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HPV : THE PSYCHOSEXUAL IMPACT

HPV : THE PSYCHOSEXUAL IMPACT. Alexandrine CLOSE. HPV Impact Profile HIP.

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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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