Safety behaviors and HPV testing issues?
Hello Dr.
Tsao, I am currently a 21-year-old college student.
I have been in a relationship with my boyfriend for two years.
We first engaged in sexual intercourse when I was already over 20 years old.
Each time we have sexual intercourse, I take menstrual regulation medication and use condoms for double protection.
Due to the long-distance nature of our relationship, sexual activity is infrequent (about two to three times a year).
To protect myself, I received the first and second doses of the nine-valent HPV vaccine on May 20 and July 20 of this year, and I plan to receive the third dose on November 20.
Recently, I have been considering whether to pay out of pocket for HPV testing.
Although we always practice safe sex, I still worry about the possibility of being infected with HPV and am concerned about the potential risk of developing cervical cancer in the future.
I am unsure if I am being overly anxious and would like to seek professional medical advice.
Thank you very much for your patience, Dr.
Tsao.
🙏
Qiu Xiaojie, 20~29 year old female. Ask Date: 2022/07/27
Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, you have double protection, so it should be safe.
Don't worry.
Wishing you good health.
Reply Date: 2022/07/27
More Info
It's great to see that you are taking proactive steps to protect your health, especially regarding HPV and cervical cancer. Your concerns are valid, and it's important to address them with accurate information.
First, let's discuss HPV (Human Papillomavirus). HPV is a very common sexually transmitted infection (STI), and there are many different types of HPV. Some types can lead to health problems, including genital warts and various cancers, including cervical cancer. The good news is that most HPV infections go away on their own without causing any health issues. However, persistent infections with high-risk HPV types can lead to cervical cancer over time.
You mentioned that you have been using condoms consistently during sexual activity, which is an excellent practice for reducing the risk of STIs, including HPV. While condoms do not provide complete protection against HPV (since the virus can be present on areas not covered by the condom), they significantly lower the risk of transmission. Additionally, you are taking the right steps by getting the HPV vaccine. The nine-valent HPV vaccine (Gardasil 9) protects against the most common high-risk HPV types that cause cervical cancer, as well as types that cause genital warts. Completing the vaccination series is crucial for maximizing your protection.
Regarding your consideration of HPV testing, it's understandable to feel anxious about your health. HPV testing is typically recommended for women aged 30 and older as part of cervical cancer screening. For younger women, especially those under 30, routine HPV testing is not usually recommended unless there are abnormal Pap smear results. Since you have not had any abnormal symptoms or Pap results, and considering your vaccination status, it may not be necessary to undergo HPV testing at this time. However, if you have specific concerns or symptoms, discussing them with your healthcare provider is essential.
It's also important to note that anxiety about health issues is common, especially in young adults who are navigating relationships and sexual health. While it's good to be vigilant about your health, it's equally important to manage anxiety. Engaging in regular health check-ups, maintaining open communication with your partner about sexual health, and practicing safe sex are all effective strategies for reducing anxiety related to STIs.
In summary, your current practices of using condoms, getting vaccinated, and considering your health are all positive steps. While it's natural to worry about HPV and cervical cancer, the risk is significantly reduced by your actions. If you continue to have concerns, consider discussing them with a healthcare provider who can provide personalized advice based on your health history and current practices. Remember, maintaining a healthy lifestyle, including regular check-ups, is key to your overall well-being. Stay informed, and don't hesitate to seek support when needed.
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