I disagree with you with respect to screening. Yes the medical community needs to loosen its grip when it comes to hrhpv testing and the development of at home testing however the problem isn't necessarily of over screening but over treatment and over testing because doctors do not even follow the guidelines which exist. In addition, when CIN1 is supposed to be followed for 24 months, many doctors are recommending LEEP. CIN1 is shown by the majority to regress by over 70% after 12 months so why are they recommending LEEP.
CIN3 in many cases is being recommended with a hysterectomy as PRIMARY treatment. This is NOT what should be primary treatment yet women are losing their fertility because doctors are performing hysterectomies instead. To some extent society does need to take responsibility because we tend to be of the feeling that we "just want it out" and are willing to do whatever we have to just to get it out of us and not have to deal and worry about it. We are not willing to wait out the course.
The medical community has done a pathetic job of educating its members in all nations and all continents when it comes to HPV. I believe that with respect to vaccination, Australia has a 70% completion rate for the hpv vaccine. This is more than double that of the US and part of the reason is related to a statement above - that this is RARE. It is not rare when you count in all the numbers of dysplasias occurring CIN2/3 lesions requiring treatment and not just the death statistics. But of course there is no database to collect the information on these lesions. I firmly believe that statistics are much higher than quoted overall and most people continue to focus on cervical while excluding all of the dysplasias and cancers involving the vulva, cervix, anus and oropharynx. Recent testimony to the FDA in the US stated that if hpv oropharyngeal cancers continue at the rate they are they will exceed cervical cancers. Anal cancers are rising at 2% each year. That is a tremendous amount though it may not sound like it.
The majority of women ending up with cancer are those who do NOT get screened. Focusing on too much screening is like shooting the messenger. It is the physicians who for the most part and perhaps also in part are doing the overtreatments they are because of fear of malpractice if they do the watch and wait approach.
Comment Reply
I disagree with you with respect to screening. Yes the medical community needs to loosen its grip when it comes to hrhpv testing and the development of at home testing however the problem isn't necessarily of over screening but over treatment and over testing because doctors do not even follow the guidelines which exist. In addition, when CIN1 is supposed to be followed for 24 months, many doctors are recommending LEEP. CIN1 is shown by the majority to regress by over 70% after 12 months so why are they recommending LEEP.
CIN3 in many cases is being recommended with a hysterectomy as PRIMARY treatment. This is NOT what should be primary treatment yet women are losing their fertility because doctors are performing hysterectomies instead. To some extent society does need to take responsibility because we tend to be of the feeling that we "just want it out" and are willing to do whatever we have to just to get it out of us and not have to deal and worry about it. We are not willing to wait out the course.
The medical community has done a pathetic job of educating its members in all nations and all continents when it comes to HPV. I believe that with respect to vaccination, Australia has a 70% completion rate for the hpv vaccine. This is more than double that of the US and part of the reason is related to a statement above - that this is RARE. It is not rare when you count in all the numbers of dysplasias occurring CIN2/3 lesions requiring treatment and not just the death statistics. But of course there is no database to collect the information on these lesions. I firmly believe that statistics are much higher than quoted overall and most people continue to focus on cervical while excluding all of the dysplasias and cancers involving the vulva, cervix, anus and oropharynx. Recent testimony to the FDA in the US stated that if hpv oropharyngeal cancers continue at the rate they are they will exceed cervical cancers. Anal cancers are rising at 2% each year. That is a tremendous amount though it may not sound like it.
The majority of women ending up with cancer are those who do NOT get screened. Focusing on too much screening is like shooting the messenger. It is the physicians who for the most part and perhaps also in part are doing the overtreatments they are because of fear of malpractice if they do the watch and wait approach.
December 3, 2011 - 5:09pmThis Comment
Reply