Cervical Cancer Risks: Do Early Sexual Experiences Matter? - Obstetrics and Gynecology

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Cervical cancer probability issues?


Hello Doctor, I am 33 years old and have just completed a Pap smear and HPV test, both of which came back negative, indicating no HPV virus.
I had my first sexual experience before the age of 18.
I have read reports stating that having early sexual experiences can increase the risk of cervical cancer by six times.
Given my current test results, should I still be concerned about this sixfold risk? Is my likelihood of developing cervical cancer the same as that of the general population? Thank you, Doctor.

vicky, 30~39 year old female. Ask Date: 2022/06/05

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, both tests are negative, and the risk is the same as that of a normal person.
It is recommended to have a Pap smear test annually.
Wishing you good health.

Reply Date: 2022/06/05

More Info


Understanding the risks associated with cervical cancer, especially in relation to early sexual experiences, is crucial for women's health. Cervical cancer is primarily caused by persistent infection with high-risk types of human papillomavirus (HPV). The relationship between early sexual experiences and increased risk of cervical cancer is indeed a topic of concern.
To address your first question: Yes, you can interpret your doctor's statement that your risk of developing cervical cancer is similar to that of the general population, given your recent negative results from the Pap smear and HPV tests. These tests are essential screening tools that help detect any precancerous changes in the cervix and the presence of HPV, which is a significant risk factor for cervical cancer. Since your results are negative, it indicates that you currently do not have any HPV infection and that there are no abnormal cells in your cervix, which significantly lowers your risk.

Regarding your second question about your future risk of cervical cancer: If you maintain a healthy lifestyle, avoid smoking, and continue to have regular screenings, your risk remains comparable to that of the general population. It’s important to note that while early sexual experiences can increase the risk of HPV infection, the presence of HPV is what primarily contributes to the development of cervical cancer. Since you have tested negative for HPV, your risk is not elevated due to your past sexual history.

Moreover, your partner's past behavior, such as visiting sex workers, can understandably cause anxiety. However, if he has not had any new sexual partners since your last discussion and has been using protection, this further reduces your risk of HPV exposure. Regular use of condoms is effective in reducing the transmission of HPV and other sexually transmitted infections (STIs), although it does not provide 100% protection.

It's also worth mentioning that anxiety and stress can exacerbate health concerns. It’s commendable that you are seeking help for your anxiety and compulsive behaviors. Mental health is an integral part of overall well-being, and addressing these issues can help you manage your fears regarding cervical cancer more effectively.

In summary, based on your current health status and the negative results from your screenings, your risk of developing cervical cancer is similar to that of the general population. Continue to have regular Pap smears as recommended by your healthcare provider, typically every three years if you are under 30 and every five years if you are over 30 and have had negative HPV tests. This proactive approach will help ensure early detection and peace of mind. Always feel free to discuss any concerns with your healthcare provider, as they can provide personalized advice and reassurance.

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