Fifteen-Year-Old Dolores Was Embarrassed To Talk With Her Mo

Fifteen Year Old Dolores Was Embarrassed To Talk With Her Mother About

Fifteen-year-old Dolores experienced discomfort and pain in her private parts, leading her to worry about potential sexually transmitted infections (STIs). Despite her partner Nick's assurance that she was his first sexual partner, Dolores felt embarrassed to discuss her concerns with her mother. Her hesitation delayed her seeking medical attention until her mother insisted she see a healthcare professional. The diagnosis revealed cervical lesions caused by a virus associated with cancer. The presence of cervical lesions linked to a virus suggests a well-known sexually transmitted virus that can cause such lesions and increase the risk of cervical cancer.

The virus in question is the Human Papillomavirus (HPV). HPV is a common sexually transmitted virus, with over 200 types identified, some of which are associated with genital warts, while high-risk types are linked to the development of cervical intraepithelial neoplasia and cervical cancer. Persistent infection with high-risk HPV types, such as HPV 16 and HPV 18, can lead to the formation of cervical lesions, which can progress to cervical cancer if not appropriately managed.

For treatment, the physician would typically assess the extent and severity of the cervical lesions through colposcopy and biopsy. Treatment options include excisional procedures such as Loop Electrosurgical Excision Procedure (LEEP) or cold knife conization, which remove the abnormal tissue. Additionally, cryotherapy or laser therapy may be employed to destroy precancerous lesions. These interventions aim to eradicate the infected tissue and prevent progression to invasive cancer. Follow-up screening and testing are crucial to monitor for recurrence or new infections.

Prevention of HPV infections involves vaccination and safe sexual practices. The HPV vaccine, such as Gardasil or Cervarix, provides protection against the most common high-risk HPV types associated with cervical cancer. Vaccinating adolescents before sexual debut maximizes the vaccine’s efficacy. Consistent condom use during sexual activity can reduce the risk of HPV transmission, although it does not completely eliminate the risk since HPV can infect areas not covered by condoms. Regular cervical screening, including Pap smears, is essential for early detection and treatment of precancerous changes, especially for women who are sexually active.

References

• Centers for Disease Control and Prevention. (2021). Human Papillomavirus (HPV). https://www.cdc.gov/hpv/index.html
• American College of Obstetricians and Gynecologists. (2020). Practice Bulletin No. 168: Cervical Cancer Screening. Obstetrics & Gynecology, 135(2), e56-e72.
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