HPV biopsy testing
Hello, Doctor.
I previously visited a gynecologist due to itching in my intimate area.
The doctor mentioned a suspected condyloma, but due to excessive discharge, they needed to address the discharge before making a diagnosis.
I was originally scheduled for a follow-up appointment in two weeks, but feeling uneasy about the discharge, I decided to visit a larger hospital sooner.
During my self-examination, I only noticed a smooth, pink, flat growth at the vaginal opening.
I thought that was the only concern, and I mentioned it to the doctor at the larger hospital.
After a biopsy, the doctor said it was a papilloma and that there was no HPV virus present.
Before my follow-up appointment, I noticed more densely packed small pink bumps near the vaginal opening.
When I asked the doctor (without a pelvic exam), he said it was normal.
I would like to ask you: does the doctor’s biopsy result indicating no HPV virus mean that there is no HPV at the vaginal opening, or does it only pertain to the tissue that was biopsied? Should I return for another follow-up or seek another gynecologist?
kanbi, 20~29 year old female. Ask Date: 2023/03/11
Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, if you have an HPV infection, you may need to undergo HPV testing to find out.
You can consult your gynecologist for more information.
Wishing you good health.
Reply Date: 2023/03/11
More Info
Understanding the results of HPV-related biopsies and their implications for your health can be quite complex, especially when considering the nuances of HPV infections and their potential consequences. Based on the information provided, let’s break down your concerns and clarify the situation regarding your biopsy results, HPV status, and what steps you might consider moving forward.
1. Understanding Your Biopsy Results
When a biopsy indicates that there is no HPV virus detected, it means that the specific tissue sample taken during the biopsy did not show any signs of HPV infection at that moment. However, it is important to note that this does not necessarily mean that the entire area (such as the vaginal opening or surrounding tissues) is free from HPV. HPV can be present in other areas that were not sampled, or it may be present at levels that are undetectable at the time of testing.
2. The Nature of HPV
HPV is a very common virus, and many people will be infected at some point in their lives. Most HPV infections are transient and are cleared by the immune system without causing any health issues. However, certain high-risk strains of HPV can lead to more serious conditions, including genital warts and various cancers (e.g., cervical, vulvar, and anal cancers).
In your case, the presence of "pink, smooth, flat lesions" could be indicative of benign conditions such as condylomas (warts) or other non-cancerous growths. The fact that the biopsy showed no HPV suggests that these lesions may not be caused by the virus, but it’s essential to monitor any changes in your symptoms or the appearance of these lesions.
3. Follow-Up Care
Given your history of symptoms and the recent findings, it is advisable to maintain regular follow-ups with your healthcare provider. If you have concerns about the lesions or if they change in appearance, it would be prudent to seek further evaluation. If your current provider is not addressing your concerns satisfactorily, seeking a second opinion from another gynecologist or a specialist in dermatology may provide additional insights and peace of mind.
4. Importance of Monitoring
Even if HPV is not detected in the biopsy, it is important to continue monitoring your health. Regular gynecological exams, including Pap smears and HPV testing as recommended by your healthcare provider, are crucial for early detection of any potential issues. The HPV vaccine is also an important preventive measure, as it can protect against the most common high-risk strains of the virus.
5. Addressing Symptoms
If you are experiencing persistent symptoms such as itching or unusual discharge, it is essential to address these with your healthcare provider. These symptoms could be related to various conditions, including infections or other dermatological issues, and should be evaluated to ensure appropriate treatment.
Conclusion
In summary, while your biopsy results indicate no HPV presence in the sampled tissue, it is essential to remain vigilant about your health. Regular follow-ups, monitoring any changes in your symptoms, and considering further evaluations if necessary will help ensure that you maintain optimal health. If you feel uncertain or uncomfortable with the care you are receiving, do not hesitate to seek a second opinion. Your health and peace of mind are paramount.
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