[Question #6714] Vestibular papillomatosis or HPV

14 months ago
Hello doctor 

    Would you please tell me if the attached photos are Vestibular papillomatosis or HPV. 

They are not painful nor they burn and not rough surfaced.


I rarely get an itchy feeling

Don’t know if I had it before or not.



Edward W. Hook M.D.
Edward W. Hook M.D.
14 months ago
Welcome back to the Forum although I must say that I am perplexed as to why you returned and repeated your question.  As I have already said, the picture you provided is consistent with benign vestibular papillomatosis.  I also informed you that diagnosis on the basis of a photograph (or even multiple photos) is not as reliable as a clinical examination which I recommended.  These answers are not going to change.  I trust you understand this.  EWH
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14 months ago
Greeting doctor

1. I have already made a Pap smear test and it takes up to 7 days to know the result.

2. Your answer didn’t mention “ consistent with benign vestibular papillomatosis” , as a matter a fact you said “it looks like VP more likely than it looks like HPV.

3. I asked again because I’m anxious and thought that some other expert would answer as a second opinion. 

All respect but please understand my extreme anxiety and waiting for a possible positive HPV result for 7 days is killing me slowly 
14 months ago
https://ibb.co/ggxqqLs
https://ibb.co/X5wFxTX
14 months ago
14 months ago
Edward W. Hook M.D.
Edward W. Hook M.D.
14 months ago

i am not sure what the purpose of your 4 additional replies, quoting what I have already said in 6 minutes. We do not provide diagnoses on this Forum and Dr. Handsfield and I do not give 2nd opinions as we have worked together for over 40 years and never disagree on our clinical assessments although our verbal styles vary.  Your anxiety is misplaced.  Unless your circumstance is somehow unusual, the fact is that most sexually active persons acquire HPV during their lives.  Over 60% of unvaccinated monogamous women who have a single sex partner acquire HPV within a year of the onset of vaginal sex.  I suggest that you review other posts on this form regarding HPV on which you will find repeated statements regarding our shared assessment that if present HPV is NOT something to panic over and is most typically is an entirely benign process. 

I used different words several times to try to transmit the same message.  The message of all is the same.  On line photos are a poor substitute for a clinical examination and are often misleading.  The photos you sent are more consistent with benign vestibular papillomatosis than anything else but this assessment is not a substitute for a clinical evaluation by a trained clinician and, if warranted, testing.   My response is not going to change.

EWH

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14 months ago

Hi doctor 


Here is the result of the Pap smear test. Would you please interpret if there’s HPV as the word HPV is not mentioned. 


Does any specific cell indicated a relation with HPV being positive or negative ? 

14 months ago
Edward W. Hook M.D.
Edward W. Hook M.D.
14 months ago
This PAP smear shows no changes suggestive of HPV infection and no abnormalities.  it is a normal PAP smear.  EWH
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14 months ago
Therefore, does the smear Pap test shows negative HPV?
Edward W. Hook M.D.
Edward W. Hook M.D.
14 months ago

Repetitive question which was already answered. No evidence of HPV.

I hope that the information I have provided has been helpful.  Our Forum permits up to three responses to each question.  You have received four.  Therefore this thread will be closed shortly with no further answers.  In addition, I must warn you that further anxiety-driven, repetitive questions are not permitted and should you post again, the question may be closed without an answer and without return of your posting fee.  Take care.  EWH

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