Mr Ahmed Ismail

Consultant Gynaecologist & Fertility Expert

 

Triple vaccine can save you from deadly cancer cervix

Experts who say boys need jab against cancer linked to love life

Dr Ahmed Ismail, Gynaecologist and Director to Queensway Clinic confirm the needs for all partners’ women or men to have the vaccine for cancer protection.

Dr Ahmed Ismail one of the leaders in women’s health care has been constantly advising and protecting women for years against any disease which may affect their future both health and fertility.

Cancer protection has been one of his main focuses during his examination and treatment of women. It was the most delightful news few years ago when the discovery of cancer cervix related virus and the vaccine to prevent almost 70-80% of this horrible illness which can lead to women’s Death.

Soon all the patients and their female children if any were advised to have the vaccine if following examination and primary tests they were proven to be suitable for the vaccine. The girls who they never had sexual contact vaginal or oral are suitable for the triple vaccine. Dr Ahmed ismail fully engaged in new program for female and male hpv vaccine starting from July 1st 2013.

For appointment: call Queensway clinic hot line on 0207 935 66 00.

Read daily mail latest article on the subject.

HPV

When Oscar- WINNING ACTOR Michael Douglas was first diagnosed with throat cancer in 2010, he initially put it down to the stress of his son Cameron’s incarceration for drugs offences. And as a heavy smoker and drinker for much of his disease, which kills nearly 2,000 people in the UK each year. But in an interview a few days ago he seemed to blame oral sex. ‘Without wanting to get too specific, this particular cancer is caused HPV (human papillomavirus) which actually come about from cunnilingus, ‘he said. ‘It’s asexually transmitted disease that causes cancer.’

It was an extraordinary revelation – and one that his publicist has sine corrected, saying the actor had been misquoted; he’d meant to say that while HPV is linked to some cases of oral cancer, his own wasn’t. There is no denying that a growing number of people develop oral cancer due to HPV, a sexually transmitted infection. In Britain, the number of mouth and throat cancers has increased by 40 per cent in just a decade, to 6,200 cases a year. But evidence that oral sex to blame is still inconclusive, according to Hazel Nunn, head of health information at Cancer Research UK. Around 10 per cent of men and 3.6 per cent of women have oral HPV, according to a study in the Journal of the American Medical Association in 2012. ‘We know HPV is found in the mouth but we do not yet know how it gets there – whether through oral sex or through other skin – to – mouth contact.

‘HPV virus has been found on the fingers and elsewhere on the body. It is possible that oral sex is implicated but more research needs to be done into behaviour that leads to this infection.’ Having many sexual partners raises your chance of oral cancer. Overall, HPV is linked to eight per cent of oral cancers. For the specific type of throat cancer that affected Michael Douglas- oropharyngeal cancer around the tonsil area – HPV is responsible for around 63 per cent of all cases, according to the US-based Centers for Disease Control and Prevention. There are more than 100 different types of this virus. It incorporates itself into a cell’s DNA and can cause the cell to divide and multiply out of control, leading to tumours. ‘HPV has been causing mouth cancer for decades but the link is only now becoming clear,’ explains Mark McGurk, professor of oral & maxillofacial surgery at Guy’s and St Thomas’ Hospitals.

The virus thrives in the lymphoid tissue, which is found in the mouth, the tonsils, base of the tongue and cervix. HOV is very common – 90 per cent of sexually active people will have been exposed to some form of the virus by the age of 25. Milk Bowen, a consultant obstetrician and gynaecologist at the Hospital of St John & St Elizabeth in London, says: ‘Eighty per cent of women and men will have the HPV infection at some time and clear it without any symptoms. But for a few it can cause cellular changes that lead to cancer.’ This group, which can’t shrug off the infection, may have weak immune systems. Professor McGurk says in the past 30 years he has seen a rise in oropharyngeal cancer, which typically affects sexually active men in their 50s and 60s.

‘They may have been infected for some time, ‘he explains.

According to studies, HPV can stay dormant in the body for ten years. The cancer reveals in the back of the throat. For this reason many patients are only diagnosed at a late stage. Michael Douglas already had advanced cancer, known as stage four cancers, when it was recognised. Luckily, oral cancer caused by HPV is very treatable, even when advanced, using radiotherapy and chemotherapy. ’We used to do surgery on these cases, but we don’t need to any more. In many cases, the cancer simply, melts away with radiotherapy, explains Professor McGurk. Patients with stage one and two HPV oral cancer have an 85 per cent chance of surviving five years after treatment. Those with stage four diseases have a 60 per cent chance of surviving five years – for other types of oral cancer; the five-year survival rate is 50 per cent, according to Cancer Research UK.

The charity wants all mouth tumours to be tested to see if they are HPV positive, to assist with effective treatment. ‘At the moment, testing varies depending on what hospital you are in. We think it should be standard, says Hazel Nunn. Professor McGurk belives men are more likely to have HPV in their mouths than women because: ‘Women harbour the virus in their genitalia, which gives a hospitable environment, while the male penile area is relatively hostile for it.’ Men can become infected by contact with female partners carrying the female partners carrying the virus. Infected men can pass it to women partners. One way to turn the tide might be a HPV vaccination for boys. Girls from the age of 12 in the UK have been offered vaccinations since 2008 against HPV strains 16 and 18 – the two commonly linked to cervical cancer.

Last year, Professor Margaret Stanley, professor of epithelial biology at Cambridge University, said boys should be vaccinated too. ‘Obviously cervical cancer is the big one, but other cancers, such as those of the tonsil and tongue, are hard to detect until they are advanced.’ But Hazel Nunn of Cancer Research UK says there is no evidence supporting the vaccination of boys. ‘It is possible, but there have been no proper trials.’ She says that although HPV is a factor, the most significant risks associated with all types of mouth and throat cancers are smoking and alcohol. A 2011 study found 70 per cent of mouth and throat cancers in men and 55 per cent in women in the UK were caused by smoking. Heavy alcohol intake was linked to 37 per cent of throat and mouth cancers in men, and mouth cancers in men, and 17 per cent in women in the UK.

Call: Queensway Clinic on 0207 935 66 00 To Book appointment for triple vaccine.

 
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