HPV and Pap Smear Results: Key Insights for Women's Health

HPV and Pap smear?

Hello,
Last year (August 2006), I had a Pap smear at Chang Gung Memorial Hospital, which resulted in a score of 4.
I also underwent a colposcopy, during which the doctor applied acetic acid and observed white spots.
I was informed that there were issues, and a biopsy was performed, which later returned normal results.
Consequently, I was monitored every three months, and the Pap smear results from November 2006 and February 2007 were both 2.
The doctor recommended an HPV test, and on February 9 of this year, the results were positive, with a viral load of 49,720, indicating a high-risk group.
Subsequently, on March 9, I underwent another HPV test at Cathay General Hospital, which returned negative.
I also had another colposcopy, where suspicious areas were observed, and a biopsy was performed, which also returned negative.
I have the following questions:
1.
Is it possible for the virus to completely disappear within just one month? Is there a possibility of error in these tests?
2.
Why were suspicious points observed during both colposcopies, yet the biopsies returned normal results? Does this indicate the beginning of cervical lesions?
3.
I would like to have another HPV test; can you recommend a hospital that can identify the specific type of virus?
4.
My partner and I are monogamous.
To prevent any potential transmission, which specialty should he consult for testing?
Thank you.

libe, 30~39 year old female. Ask Date: 2007/05/13

Dr. Zhou Dali reply Obstetrics and Gynecology

Since we have not conducted the actual examination, it is difficult to comment.
It is recommended to return to the original hospital or a trusted third-party hospital for a re-evaluation.

Reply Date: 2007/05/13

More Info

Understanding HPV and Pap Smear Results: Key Insights for Women's Health
Human Papillomavirus (HPV) is a common sexually transmitted infection that can lead to various health issues, including cervical cancer. Regular screening through Pap smears and HPV testing is crucial for early detection and management of potential cervical changes. Your situation highlights the complexities of HPV testing and the importance of follow-up care.

1. Can HPV disappear in a month? Is there a possibility of testing errors?
Yes, it is possible for HPV to be cleared by the immune system within a short period, sometimes in as little as a few months. The body can naturally eliminate many HPV infections, especially in younger individuals. However, the variability in test results can also stem from the sensitivity and specificity of the tests used. False positives and negatives can occur, particularly if the viral load is low or if there are sampling errors during the HPV test. It is essential to discuss these results with your healthcare provider to understand the context and implications.

2. Why were there suspicious findings in two colposcopies but normal biopsy results?
This scenario is not uncommon. Colposcopy is a visual examination of the cervix using a magnifying instrument, and it can sometimes reveal areas that appear abnormal. However, these areas may not always correspond to significant pathology upon biopsy. The biopsy may show normal tissue because the changes observed during colposcopy could be due to transient HPV infection or other benign conditions. This does not necessarily indicate that there is no risk of cervical changes; it may suggest that close monitoring is warranted.

3. Can I find out the specific type of HPV from further testing?
Yes, specific HPV typing can be performed through specialized HPV tests. Not all laboratories offer this service, so it is advisable to inquire at your healthcare facility or seek a referral to a lab that provides comprehensive HPV typing. Knowing the specific type of HPV can help assess your risk for developing cervical cancer, as certain strains (like HPV 16 and 18) are associated with a higher risk of malignancy.

4. What should my partner do to prevent transmission?
Since you and your partner are in a monogamous relationship, the risk of transmission is lower, but it is still important for both partners to be aware of their HPV status. Your partner should consider seeing a healthcare provider for an evaluation. While there is no routine HPV screening for men, they can discuss any symptoms or concerns with a urologist or primary care physician. Safe sexual practices, including the use of condoms, can reduce the risk of HPV transmission, although they do not eliminate it entirely.

In summary, HPV is a complex virus with varying implications for women's health. Regular screenings, including Pap smears and HPV testing, are essential for early detection and management of potential cervical changes. If you have concerns about your results or the implications for your health and your partner's health, it is crucial to maintain open communication with your healthcare provider. They can guide you through the next steps, including any necessary follow-up tests or treatments, and help you understand the significance of your results in the context of your overall health.

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