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The CDC estimates that nearly all sexually active people will get at least one type of HPV at some point in their lives, but certain factors can increase your risk, especially: Having multiple sex partners (or being with someone who has multiple sex partners A weakened immune system due to HIV, immunosuppressive medications, or other chronic health conditions Smoking (another reason to quit or not start!) Chronic stress Direct contact with visible genital warts Not being vaccinated How Is HPV Diagnosed

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But now His voice trails off, and he takes a puff of his cigar