The page name, Girls, and HPV

A few people have asked me about the name ‘All adventurous women do’, so I thought I would explain.

In the HBO show Girls (Season 1 Episode 3), by the incredibly talented Lena Dunham (if you haven’t seen it watch it immediately if not sooner), Hannah finds out she has Human Papilloma Virus (HPV). There is a scene where Shoshanna tells Hannah that Jessa says “all adventurous women do [have HPV]” (see video clips)!

HPV is an extremely common virus which most people will contract at one time or another. Worldwide, HPV is the most widespread sexually transmitted virus which 80% of the population will contract at some point in their life. Most of the time the body’s immune system is able to clear the infection easily and it is entirely possible to have the virus without any knowledge.

There are over 100 types of HPV. The majority of HPV types infect the skin on external areas of the body, for example verrucas and warts on feet and hands.

Around 40 types of HPV affect the genital areas and approximately 20 of these types are associated with the development of cancer. Around 13 of these 20 types are considered oncogenic (cancer causing), meaning there is credible evidence that they are directly associated with the development of cervical cancer, therefore are considered high risk. These high risk types of HPV are HPV 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59 and 68. High-risk genital HPV types show no symptoms, so a person infected may never even know they have it. Types 16 and 18 are the most prevalent, causing over 70% of cervical cancers (these are the types that the HPV vaccine protects against).

Additionally, there are nine HPV types that may be associated with the development of cervical cancer, but there is not enough evidence for these to be considered high risk types at present. These are HPV 26, 53, 64, 65, 66, 67, 69, 70, 73 and 82.

The remaining genital HPV types are considered low risk because they do not cause cancer. However, they can cause other problems, such as genital warts.

Whilst these types of HPV are predominantly associated with causing cervical cancer, anyone can contract and pass on HPV. Whilst barrier contraceptive methods do lessen the risk of contracting genital types of HPV, it is very easily spread and therefore cannot be prevented altogether.

In the UK HPV testing is carried out as part of cervical screening as it can only be tested from a sample of cells. So, ultimately the only way to monitor whether you have HPV or not and to prevent your risk of developing cervical cancer is through regular and timely screening (and of course through vaccination where appropriate). So go and get your cervix checked out, tell all your friends and family to go and support the vaccination programme for young girls, you might just save a life!

Useful links about HPV:

https://jostrust.org.uk/about-cervical-cancer/hpv

http://www.who.int/immunization/topics/hpv/en/

http://www.nhs.uk/Conditions/vaccinations/Pages/hpv-human-papillomavirus-vaccine.aspx

A clip of Lena Dunham talking about the episode of Girls in question:

A clip from the episode:

Link to Lena Dunham’s instagram (which is brilliant, hilarious and well worth following) and her podcast (which I just discovered):

https://www.instagram.com/lenadunham/

https://itunes.apple.com/gb/podcast/women-of-the-hour/id1049452428?mt=2

Featured image and video courtesy of http://www.hbo.com/girls and https://www.instagram.com/lenadunham/

Black Juzo lymphoedema compression tights

Lymphoedema – what it is, prevention and management

Today my super sexy lymphoedema prevention tights arrived so I thought I would write a bit about lymphoedema.

The lymphatic system is part of the body’s immune system, helping to protect from diesease and infection. The lymphatic system is made up of lots of lymph nodes, lymph vessels and lymph fluid. Lymph fluid flows through lymph vessels that connect lymph nodes. Lymph nodes essentially act as a filter, they contain white blood cells (lymphocytes), which attack and break down bacteria, viruses and damaged cells. Any destroyed bacteria or waste products are then transported via the lymph fluid to the bloodstream to be excreted. Sometimes lymph nodes trap bacteria or viruses that take longer to destroy and when this happens they can become swollen and tender.

Lymphoedema developes when blockage or damage prevents lymph fluid from passing through the vessels or lymph nodes and the fluid cannot drain away in the normal way. The fluid then builds up between body tissues and causes swelling. Lymphoedema is a chronic swelling, meaning it cannot be cured because the causes can’t be reversed. However, for most people the swelling can be reduced, particularly when it’s diagnosed early.

In cancer patients lymphoedema can be caused by cancer itself that has begun or spread to the lymph nodes or that presses on the lymph vessels, radiotherapy treatment or surgery to remove lymph nodes.

I had 28 pelvic lymph nodes removed, spread to lymph nodes and will be having radiotherapy which means that I am at high risk of developing lymphoedema. Most hospitals in the UK take a curative approach to lymphoedema, but I was super lucky to be referred to The Royal Marsden, the worlds first hospital dedicated to cancer, who just so happen to take a preventative approach to lymphoedema. So, I had an appointment with a specialist physiotherapist who gave me some guidance on how I could help prevent developing lymphoedema and measured me up for some support tights which work much like compression (anti-embolism/DVT) stockings but also apply pressure to lymph nodes and vessels encouraging movement of fluid. I have to wear the tights everyday for about 6 months and I will have to take care of my legs and feet indefinitely. It means making some changes; no more walking around bare foot 🙁 and I have to moisturise regularly and I’m not supposed to run or do any high energy/high impact exercise for a while. Of course there is no guarantee I won’t develop lymphoedema anyway, but at least I will know I did everything I could to prevent it.

For anyone at risk or experiencing lymphoedema or for anyone supporting someone with lymphoedema it is well worth taking your time to understand what it is, what the risk factors are and what you can do to prevent/manage it.

Lymphoedema links:

http://www.macmillan.org.uk/information-and-support/coping/side-effects-and-symptoms/lymphoedema

http://www.lymphoedema.org/index.php/information-and-support/what-is-lymphoedema

http://www.nhs.uk/Conditions/Lymphoedema/Pages/Introduction.aspx