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HPV : THE PSYCHOSEXUAL IMPACT

This research investigates the psychosocial impact of HPV infections, particularly focusing on genital warts and high-risk cervical HPV, on individuals' emotional well-being, sexual health, relationships, and self-image. The study examines the differences in impact between genders, the transmission and source of HPV infections, and the consequences on sexual behaviors and partner relationships. Findings highlight the significant emotional burden, sexual implications, and concerns about transmission associated with HPV infections, emphasizing the importance of prevention, proper sexual behavior, and treatment options.

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HPV : THE PSYCHOSEXUAL IMPACT

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  1. HPV : THE PSYCHOSEXUAL IMPACT Alexandrine CLOSE

  2. HPV Impact Profile HIP Mast, T. C., Zhu, X., Demuro-Mercon, C., Cummings, H. W., Sings, H. L., & Ferris, D. G. (2009). Development and psychometricproperties of the HPV Impact Profile (HIP) to assess the psychosocial burden of HPV. CurrentMedicalResearch and Opinion, 25(11), 2609–2619. Worries/concerns Emotional impact Sexual impact Self-image Partner/transmission Interactions withdoctors Health control/life impact

  3. Cross-sectional study estimating the psychosocial impact of genital warts and other anogenital diseases in South Korea • Lee TS, Kothari-Talwar S, Singhal PK, et al. Cross-sectionalstudyestimating the psychosocial impact of genitalwarts and otheranogenitaldiseases in South Korea. BMJ Open 2019. • Vriend HJ et al. Impact of genitalwarts on emotional and sexualwell-beingdiffers by gender. Int J STD AIDS. 2014 Nov. • Male GW : 85% withvs 32% without • Sexualpartners male GW +++ • Female HPV-relateddiseases: 88,5% withvs 66% without • HIP & QoLfemale GW > male GW • Largest impact of GW on sexual impact, self-image and partner/transmission

  4. Cross-sectional study estimating the psychosocial impact of genital warts and other anogenital diseases in South Korea • Lee TS, Kothari-Talwar S, Singhal PK, et al. Cross-sectionalstudyestimating the psychosocial impact of genitalwarts and otheranogenitaldiseases in South Korea. BMJ Open 2019. • Vriend HJ et al. Impact of genitalwarts on emotional and sexualwell-beingdiffers by gender. Int J STD AIDS. 2014 Nov. • External GW =visible STI • Shame/embarrassment • Anxiety/depression • Disgust • Anger • Worry • Lessdesirable • Psychosocial impact of STD by female >> male

  5. The psychosexual impact of testing positive for high‐risk cervical human papillomavirus (HPV): A systematicreview Bennett KF et al. The psychosexual impact of testing positive for high-risk cervical HPV: A systematicreview. Psychooncology. 2019 Aug 14. • Source of HPV infection • Transmission of HPV • Impact of HPV on sex and relationships

  6. SOURCE of HPV INFECTION Bennett KF et al. The psychosexual impact of testing positive for high-risk cervical HPV: A systematicreview. Psychooncology. 2019 Aug 14. • Whichpartner(current or previous) ? • InfidelityConcerns • Mistrust, relationship breakdown, anger

  7. TRANSMISSION OF HPV Bennett KF et al. The psychosexual impact of testing positive for high-risk cervical HPV: A systematicreview. Psychooncology. 2019 Aug 14. • Transmitting HPV to a partner • Likelihood of infecting ? • Whichsexual practices ? • Consequences for partner ? • Beingre-infectedwith HPV • Fear of a new partner

  8. IMPACT ON SEX AND RELATIONSHIP • (1) Bennett KF et al. The psychosexual impact of testing positive for high-risk cervical HPV: A systematicreview. Psychooncology. 2019 Aug 14. • (2) Ferenidou FS et al. The impact of HPV diagnosis on women'ssexual and mental health: preliminaryfindings. Clinical and ExperimentalObstetrics & Gynecology. 2012;39(1):79-82. • Negative self-image : « dirty », « contaminated », « unworthy », « sexuallyinattractive » (1)(2) • Decrease of sexualspontaneity • Reducedinterest in and frequency of sex, sexualdesire and satisfaction (1)(2) • Riskswith oral sex(1) • Abstention • No sexualactivitiesanymore(1)

  9. CONDOM USE & FIRST INTERCOURSE STI prevention Pregnancy prevention FairfortuneT et al. Sexualbehavior patterns and condom use in newlysexually active femaleuniversitystudents. Arch SexBehav. 2019 Aug 12. • First IC : 1/3 women • Feelings in love • 1OthIC event • Hormonal contraceptive • Womenwithsexuallyexperiencedpartners

  10. HPV infection in men –HIM STUDY Sichero L et al. Human papillomavirus and genitaldisease in men : whatwe have learnedfrom the HIM Study. Acta Cytol. 2019. • Organ-preserving treatment : • QoL • Sexualfunction • Partial or total penectomy : • Self-esteem & self-image, shame • Cosmeticpenileappearance • Inability to please the partner& manual or oral stimulation • Voidingproblems • Encouragements of wives and families

  11. CONCLUSION • Importance of correct sexualbehavior at first IC • Potentialtreatment options : • Medicalfactors • Individualconcerns • Psychologicalburdens

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