What to do about persistent HPV infection?
Seven years ago, after undergoing electrocautery for cervical dysplasia, I received the HPV vaccine and have not had a recurrence since.
Later, when I visited a gynecologist, I tested positive for HPV type 39.
The doctor recommended applying a topical treatment called Ledeem on my cervix.
Since then, my Pap smears have consistently returned normal results, and I have not shown any signs of HPV infection.
However, when I went to a urologist for a different type of swab test, they found HPV types 6 and 52.
The viral load was below 1000 copies, and the doctor mentioned that such a low viral load is unlikely to cause any abnormal growths.
Despite this, I feel very distressed and want to cry; I don't understand why the virus is still present after seven years, especially since I have had no sexual experiences during this time.
I asked the doctor why the gynecological tests did not detect the virus, while the urologist's tests did.
The doctor explained that the gynecologist might have used a cotton swab, while the brush used in the urology test could have collected more cells, leading to the detection of the virus.
I later took antiviral medication prescribed by the urologist for a month, but it was unsuccessful, and the virus was still detected.
When I returned to the gynecologist, the doctor expressed skepticism about the effectiveness of the medication, stating that the results were uncertain and the costs were high.
I am left wondering what else I can do to make the virus truly disappear.
It has been seven years, and I still have HPV.
I have received the vaccine, applied the topical treatment, and taken medication.
What more can I do? My sister says I am overreacting since I only have the virus and am not currently facing cervical cancer, but I genuinely feel like I am on the verge of a breakdown.
Why is the virus still present after all this time?
Huang's, 30~39 year old female. Ask Date: 2018/06/26
Dr. Chen Jiansheng reply Urology
There are many places in the environment where viruses may exist temporarily, and unintentional contact is possible.
Regular cervical screening is important.
Maintaining a positive mindset and keeping the body's immune system functioning well can help, as not everyone exposed to the virus will develop the disease; many people coexist peacefully with the virus.
Reply Date: 2018/06/26
More Info
Coping with persistent HPV can be a challenging and emotional journey, especially when faced with a diagnosis that seems to linger despite previous interventions. Understanding your diagnosis and the available options is crucial in managing your health and alleviating your concerns.
Firstly, it's important to recognize that human papillomavirus (HPV) is a common virus, and many individuals may carry it without ever developing symptoms or health issues. In fact, the immune system often clears HPV naturally within a couple of years. However, some strains of HPV can persist and may lead to complications, including cervical dysplasia or cancer. The fact that you have tested positive for HPV types 6 and 52, albeit at low viral loads, indicates that while the virus is present, it may not be causing significant harm at this time.
Your experience of having undergone treatments, including the HPV vaccine and topical treatments, is commendable. The HPV vaccine is effective in preventing certain types of HPV infections, particularly those that are high-risk for cervical cancer. However, it does not eliminate existing infections. Therefore, if you were already infected with HPV before vaccination, the vaccine would not clear the virus from your system.
The discrepancy in HPV test results between different medical settings can be attributed to the methods used for sampling. As you mentioned, different types of swabs (such as cotton swabs versus brushes) can yield varying results due to the amount of cervical cells collected. This variability is not uncommon, and it highlights the importance of consistent testing methods when monitoring HPV.
Regarding your concerns about the persistence of HPV, it's essential to maintain regular follow-ups with your healthcare provider. They may recommend routine Pap smears and HPV testing to monitor any changes in your cervical health. If your Pap results remain normal and there are no signs of dysplasia, this is a positive indication that your body is managing the virus effectively.
In terms of treatment options, while antiviral medications may not be effective against HPV itself, they can help manage any associated symptoms or infections. Your healthcare provider may suggest lifestyle modifications to support your immune system, such as maintaining a healthy diet, managing stress, and avoiding smoking, which can all contribute to your overall health and potentially aid in the clearance of the virus.
It's understandable to feel overwhelmed and anxious about your health, especially after seven years of dealing with HPV. However, it's crucial to focus on the positive aspects of your situation: you have had normal Pap results, and the viral load is low. This suggests that while the virus is present, it is not currently causing significant issues.
Lastly, consider seeking support from mental health professionals or support groups for individuals dealing with HPV. Sharing your experiences and feelings with others who understand can be incredibly beneficial in coping with the emotional aspects of living with a chronic virus.
In summary, while persistent HPV can be distressing, it is manageable with regular monitoring and a proactive approach to your health. Continue to work closely with your healthcare provider, adhere to recommended screenings, and focus on maintaining a healthy lifestyle. Remember, you are not alone in this journey, and there are resources available to support you.
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