genital warts and cancer ??!?

[q_4_a]

Hi , I’m asking this question for a friend of mine ..she had sex with her ex-husband about 5 years ago,and she have hadn’t more sex from 5 years ago until now,and  she is so worry about genital warts and also cancer.. she just think (guess and not sure)that maybe her husband had genital warts and they were invisible or she didn’t see them! she told me she haven’t symptoms of genital warts  but I’ve heard that sometimes genital warts are without any symptoms and sometimes you can’t recognize warts with yourself because they are invisible ,however she’s so worry about cancer (anal cancer or rectum and anus cancer) .so my questions 1.is it possible that she infected with genital warts and that time she got cancer because of anal sex and she haven’t any symptoms now?i mean she have cancer because of genital warts because of anal sex in 5 years ago and she’s still without symptoms? 2.if she infected with genital wart and her immune system cleared them ,and if genital warts come back again can it cause cancer without have sex?..also I should say she has ocd and she can’t go to doctor so help me she has headache for this issue all the times.so explain and help me in my questions.,she told me when she touch her anus she feel some pain around her anus it’s the only symptom ..please answer my 2 question carefully because I should tell your answer ti her and maybe it can take her mind at rest she is always worry about cancer so tell me how it can cause cancer..thanks a lot

[Bhupinder Kaur, MD]

Hello,
HPV is one of the most common sexually transmitted diseases. Sometimes there are no symptoms at all of the infection and you cannot know until you do tests to diagnose it. However the strain of HPV causing genital warts is different from the one causing cervical or anal cancer. This can be diagnosed by getting regular PAP smears done and if PAP smears come abnormal, a colposcopy and biopsy of the cervix should be done. This will clear the status of any cervical cancer caused by HPV.

If the HPV test positive and your Pap is normal, that means your cervical cells are normal, but she has HPV. Your friend may fight off HPV naturally and never get cell changes. Or, shemay not fight off HPV, and HPV could cause cell changes in the future. She should repeat another Pap test and HPV test within a year. The best method of detecting and diagnosing HPV in women is through a regular pelvic exam and Pap smear. However to detect the strain, Qiagen or hybrid capture test can be done.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.

[q_4_a]

any body can't answer me??i'm confused to study about this !!i should say the pain around anus that i  said was just for about a week and there isn't any bump around anus...i just wanna know is it possible that 5 years ago genital warts converted to cancer and still she is without any symptoms?please answer my questions