[Question #3968] why nobody is talking about HPV blood test?

33 months ago
Let me tell you before you kick me out. I am a hypochondriac. Since I found that I am possibly exposed to HPV, I am not even fapping properly. I do not even have sex with my fiance.  I speak with so many scientists about ways of detection of HPV. A scientist said HPV can be found by a blood test. It will not tell where it is infected, but it will tell you whether you have HPV.  Since I am vaccinated now, do you think a blood test will be faithful for HPV detection of my past exposures? My dad said he would pay any amount to find closure for this. I wanted to find closure and move on. Do you recommend a blood test for HPV after vaccination? 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
33 months ago
There are blood tests for HPV used for research, but they don't work well enough to be used in day to day clinical care and are rarely recommended by experts. Once infected with any particular type of HPV, the test is positive for that type for life, even after the infection is gone. Therefore, most positive results indicate distant past infection, not current infection. There is no need or point in a blood test after HPV vaccination. It would show that immunization worked, i.e. strongly positive for the 9 HPV types covered by the vaccine. But the vaccine always works and there is no need for a blood test to show it.

As you know, recurrent anxiety driven questions are discouraged. I won't have any further comments on this. People with health anxiety (hypochondriacs and others) usually are not helped by just hearing the facts about their fears. There's always another "yes but" or "what if" question. The answer to fears like your lies in counseling, not in asking questions on forums like this. I suggest it from compassion, not criticism.

HHH, MD
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33 months ago
So the blood test won't work for me to determine the past infection? I really wanted to find it.  Fuck me. I really should not be vaccinated. I regret vaccinating. How long vaccination is  good? When it will fade off?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
33 months ago
You regret vaccinating against HPV? Why, for goodness' sake? It's harmless and potentially life saving! The vaccine never wears off:  you are protected from those 9 HPV types for the rest of your life. That's one if the vaccine's great benefits!

Do not have a blood test for HPV.

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33 months ago
I desperately need to find out whether I am infected or not. I did not sleep well.  I need to do a blood test and find out. I spoke to a friend who is a scientist he said it is easy to differentiate between antibodies generated by the vaccine and as a  result of infection. It is called a DIVA vaccine.  Can you please suggest a blood test and put an end to this nightmare for me?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
33 months ago
You obviously have misunderstood what I have written or don't believe me. Your scientist friend is correct:  HPV blood tests can determine they type(s) with which a person has been infected. However, the available tests ALSO are positive when a past HPV infection is long gone; and not all infections cause positive blood tests. In other words, a positive result for any particular HPV type would not not mean you have it; and a negative result would not prove you don't have it. So what's the point?

The newer DNA types of vaccine have nothing to do with blood tests for HPV.

Everybody has HPV, which is a normal, expected consequence of having sex. Most infections are harmless, and having been immunized, you are protected from the most common harmful types. I'm sorry you're having so much trouble with this. Your continuing fears about HPV, despite all the reasoned, science based reassurance you have had, is not normal and suggests an underlying psychological problem that might benefit from professional counseling. Your fears simply are not normal. Whatever else, though, please stop asking question on this forum about HPV. It is clear that every answer simply inflames more anxiety and fear than you had before you asked it. We don't want to contribute to that kind of stress. Thank you for your understanding.

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