Sexually transmitted virus

    Fifteen-year-old Dolores was embarrassed to talk with her mother about the pain she felt in her “private parts,” but she was worried she might have gotten a disease, despite Nick’s assurance that she was his “first.” Her mother insisted that Dolores see a doctor, who discovered cervical lesions caused by a virus associated with cancer. What sexually transmitted virus is involved? How should the physician treat the lesions? How could Dolores have protected herself?

Sample Solution

   

Based on the information provided, the sexually transmitted virus Dolores most likely contracted is the Human Papillomavirus (HPV).

Here's a breakdown of the situation and potential solutions:

Virus:

  • HPV: Several strains of HPV can cause genital warts and precancerous lesions on the cervix (like those found in Dolores). This suggests a high-risk type of HPV.

Full Answer Section

     

Treatment:

  • The doctor will likely recommend treatment for the cervical lesions depending on their severity. Options might include:
    • Colposcopy and LEEP (Loop Electrosurgical Excision Procedure): This minimally invasive procedure removes abnormal tissue with a thin wire loop.
    • Cryotherapy: This treatment freezes and destroys abnormal cells.
    • Laser surgery: This uses a concentrated laser beam to remove abnormal tissue.

Prevention:

Dolores could have protected herself from HPV in several ways:

  • Vaccination: The HPV vaccine is highly effective in preventing infection with the most common cancer-causing strains of HPV. It is recommended for all girls and boys at the ages of 11 or 12.
  • Safer Sex Practices: Consistent and correct use of condoms can significantly reduce the risk of HPV transmission.

Communication:

It's important for Dolores to have a conversation with her doctor about the HPV infection and treatment options. The doctor can also address her concerns and answer any questions she might have.

Addressing Embarrassment:

Talking about sexual health can be uncomfortable, but it's crucial for getting proper medical care. Dolores' doctor and potentially a women's health clinic can provide a safe and supportive environment for her to discuss her concerns.

Partner Notification:

While not explicitly mentioned, it might be advisable for Dolores to inform Nick, her partner, about her HPV diagnosis. He should also be encouraged to get vaccinated and potentially tested for HPV himself.

By understanding the virus, treatment options, and preventive measures, Dolores can take control of her health and reduce the risk of future complications.

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