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If I already have HPV, is there anything that gets rid of it?

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Human papillomavirus (HPV): we saw the virus almost everyone will getYouTube

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No, there is no medicine that clears the virus. Antibiotics do not work either: they treat bacteria, and HPV is a virus. Your own immune system is what clears it, and in most people it does so over time. What does get treated is any lesion it leaves behind. That is why keeping up with follow-up care matters.

Why isn't there anything that gets rid of it, when it affects so many people?

Fair question. No pill or shot clears the virus. The vaccine protects against the HPV types behind most cancers, but it does not treat an HPV infection you already have. What protects you is screening. Pap and HPV testing usually detect a lesion early, when it is very treatable. In about 90% of people the immune system clears the virus in time.

I'm past 60, I already have the virus, and the vaccine is no longer an option for me. What can I do?

The vaccine does not treat a virus you already carry. In that situation, screening with the Pap test and the HPV test protects you. How long screening continues depends on your own history. A lesion is usually found and treated before it turns into a problem, which is why you should keep up with follow-up care.

Is there a treatment to lower the amount of virus or to treat the lesion, and is it the same for everyone?

No drug clears the virus. Treatment targets the lesion and depends on its location and grade, not on the virus type. A low-grade, stable lesion is often just watched. If it needs treatment, it is removed or destroyed by freezing, heat or laser. Removal is preferred: it leaves a specimen that can be examined under a microscope.

Cervical cytology under the microscope: a cluster of cells with a clear hollow around the nucleus, next to two normal squamous cells
Cervical cytology under the microscope. The cluster at the bottom right consists of koilocytes: squamous cells with a clear space around the nucleus, the mark HPV leaves behind. Above and to the left are two normal cells for comparison. This is a low-grade change, precisely the kind that is monitored: no medicine clears the virus, but something can be done if the lesion progresses.

Micrograph: Ed Uthman, CIN 1/HPV on ThinPrep, CC BY-SA 2.0. Unmodified.

Where this comes from

This is educational content, meant to help you understand your body. It is not a medical consultation or a diagnosis, and it does not tell any particular person what to do. If something worries you, see a doctor you trust.

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