1000 Park Avenue brand-new York, NY 10028 212-288-1300 | 27 Eighth Avenue, Brooklyn, NY 11217 718-636-0425
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ALAN KLING, M.D

Dr. Alan Kling is recognized as among the foremost experts in the ar of HPV infections. Throughout his years together an HPV specialist, Dr. Kling has added to research and also lectured in ~ various clinical schools, including Columbia, Cornell, mount Sinai, NYU, and Yale and having to be a part of a variety of national panels top top HPV and also HPV prevention. His substantial research has allowed him to store up with the latest HPV treatment protocols and also to educate rather in the field as well. When HPV is crucial field of dermatological study for numerous physicians, Dr. Kling has plainly separated himself from the pack, making him the optimal HPV therapy specialist in NYC today.

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Dr. Kling\"s private practice workplaces are situated at his Park Avenue exercise on the Upper eastern Side and in Park Slope, Brooklyn.


Q: just how do you acquire HPV?A: HPV is sent by skin-to-skin contact. HPV is most typically transmitted by sex-related contact. This walk not specifically mean intercourse. A person can gain the epidemic from rubbing during foreplay. The epidemic is an ext likely to occur in locations where there was a many friction i beg your pardon can an outcome in small breaks in the skin. The virus deserve to then attack the skin with these small fissures and establish a dwelling place for itself in the skin.

Q: What means other than sexual call can result in the additional spread of an HPV infection on myself?A: Genital warts are very contagious. A person who already has warts deserve to spread the infection to previously uninfected areas on themselves in many ways, consisting of in locations where castle wear chop clothing, native abrasion during exercise or sports, drying themselves through a towel intensely after taking a shower and even by cleaning themselves an extremely thoroughly however perhaps too hard after a bowel movement.

Q: What precautions have the right to I take it in bespeak to prevent spreading the infection?A: A person who has actually an epidemic in the genital area demands to be responsibility of the reality that they should thoroughly wash their hands before touching themselves in the genital area.

Q: can you infect somebody with HPV also if you can not see any type of growths in the genital area?A: A human being may no have conveniently recognizable growths on your skin but can still have actually HPV and be highly contagious. A human who is infected is a transport who have the right to potentially transmit the infection to a current or future partner.

Q: What is asymptomatic transmission?A: Asymptomatic infection is once a human without any apparent indicators or symptoms can still spread out the epidemic to an additional person through whom lock come right into contact. Asymptomatic transmission is a an extremely important way that the HPV virus is spread.

Q: Why is asymptomatic infection so common?A: Asymptomatic infection occurs frequently due to the fact that of the big number of human being who have little inconspicuous growth or no growth at every although they are carriers that the infection and are however shedding the virus. World who are asymptomatically shedding the virus commonly do not even know the they have actually an HPV infection are much less likely to acknowledge the should practice for sure sex and also use condoms.

Q: Is there a higher chance the my obtaining infected from a human being with lots of huge genital warts or through asymptomatic infection from a human who is a carrier?A: over there is a higher chance of you gaining the epidemic from a human with multiple huge genital warts because an ext virus is being burned by this warts. World who space asymptomatic shedders of the virus shed fewer viral particles yet are likewise less most likely to use condoms. The usage of prophylactics would decrease the chance of a human who is asymptomatically shedding the virus from infecting your partner(s).

Q: What are the possibilities that a human being who does not use condoms will gain an HPV infection from someone who has an HPV infection?A: roughly 40%.

Q: What is the incubation period for one HPV infection?A: The general range of the incubation period is from 1-9 months. The average incubation duration for one HPV epidemic occurs within 3-6 month after contact.

Q: If I execute not develop genital warts during that time, go that median that I will certainly not obtain an HPV infection?A: If you execute not construct the epidemic within 3-6 month of contact, over there is a reasonably great chance the you will certainly not build the infection yet the possibility of developing an epidemic is tho present. You have to be responsibility to use condoms until you know that you room clear of an infection for a 6 month period of time. Over there still remains the opportunity that you obtained a short grade infection and also are a carrier who can infect others.

Q: If ns don’t acquire an HPV epidemic within 6 months does that average that i am immune come the virus?A: no one is naturally totally immune come the virus. Girlfriend may have a good natural resistance to the virus wherein your human body is able to suppress the growth of the virus also though girlfriend may have actually been infected, yet at an additional time in your life as soon as you space tired, worn down, stressed out , or have a chronic condition or other condition which is decreases your resistance the virus deserve to then awaken from it’s implicit state and also cause an energetic infection.

Q: What locations in the man are most likely to it is in most contagious with HPV?A: The anatomic website in guys which have actually the greatest concentrations the HPV DNA space the head of the dick (glans), the foreskin and the pillar of the penis. The foreskin has the highest concentration of HPV DNA once it is present, i m sorry is only in the uncircumcised man. The scrotum and inguinal area may also contain HPV DNA, however the event of epidemic in these locations is less typical than the various other sites.

Q: How generally does HPV happen in the urine, semen and urethra?A: The occurrence of HPV in the urine, semen and urethra is low.

Q: deserve to HPV infection go away on their very own without gift treated?A: HPV infection are frequently transient and also can settle on their own without being treated.

Q: deserve to HPV be transmitted indigenous the mom to the child throughout pregnancy?A: HPV epidemic transmitted from the mommy to child throughout pregnancy space rare. The key time when the son will it is in infected is throughout the birth process while the son passes with an infected birth (vaginal) canal. Delivery by Cesarean section must theoretically diminish the frequency that this type of transmission, but this is no an absolute and infection has actually nonetheless been documented in babies yielded by C-section.

Q: Is HPV sent much more easily indigenous a man to a woman or indigenous a mrs to a man?A: HPV epidemic is more easilytransfer indigenous a male to a woman. The bigger surface area ~ above the vulva and also vaginal area provides this region more susceptible to infection.

Q: deserve to you acquire an HPV infection from oral sex?A: HPV infections deserve to be transmitted by dental sex and the enhanced incidence the oropharyngeal cancers has actually been attributed come the enhanced incidence of oral genital sex.

Q: What is the best way to stop this?A: Minimize oral sex as soon as growths are present in your partner’ s genital area. If you have any cuts, division or fissures on her lips, tongue or in her mouth, minimize any type of call to the genital area in order come avoid providing the HPV virus the opportunity to get into a rest in the skin in the mouth area whereby it can much more easily establish an infection.

Q: What space the chances of a person obtaining an HPV infection during their lifetime?A: 50%-80% that sexually energetic adults in the United claims will have been exposed to an HPV infection by the time they space 50 years old.

Q: How typically do HPV infections ever go away on your own?A: most HPV infections resolve on your own yet many execute not. A human who is in contact with a person who has an HPV infection that may ultimately resolve deserve to still gain infected when the various other infection is in an active stage.

Q: walk that average that the opportunities are that many of the time I won’t get infected?A: You have the right to still gain infected indigenous somebody that still has actually an energetic infection once you come into contact with them, return their epidemic may eventually clear up on that own. This should not be particularly comforting to you if you nonetheless captured the infection throughout the time once it to be active.

Q: how do I stop that indigenous happening?A: You need to use a condom.

Q: any type of particular type of condom?A: Latex prophylactics give the finest protection.

Q: If I see a expansion in mine genital area deserve to I just wait and also see even if it is it goes away on that own and not rush to act it?A: You deserve to take this tact of “watchful waiting” yet you need to use condoms during this time and also preferably check out your medical professional to comment on your options around getting that removed.

Q: What is the fence of wait to view if it goes far on the own?A: The infection can potentially spread out to and infect added areas on you, specifically in locations where there to be friction i.e. From working out, tight clothing, rubbing. You additionally have a higher chance of spreading it to a partner during this time, even if you usage protection.

Q: have to I wait to see if the growths walk away?A: You deserve to wait to watch if the growths walk away. Many people feel uncomfortable with the idea that leaving it to chance to view whether transmittable growths walk away on your own. You also need come be responsibility of the reality that the clearly shows growths have the right to go away however you might still it is in contagious and a carrier who deserve to still infect her partner(s).

Q: What if the genital warts don’t walk away on their own?A: This would suggest that you may have less that a resistance to the infection. Genital warts occur more frequently in men compared to women. Men have actually a less robust immune response, manufacture under antibodies against the HPV virus and develop less of a resistance come HPV infections than women.

Q: carry out different world have a lower resistance come HPV infections 보다 others?A: Men have actually a lower immune resistance to HPV infections than women. This is why genital warts occur an ext frequently in males than women. The frequency of HPV epidemic in females goes down as they obtain older yet it continues to be the exact same for men.

Q: What walk it typical if a person has actually a persistent HPV infection?A: Infections the persist and also do not go away on their own are much more likely to contain the high threat HPV strains. A human being can likewise have persistent infection v low threat strains once they have actually less of a natural resistance come infection.

Q: What space the possibilities that an HPV infection will go away on its own?A: 70% the abnormal Pap smears in women resolve on their own within one year after lock were at first diagnosed. 90% of every abnormal Pap smears will clear up on their very own within a 2 year period of time.

Q: carry out most people who have actually an infection know that they have it?A: Most human being who have an HPV infection space without symptoms and do not recognize that they have an infection.

Q: Is the HPV infection gone for an excellent if a human being was diagnosed through an HPV infection and it was then cure or went far on that is own?A: as soon as you have an HPV epidemic it does no go away. The epidemic can come to be latent and it always has the potential to recur. The human who was infected through HPV becomes a carrier.

Q: What walk it mean to be a carrier?A: A carrier has a low grade HPV epidemic which is not connected with any kind of growths or symptoms indicating it’ s presence but the transport is still contagious and may be asymptomatically shedding the virus which deserve to then perhaps infect their present or future partner(s).

Q: How typical is asymptomatic shedding?A: Asymptomatic shedding is very common. 50%- 80% that sexually energetic adults in the United claims have had an HPV infection by the time they room 50 years old. These individuals can potentially infect their existing or future partner who have not however been exposed to the infection. Asymptomatic shedding is just one of the factors that HPV infections are so common and also are occurring in epidemic proportions.

Q: exactly how is HPV spread?A: HPV is most generally spread by sexual contact. HPV is no spread solely by sex-related intercourse. HPV have the right to be transmitted by rubbing throughout foreplay or dental sex. There space many instances where civilization who space virgins (both male and also female) obtaining an HPV infections.

Q: deserve to HPV be spread out by non-sexual ways?A: The main way that HPV is spread out is through sexual contact, but there are nonetheless situations of HPV gift spread when there has been no sexual contact. Non-sexual method of transmission are feasible and most most likely do occur but are no a common way of obtaining the infection.

Q: deserve to HPV infections in the genital area be spread from hand warts?A: although hand warts have the right to potentially under specific circumstances infect the genital area, this is not a usual occurrence. A hypothetical case might be whereby a person has actually hand warts (caused by varieties not linked with genital HPV strains) which then infect their own genitals by poignant the area. The strains that HPV that many commonly associated with hand warts have actually zero potential to progress right into HPV-related cancers.

Q: execute warts top top the finger ever before contain the high–risk genital HPV strains?A: There have been reported cases of finger warts that were biopsied and also HPV DNA typing demonstrated the presence of high danger HPV 16/18 strains. This is an unusual and also highly unrepresentative situation but it has actually been reported.

Q: What room some other examples of how HPV infections can be acquired that does not involve sexual contact?A: friend or partner who freshly touched their own genitals, the virus gets transmitted to the various other person’ s hand, the hand ultimately touches their own genitals and also an HPV infection is established through pre-existing breaks in the skin. This is a hypothetical yet viable explanation the how certain infections have actually been spread.

Q: can you gain HPV with a blood transfusion?A: HPV is not spread out by blood transfusions.

Q: Is over there a blood test because that HPV?A: over there is no usual commercially available blood test for HPV.

Q: deserve to HPV spread through meaningless objects?A: It would be highly unusual for a human to catch an HPV infection with an inanimate object. The is unlikely the a human would catch an HPV infection from a toilet seats, bathtub, mutual underwear, bathing suits, clothing, and so on The HPV virus on an inanimate object does not survive after a short duration of time.

Q: exactly how does the actual infection occur?A: The infection of the virus most generally occurs after there is friction, mechanically trauma and/or abrasion to the skin. Breaks in the skin occur during sexual call or rubbing. The HPV virus is climate able to get entry into the skin and also establish an infection at the site.

Q: What is the most typical age for a human being to acquire an HPV infection?A: The age group when world have the best chance that getting new HPV epidemic is when they room 15-25 year old.

Q: Why perform so numerous infections happen at those ages?A: The age selection between 15-25 years of age is a time of sex-related experimentation. Civilization are more likely to have a greater number of partners during this time.

Q: Is there a allude in time when it is too beforehand or also late to acquire an HPV infection?A: A person can gain an HPV epidemic at any kind of time throughout their lifetime.

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Q: How typical is HPV on university campuses?A: studies performed at big university centers established that more than 50% of college-aged women obtain an HPV infection in between their student in the first year and an elderly year that college.