[Question #316] HPV
110 months ago
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Edward W. Hook M.D.
110 months ago
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Welcome back to our Forum. I'll be pleased to comment. My suspicion is that either your doctor is being overly conservative or that he/she is mis-informed. Signs of inflammation and variation in the cells seen on PAP smear is rather common and is referred using a variety of terms including "atypical squamous cells of unknown significance" or ASCUS. Standard practice is to test PAP smears showing ASCUS for HPV because a portion (typically less than 50%) of ASCUS is caused by HPV. If caused by HPV, further evaluation (often colposcopy) is recommended. Many other things, hormonal variation, physiological change, minor infections, also are associated with ASCUS. In your case you were tested for HPV and the test was negative and therefore need to be concerns about having cervical HPV infection at this time.
Thus, nothing you have reported makes me concerned that you have HPV (I should add however that even if you were to have HPV, this is not a big deal- before the HPV vaccine became available, over 85% of adults could be shown to have or have had HPV. Less than 1% of such persons co on to have cervical cancer. Thus, not that you do, but if you had HPV, this would not be something to be concerned about.)
I hope this comment is helpful. Please do not worry. EWH
110 months ago
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Edward W. Hook M.D.
110 months ago
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If you had HPV you would have a positive HPV test. Your negative test indicates that you do not have HPV
Inclusion cysts are benign and may persist for long periods of time. EWH