HPV screening: Gender disparities and insights

Written in association with: Mr Mahantesh Karoshi
Published:
Edited by: Kate Forristal

Human papillomavirus (HPV) ranks as the prevalent sexually transmitted infection globally. It can cause cancer in both men and women, but it is more likely to cause cancer in women. That's why women are offered HPV screening, but men are not. In his latest online article, Mr Mahantesh Karoshi gives us his insights.

When a woman is found to have high-risk HPV on her smear, it means that she has been infected with a type of HPV that can cause cancer. However, it does not necessarily mean that she will develop cancer. In fact, most women with high-risk HPV will never develop cancer.

 

The reason why a woman's husband is not usually offered oral or throat or penile swabs to detect HPV is because it is not very common for men to develop cancer from HPV infection. In fact, only about 1% of men with high-risk HPV will develop cancer.

 

There are a few reasons why men are less likely to develop cancer from HPV infection than women. First, the type of HPV that is most likely to cause cancer in women is not the same type that is most likely to cause cancer in men. Second, men's immune systems are better at clearing HPV infection than women's immune systems.

 

As a result, it is not considered to be cost-effective to screen men for HPV infection. The American Cancer Society does not recommend routine HPV screening for men.

 

However, some men may be offered HPV testing on a case-by-case basis. This could include men who have had a history of genital warts or who have had sex with multiple partners.

 

In conclusion, if a woman is found to have high-risk HPV on her smear, it is not usually necessary to test her husband for HPV. Men are less likely than women to develop cancer from HPV infection, and it is not considered to be cost-effective to screen men for HPV infection on a regular basis. However, some men who are at increased risk of developing HPV-related cancer may be offered HPV testing on a case-by-case basis.

 

Mr Mahantesh Karoshi is an esteemed consultant gynaecologist. You can schedule an appointment with Mr Karoshi on his Top Doctors profile.

By Mr Mahantesh Karoshi
Obstetrics & gynaecology

Mr Mahantesh Karoshi is a London-based women’s health expert and consultant gynaecologist, with a special interest in ovarian cysts, heavy menstrual bleeding, infertility, fibroids, and adenomyosis. He is currently one of the most highly-rated gynaecologists in London with a very good reputation amongst his patients and peers.

Mr Karoshi's work is recognised internationally, having volunteered in Ethiopia’s Gimbie Hospital, and later receiving the Bernhard Baron Travelling Fellowship from the Royal College of Obstetricians and Gynaecologists which led to his work in the University of Buenos Aires. Here he worked on the techniques needed to surgically manage morbidly adherent placental disorders - a serious condition that can occur in women with multiple caesarean sections.

He believes in an open doctor-patient relationship, being sure to include the patient and educating them so that they understand their condition better and they can be directly involved in their care and management at every stage. Aside from his clinical work, he is actively involved in research, which together with his experience, has given him the opportunity to publish the first stand-alone textbook on postpartum haemorrhage which was launched by HRH Princess Anne.

At the core of Mr Karoshi's practice is a high standard of professionalism where patients are involved in their treatment and where the latest techniques and advancements are used to provide an extremely high level of care.

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