1. QUELS SONT LES SYMPTOMES ?

Le virus du papillome humain (VPH) a plus de 150 types, certains d’entre eux sont à haut risque et d’autres sont à faible risque. Les premiers ne donnent aucun type de symptômes. Parfois, ces derniers ne le sont pas non plus, mais à d’autres moments, ils sont généralement visualisés par l’apparition de verrues génitales ou de condylomes.

COMMENT SAVOIR SI JE L’AI?

Cette maladie sexuellement transmissible est diagnostiquée par des tests spécifiques sur les pertes vaginales. Il est généralement soupçonné par un test cytologique effectué lors d’un test de dépistage du cancer du col de l’utérus », la Cytologie normale n’est pas capable de le détecter.

2 VAIS-JE AVOIR DES VERRUES ?

Elles apparaissent après une infection à HPV à faible risque, mais pas dans tous les cas. Ces lésions sont généralement situées dans le tractus génital inférieur (col de l’utérus, vagin, vulve, périnée et région périanale), l’anus et la région oropharyngée. » S’ils ne sont pas retirés, ils prolifèrent et peuvent dégénérer en lésions cutanées plus graves »

COMMENT EST-IL ENLEVÉ ?

Avec des produits topiques, la cryothérapie, l’excision et le laser C02. Parfois, ils disparaissent eux mêmes.

3 COMMENT ÇA SE TRAITE ?

Il n’y a pas de traitement médical qui élimine le papillomavirus humain une fois contracté. L’ infection guérit lui même, lorsque le système immunitaire surmonte. « En améliorant les défenses on affaiblirait le virus lui-même et ainsi les symptômes comme les verrues disparaîtraient, mais il faut se rappeler que parfois ceux-ci sont traités, avec des médicaments et même de la chirurgie, et le virus n’est pas éradique

AMÉLIOREZ VOS DÉFENSES

Menez une vie saine, ne fumez pas, faites du sport et suivez une alimentation équilibrée, riche en vitamines et en fibres, et faible en gras. Tout cela aura un impact sur la santé générale et, par conséquent, améliorera l’état de vos défenses et vous rendra plus fort contre les maladies.

4 COMMENT L’AI-JE OBTENU ?

Il n’y a qu’une seule voie de transmission et elle est sexuelle, par voie vaginale, orale ou anale. « Il existe de nombreux faux mythes sur la contagion : lorsqu’on est assis dans des lavabos, se baigner dans la même piscine, se serrer la main et se faire un câlin, mais ils ne sont pas vrais.

À L’ACCOUCHEMENT

Il y a une incidence minime d’infection du larynx ou de la muqueuse buccale chez le bébé lors d’un accouchement naturel si la mère a le virus, mais le risque est si faible qu’elle n’envisage même pas de passer à l’accouchement par césarienne.

5 PUIS-JE DONNER LE VIRUS A  MON PARTENAIRE ?

C’est un virus à fort pouvoir infectieux. Si vous avez le VPH et que vous avez des relations sexuelles sans préservatif, vous pouvez infecter votre partenaire. Votre partenaire peut également être porteur du virus, même s’il ne présente aucun symptôme, et il vous infecte.

QUE PEUT-IL VOUS ARRIVER ?

Comme chez les femmes, la plupart des hommes atteints du VPH ne présentent jamais de symptômes et l’infection disparaît généralement d’elle-même. Cependant, il peut également provoquer des verrues génitales ou certains types de cancer.

6 COMMENT EST-IL PRÉVENU ?

C’est l’infection sexuellement transmissible la plus répandue dans le monde. La prévention est difficile. Vous pouvez réduire la probabilité de l’acquérir en utilisant correctement un préservatif chaque fois que vous avez des relations sexuelles. « Mais il faut savoir que le virus du papillome humain peut affecter des zones cutanées exposées qui ne sont pas recouvertes de préservatif, donc il n’empêche pas la possibilité d’infection.

MONOGAMIE

En plus du préservatif, limiter le nombre de contacts sexuels réduit la probabilité de contracter le virus. Il est également minimisé si des relations monogames sont maintenues avec un partenaire fermé.

7 LE VACCIN FONCTIONNE-T-IL ?

C’est un outil très important de prévention. Il en existe actuellement trois : le bivalent (cervarix) contre HPV 16/18, le quadrivalent (Gardasil) contre 16/18/6/11 et le nonavalent (Gardasil) contre HPV 16/18/6/11 / 31/33 / 45 /52/58. Il produit des défenses contre le virus et agit contre 90 % des types, y compris les plus graves.

PUIS-JE ME FAIRE VACCINER EN TANT QU’ADULTE ?

Le calendrier de vaccination l’inclut pour les filles mais pas pour les garçons. « Toute femme peut être vaccinée. Dans les fiches techniques, des études d’efficacité sont réalisées chez des femmes de moins de 45 ans, mais cela ne veut pas dire qu’elles ne peuvent pas être vaccinées au-delà de cette tranche d’âge.

8 PEUT-IL ÊTRE RÉPÉTÉ?

Bien qu’on ne sache pas si le système immunitaire d’une personne en bonne santé est capable d’éliminer le virus, il l’affaiblit à des seuils imperceptibles. Mais on pense que lorsque le système immunitaire est déprimé, le virus peut être réactivé. L’immunité créée par la première infection n’est pas pérenne et peut être acquise plusieurs fois. Il est également possible de contracter un autre type de virus HPV (rappelez-vous qu’il y en a plus de 150).

9 EST-IL POSSIBLE DE L’AVOIR SANS LE SAVOIR ?

Oui, en fait, c’est la chose habituelle. Cette infection est beaucoup plus fréquente qu’on ne le croit. Les statistiques varient selon les études et les pays, mais on peut dire qu’entre 60 et 90 % des femmes ont été infectées à un moment de leur vie par ce virus, qui peut logiquement être combattu si le système auto-immun fonctionne correctement. La bonne nouvelle est que la plupart élimineront le virus spontanément sans aucune répercussion.

AUCUN SIGNE

N’oubliez pas que, dans tous les cas, le VPH peut ne donner aucun symptôme. Il peut être infecté sans signe, sans apparition de verrues et avec une cytologie gynécologique périodique avec des résultats normaux.

10 VAIS-JE AVOIR UN CANCER ?

Le VPH est à l’origine de 99,9 % des cas de cancer du col de l’utérus. Il provoque également le cancer de l’anus, de la tête du cou (cavité oropharyngée). Mais les virus à haut risque de cancer sont beaucoup moins nombreux que ceux à faible risque et, par conséquent, moins fréquents. Concrètement, les plus étudiés sont les types 16 et 18, pour lesquels il existe un vaccin.

Y A-T-IL D’AUTRES IMPLICATIONS ?

La plupart des femmes qui ne guérissent pas de l’infection peuvent développer des lésions de bas grade qui guérissent dans la plupart des cas. D’autres pourraient évoluer vers des lésions de haut grade, qui sont corrigées avec un bon suivi. Chez les patients atteints du SIDA (sans défenses), le VPH exacerbe les symptômes.

Dr. Marie Phara Ambroise

896 thoughts on “10 questions sur le papillomavirus humain”
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