Incidence of HPV in young women requiring surgical treatment in Amazonas

Abstract

Human Papillomavirus infection represents a significant public health issue, particularly in regions marked by inequalities in access to prevention and diagnostic services, such as the state of Amazonas. Among young women, infection occurs at an early age and, when associated with viral persistence and failures in screening, may progress to cervical lesions requiring surgical treatment. In this context, the aim of this study was to analyze the incidence of HPV in young women in Amazonas associated with progression to cervical lesions that required surgical intervention, as well as to discuss epidemiological, healthcare, and clinical factors related to this outcome. This was a descriptive literature review with a qualitative approach, based on original articles and academic studies published between 2020 and 2025, selected from open-access databases and platforms according to predefined criteria. The results indicated a high occurrence of HPV infection among young women, with predominance of oncogenic genotypes and frequent association with the absence of regular screening. Weaknesses were identified in early diagnosis policies, low adherence to cytological screening, and difficulties in clinical follow-up, factors that favored lesion progression and the indication of surgical procedures during reproductive age. The discussion revealed convergence among authors regarding the relationship between late diagnosis and greater therapeutic complexity, as well as divergences concerning the most appropriate screening strategies for young populations. It was concluded that the need for surgical treatment among young women in Amazonas reflects structural limitations in healthcare delivery, reinforcing the importance of strengthening prevention actions, early diagnosis, and continuous follow-up.