that true? If anal intercourse was performed with a person with internal warts would the suseptible top pass it along to others?...
Bruce Dezube, M.D.

Response from Bruce Dezube, M.D.

Harvard Medical School
Anal warts, both internal and external, are caused by the human papillomavirus (HPV, also known as the wart virus). Given that it is a viral infection, it can be readily spread from an infected bottom to a susceptible top. Once a person gets... Read more »

HPV & Anal Warts; is my CD4 count falling because of the warts?

I was diagnosed last week with anal warts and have already had surgery to remove them. My proctologist says that I had extensive warts all the way up into the base of my colon. I was diagnosed HIV positive last summer and had apparently been...
Bruce Dezube, M.D.

Response from Bruce Dezube, M.D.

Harvard Medical School
I'm glad to hear that you are getting this problem addressed. That's a good step. Do the extensive warts explain a falling CD4 count?-- Probably not. I am not aware of any data which suggest that extensive warts cause a fall in the CD4... Read more »

anal warts and HIV

Thanks for all the great info here. I'm looking for some clarity in differing advice from my HIV and Proctologist docs.After finding and removing pre-cancerous anal warts (which haven't come back, thankfully) my Proc told me to get an HIV...
Gerald Pierone, M.D.

Response from Gerald Pierone, M.D.

AIDS Research and Treatment Center of the Treasure Coast
Hello and thanks for posting. It is quite possible that earlier treatment of HIV infection may lessen the chance of developing recurrent anal warts and anal squamous cell cancer. There are ongoing studies that are exploring this issue and these... Read more »
Connect With Others

Anal wart surgery

Posted by Anonymous, 8 Replies
I am about to have surgery for anal warts that I have in my anal canal. I was wondering if anyone else has had the outpatient surgery and tell me wht it's like post-op. when will I be able to go back to work? How long am I likey to be in discomfort? Read more »

Anal cancer

Posted by Anonymous, 1 Reply
I tested positive 14 years ago, and have had several AIDS complications. But this is my most recent cause for alarm:
My rectal surgeon has been monitoring and burning off my anal warts for the past 2 years. Recently, we decided one recurring spot... Read more »

surgery for anal warts

Posted by bakcake, 3 Replies
I am facing anal wart surgery in a week. i would like to know what happens step by step during the surgery Read more »

anal warts

Posted by Anonymous, 1 Reply
do gynecologists perform anal pap smears or check for warts back there? I think I may have them Read more »