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Saturday, May 2, 2015

An Important Reason to Get an HPV Test if You Have an IUD


Lots of things to consider about getting STD and HPV tests. If you haven't had these tests here are some of the things to discuss. Contraception is used for many years, as a general rule about 30 years of fecundity, therefore long term health improvements with contraception are both desirable and possible with the right formulation for each individual woman. For those who are fatigued and in pain for heavy menstrual periods, merely by selecting the right IUD or hormonal contraceptive we can prevent anemia, improve sleep and fatigue, and thus bestow health benefits which affect even academic and athletic performance! But, long term management of any medical therapy means far reaching effects in many organ systems. In a study jointly reported from Cornell and New York University Schools of Medicine there may be effects of the IUDs on the HPV virus. We know that immune factors in the vagina, the cervix, the uterus, and the fallopian tubes help protect against infectious disease. Alteration of those factors can potentially affect many conditions. For some women changing the cervical mucus can prevent against infection, so the authors asked if IUDs have any effect on HPV infections. Specifically they were interested in whether the copper or the hormone levonorgestrel have any relationship to resolving or acquiring HPV infection. Of course the best defense against HPV infection is Gardasil vaccination, and we don’t want readers to lose sight of that! In May 2015 issue of OBSTETRICS & GYNECOLOGY it was reported that the levonorgestrel IUDs, which would be Mirena or Skyla, could possibly both decrease clearance of HPV infections and decrease acquisition as well. Furthermore it may be that copper IUDs are not as suitable for women with HPV infections. We know that local immune factors help IUDs work. This would be a tremendous benefit for many women if it is substantiated by future study.  Older studies done in the pre-vaccination era, and done in an era of less accurate HPV testing did not indicate that there was an effect of IUD use on the precancer cervical changedysplasia, and even suggested decreased cervical cancer. For further information please come in to discuss with your personal gyno.

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Thank you for your comments and questions. This blog is not intended to replace medical care, but is informational only. We hope you will become a follower or visit Womens Health Practice. We offer a variety of unique services including MonaLisa Touch, Coolsculpting, Labiaplasty, and Gynecoloigic Clinical Research Trials. For more information on menopause see http://www.amazon.com/Menopause-Make-Peace-Change

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If you are a female between the ages of 18 and 35 you may be eligible for a contraceptive ring investigational contraceptive medication study. Qualified participants will receive study-related medical evaluations and care at no cost. If interested, please call 217-356-3736.

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