We really must start urging our doctors to administer anal pap tests (although I have also read that some insurance companies won't cover it). Anal cancer is increasing at abnormal rates amongst HIV+ gay men and can occur at any CD4 level. Anal cancer also does not seem to be altered by treatment with HAART, either. It has become one of those post-HAART diseases (cardiovascular problems, diabetes, non-Hodgkin's lymphoma, etc.) that have replaced the opportunistic illnesses of the pre-HAART era.
Ray, this is so typical and infuriating, but the NIH document you link to does not state that men can get HPV warts on the anus, external or internal. It's just so classically homophobic on the part of the government's health bureaucracy.
http://www.medscape.com/viewarticle/499295_1
As a matter of fact, the surgery is tomorrow morning at 11.
We really must start urging our doctors to administer anal pap tests (although I have also read that some insurance companies won't cover it). Anal cancer is increasing at abnormal rates amongst HIV+ gay men and can occur at any CD4 level. Anal cancer also does not seem to be altered by treatment with HAART, either. It has become one of those post-HAART diseases (cardiovascular problems, diabetes, non-Hodgkin's lymphoma, etc.) that have replaced the opportunistic illnesses of the pre-HAART era.
I'm home now.
Ow.
-D
Dr. Stephen E. Goldstone, author of The Ins and Outs of Gay Sex, is considered the ass/butt doctor and his practice is in the city. He is, to my mind, a bit fixated on the subject, so if you book an appointment, listen to what he has but leave before taking the next step. One client of mine swore that he had saved him, literally, by catching hpv and then anal/colon cancer before it spread. He of course insists on anal pap smears as standard medical attention of gay men. Efu and the others have been right on the money with the issue and in their experiences. WinAh, the lovely chubby Dr. Goldstone I know him well. That's who my butt doctor was when I lived in NYC. Though most of the time it was this other guy on staff who was a member of the Radical Fairies that did the actual laser procedures. I guess I need to go back and get checked as it's now been 2.5 years since anyone has looked up in there.
Not gonna lie to you, before my last posts I hadn't had my first um... movement yet. Now I have.
<insert brutal yelping noise HERE>
make sure they give you some REALLY strong painkillers. T-3's aren't cutting it for me. Stock up on metamucil too.