Genital cancer needs editing

Multiple leisons in 70%
99.7%. Cervical ca related to HPV


HPV double DNA


Early gene E late gene L. Vaccine L1 gene
HPV vaccine 16 18 responsible 70% Ca cervix

Quadrivalent vaccine Gardasil 6 11 16 18
9-26 yrs
Cervarix

How long does immunization work?
Should men be vaccinated?





>120 types HPV

E6/E7 gene

Smoking cessation engouages regression of CIN


Barrier methods regression of CIN

circumcision ?

Recall system reduction in incidence 60%

Genital cancer needs editing

Multiple leisons in 70%
99.7%. Cervical ca related to HPV


HPV double DNA


Early gene E late gene L. Vaccine L1 gene
HPV vaccine 16 18 responsible 70% Ca cervix

Quadrivalent vaccine Gardasil 6 11 16 18
9-26 yrs
Cervarix

How long does immunization work?
Should men be vaccinated?





>120 types HPV

E6/E7 gene

Smoking cessation engouages regression of CIN


Barrier methods regression of CIN

circumcision ?

Recall system reduction in incidence 60%

Amenorrhora(Needs edit)

With secondary sexual characteristic
With out secondary sexual charecterstic
Excess androgen
Absence of uterus


Rockintasy 30-40% urinary tract abnormalities
Can have their children-surrogate mother


Adolescent menstrual dysfuction may be worries about pregnancy STD contraception

'Pseudo'haemaphrodism

XY females
Pure gonadal dysfenesis
Enzymatic failure
End organ insensitivity
Exogenous hormones-CAH

Teen age pregnancy (needs editing)

I'M highest teenage pregnancy rate in Western world.
Definition 13 yrs-below 18 yrs in gov publication includes 18-19 yrs.

Teen age pregnancy is cause and consequence of social exclusion.

Problems-medical social education

Medical hypertension anaemia placental abruption prematurity sudden infant death syndrome

Social deprivation low self esteem low education