[Question #440] HPV

33 months ago
Hello doctors,  I know you have so many people you speak to so you may not remember me.  Hopefully I get Dr. Handsfield.  I am not here with crazy questions.  I am actually just writing to thank you for helping so much.  I have taken your advice and not letting HPV run my life.  I have focused back on my kids.  I did go back to the doctor.  I stopped with my old doctor and found an amazing new one.  I am glad I did not wait 3 years to retest myself.  My pap smear ,for the 1st time since i found out about this, came back abnormal but my HPV came back negative.  I was told I have 1st level dysplexia if that is exactly what it is.  I am sure you know what I mean.  She bought me back for a coposcopy.  She did not see anything with the microscope so no biopsy was sent.  She did take a sample from high up in the cervix and run another HPV test. Still waiting on those results.  She could not figure why an abnormal pap and negative hpv test.  She said there may have been an infection at that time that affected pap smear.  I just wanted to write you a quick post to let you know.  I did find a close friend of mine that confided in me that she does also have high risk hpv.  Now I can breathe.
Edward W. Hook M.D.
Edward W. Hook M.D.
33 months ago
Welcome back to our foreign. The tone of your post is different and reflects the progress you have made. Congratulations.  I am also pleased that you have now found a physician who you feel good about. It is important to have a healthcare provider who you feel comfortable talking with and who provide you with the information that you need.

I'll be happy as well to comment briefly on your recent abnormal Pap smear.  Dysplasia is a descriptive term for abnormal appearing cells.  Cervical dysplasia therefore is an indication that there were abnormal cells present on your Pap spear specimen.  There is a very long list of problems which have been associated with cervical dysplasia.  These include yeast infections, bacterial vaginosis, HPV, and almost any other kind of abnormality occurring in the vagina or near the cervix.  In addition, in a large proportion of patients with dysplasia, no cause can be found and in most the problem goes away on its own. Your new doctor did just the right thing by performing a culposcopy to look for abnormalities.   The fact that nothing was seen and that there was no need for biopsy is also a very good sign.   Because of the presence of cervical dysphasia, as a further precaution, your doctor may want to repeat your Pap smear in the next 6-12 months.

I hope this comment is helpful to you.   EWH
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