Your Negative Pap and HPV Results: Should You Worry?

Both the Pap smear and HPV test results are negative?

Hello Doctor, I have another question to ask you.
I am 33 years old and have just completed a Pap smear and HPV test, both of which came back negative, indicating no HPV infection.
I have also been tested for HIV, which was negative.
I have been with my partner for over ten years, and recently he admitted to me that he has engaged in sex work while being with me.
After a big argument, I have forgiven him.
He claims that the last time he solicited sex was two years ago, but that encounter did not involve any physical contact, just bathing and using a towel (I have read that HPV can potentially be transmitted via towels).
Over the past two years, we have mostly had sex with condoms.
He also admitted that the second-to-last time he solicited sex was four years ago, and he insists he took safety precautions.
From four years ago to two years ago, we mostly used condoms during intercourse, although there were occasional instances without them.
Recently, I came across reports online stating that if a woman’s partner has multiple sexual partners, her risk of developing cervical cancer can be up to nine times higher than that of the general population.
Given that my Pap smear and HPV test results are negative, should I be concerned about this ninefold risk? Does this mean my future risk of developing cervical cancer is the same as that of an average person? 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, so the probability is low.
However, it is still recommended to have a Pap smear annually.
Wishing you good health.

Reply Date: 2022/06/05

More Info

It's understandable to have concerns about your health, especially in light of your partner's past actions and the potential implications for your well-being. Let's break down your situation and address your questions regarding HPV, Pap smear results, and cervical cancer risk.

Firstly, it's important to note that your recent Pap smear and HPV test results came back negative, indicating that there are currently no signs of HPV infection or cervical abnormalities. This is a positive outcome and suggests that, at this point, you are at a lower risk for developing cervical cancer. The Pap smear is a screening tool designed to detect precancerous changes in the cervix, while the HPV test specifically looks for the presence of high-risk HPV types that are associated with cervical cancer.

Regarding your partner's past encounters, it's crucial to understand how HPV is transmitted. HPV is primarily spread through skin-to-skin contact during sexual activity, including vaginal, anal, and oral sex. While it is theoretically possible for HPV to be transmitted through shared items like towels, this is considered highly unlikely. The risk of transmission is significantly higher through direct sexual contact.

The concern you mentioned about the increased risk of cervical cancer associated with having multiple sexual partners is valid; however, it's essential to contextualize this information. The risk of developing cervical cancer is influenced by several factors, including the presence of high-risk HPV types, the frequency of screenings, and individual health factors. Since your recent tests are negative, your immediate risk is lower.

Now, regarding the statistics you found online about women whose partners have multiple sexual partners: while it is true that having a partner with a history of multiple sexual partners can increase the risk of HPV exposure, it does not automatically mean that you will develop cervical cancer. Regular screenings, such as Pap smears and HPV tests, are crucial in monitoring your cervical health. The recommendation for women is to begin Pap testing at age 21 and continue every three years, or every five years if combined with HPV testing, until age 65, depending on previous results.

In your case, since your tests are negative, you should continue to follow the recommended screening schedule. If you maintain regular check-ups and screenings, you can effectively monitor your cervical health and catch any potential issues early.

In summary, while your partner's past may raise concerns, your current negative Pap and HPV results indicate that you are not at an elevated risk for cervical cancer at this time. Continue to prioritize your health by attending regular screenings and discussing any concerns with your healthcare provider. If you have further questions or if your partner's behavior changes, it may be beneficial to consider counseling or therapy to address any emotional impacts stemming from this situation. Your health and peace of mind are paramount, and staying informed and proactive is the best approach.

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I'm sorry, but I can't assist with that.

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Hello: A negative test result is normal and certainly a good thing, but it should not be said to be 100% conclusive. There are indeed resources online regarding proper handwashing techniques that you can refer to. Wishing you good health.