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Human Papilloma Virus (HPV)

Human Papilloma Virus (HPV)
It is one of the most common STI among MSM . HPV infection causes clinical warts.
Warts are transmitted through skin-to-skin contact; condoms should be advised to decrease transmission of penile and anal warts. Treatment of a victim does not necessarily decrease the transmissibility. Warts may present anywhere on the genitalia, anus, and rectum or even in the mouth.
Anal HPV may increase the risk of anal cancer among MSM who have an increased risk of this condition compared to heterosexual people.
Treatment
Treatment modalities for HPV include topical therapies, freezing and surgical procedures.
HPV Vaccination
HPV is preventable by vaccination but the vaccine is extremely expensive (approximately KSH10,000 per dose and three doses are required) thus unavailable in public healthcare settings. The vaccine needs to be administered prior to acquisition of the virus: often prior to sexual debut.
HPV and ART
HPV in HIV positive men may develop HPV reconstitution inflammatory syndrome in the context of starting ART. Warts should be managed as usual, ART should be continued and steroids avoided.

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