Is it that serious?
Hello, doctor.
I read online that if a partner is promiscuous, the risk of women developing cervical cancer increases by up to nine times.
The internet also states that out of 70 Pap smears, one may show precancerous lesions or cervical cancer.
My boyfriend has been promiscuous in the past (he claims he always used condoms, but I can't be 100% sure they were used correctly).
So, doesn't that mean I have a one in seven chance of having precancerous lesions or cervical cancer based on my upcoming Pap smear results? Doctor, is this situation as serious as I described? I'm so worried that I've been crying.
cindy, 30~39 year old female. Ask Date: 2022/06/16
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, the probability of illness cannot be calculated this way.
It is recommended to have regular Pap smear tests, as most cases of cervical cancer can be prevented.
Thank you! Wishing you peace and health.
Dr.
Zhang
Reply Date: 2022/06/16
More Info
It's understandable to feel anxious about your health, especially when it comes to something as serious as cervical cancer. However, let's break down the information regarding your risk and clarify some misconceptions.
First, the claim that a woman's risk of cervical cancer increases significantly if her partner has multiple sexual partners is based on the association between human papillomavirus (HPV) and cervical cancer. HPV is a sexually transmitted infection that is the primary cause of cervical cancer. Certain high-risk strains of HPV can lead to precancerous changes in cervical cells, which can eventually develop into cancer if left untreated. However, it's important to note that not all individuals who are exposed to HPV will develop cervical cancer. In fact, most HPV infections resolve on their own without causing any health issues.
Regarding the statistic that one in seventy Pap smears may show precancerous changes or cervical cancer, this is a general estimate and can vary based on several factors, including the population being screened and their risk factors. This statistic does not mean that you have a 1 in 7 chance of having cervical cancer simply because your partner has had other sexual partners. The risk is influenced by many factors, including your own sexual history, your partner's history, and whether you have been vaccinated against HPV.
You mentioned that your boyfriend has had sexual encounters in the past but claims to have used condoms. While condoms can significantly reduce the risk of HPV transmission, they do not provide complete protection, as HPV can be transmitted through skin-to-skin contact in areas not covered by a condom. However, the fact that you have undergone recent screenings (Pap smear and HPV testing) and received negative results is a strong indicator that your risk is lower than you might fear.
Your healthcare provider's reassurance that your risk of cervical cancer is similar to that of the general population is based on your negative test results. Regular screenings are crucial because they can detect any changes early, allowing for timely intervention if necessary. The anxiety you are experiencing is understandable, especially with the prevalence of information online that can often be misleading or exaggerated.
In summary, while certain behaviors and histories can influence cervical cancer risk, your recent negative screenings are a positive sign. It's essential to continue with regular Pap smears and HPV testing as recommended by your healthcare provider. If you have ongoing concerns or anxiety about your health, consider discussing these feelings with a mental health professional who can help you manage your anxiety effectively.
Remember, knowledge is power, and staying informed about your health while maintaining regular check-ups is the best approach to managing your risk. If you have further questions or need clarification, don't hesitate to reach out to your healthcare provider. They can provide personalized advice based on your specific situation and medical history.
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