[Question #4331] Could it be HPV cervical cancer

31 months ago
It's been a while since I posted and all is well. However, after being off birth control the dull ache in my lower abdomen has come back. I am experiencing pain during ovulation or days before my period starts, Being that the pain hasn't subsided I am questioning the GYN diagnosis of Fibroids. In May, I was diagnosed with 5cm fibroids along the uterus. I was prescribed birth control and the pain went away. I stop birth control in July because I need to schedule an appointment to have them and I just haven't been finding the time to do so. 

My last pap smear was last year and it was normal shortly after that is when the pain began 
My last sexual encounter was unprotected 2 months ago. No symptoms of itchiness, weird discharge or something to hint to an STD.  He was a friend and we still keep in contact. 
I am 26 and 3 of my partners were protected and 3 were not. I started having sex at 21. 

Is it possible this dull ache is due to fibroids or HPV related cancer? I will make an appointment with the GYN as soon as possible to get back on hormone treatment and ask about HPV. Should I be afraid? 
Edward W. Hook M.D.
Edward W. Hook M.D.
31 months ago
Welcome back to the Forum.  I'll try to help.  Many of your questions are similar to earlier questions we had about HOV.  As I said in the past  "A the majority of sexually active women will have HPV infection. And in most of those individuals the infection will clear on its own overtime. But, in a very small proportion (less than 1%) the infection may go on to cancer. As an intermediate stage there are abnormalities in PAP smears which is why they are recommended periodically.   Given your history, and the information you have provided in the previous interchanges, I am confident that you have neither Syphilis nor cancer."   HPV infections are typically asymptomatic and certainly would not cause the sort of pain you describe.  On the other hand, your description is quite compatible with fibroids which do tend to cause cramping of the sort you describe and improve with the hormones present in oral contraceptive pills.  I agree totally with your plans to see your GYN.  In the meantime, I see no reason for you to be worried about HPV-related cancer.  EWH
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31 months ago
Sorry for the late reply doctor.  I am needed for an STI check-up because I recently had unprotected sex with a partner about 3 months ago.  He is the same guy I have been seeing throughout this year and every so often we had unprotected sex. I was wondering is it possible to have chlamydia for 3 months and not know? For 3 months I have had no symptoms of STDs. Being that I acquired one in the past I can tell if I had one or not. I just want to make sure.  

I recently talked with this lady that told me she had chlamydia for a year and did not know it. She said that the chlamydia caused neuropathic symptoms such as swollen feet, problems with her eyes, and some other issues. She told me she did not have the classic vagina symptoms. How is this even possible? I understand that people can be infected with chlamydia in other parts and not the genitals but she was adamant she contracted it through sex? 

The guy I have been sleeping with this year we still keep in contact and he messaged to see me yesterday but I declined for other reasons.


Edward W. Hook M.D.
Edward W. Hook M.D.
31 months ago
The woman you spoke with is partially correct. Most chlamydial infections are asymptomatic and can only be detected through testing.  Thus regular testing is appropriate.  For most women testing once yearly is sufficient for preservation of sexual health.  On the other hand, I disagree with your friends comments about symptoms associated with chlamydia; chlamydia is not a meaningful cause of neuropathic symptoms such as swollen feet or problems with the eyes.  Finally, chlamydia is transmitted only through direct sexual contact.  Thus for infection to occur at other parts of the body would require that those parts had been in contact with an infected Z(most often genital) site.

I hope this information is helpful.  EWH
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31 months ago
Wow! Thanks for clearing that up 

I only had one sexual partner this year and sometimes we engaged unprotected sex the last exposure was  3 months ago should I go for STI check-up?  We still keep in contact and he also hasn't been complaining of genital symptoms when we were together. Is it possible to have an STI for 3 months and not know it?? 
Edward W. Hook M.D.
Edward W. Hook M.D.
31 months ago
It certainly is possible to have an STI, including chlamydial infection for three months without symptoms.  The absence of symptoms in him is a good sign but if he has other partners or is a new partner since your last check up, it would be reasonable to be re-evaluated.  For most people being testing once a year is sufficient.

This is my 3rd and therefore final reply as part of this thread. As per Forum guidelines, this thread will be closed later today.  Take care.  EWH 
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