Understanding Low-Risk HPV: Treatment, Risks, and Cervical Health Insights
Low-risk HPV Current status: Pap smear shows inflammation, no cervical erosion, HPV low-risk positive (unknown type), just received the first dose of the cervical cancer vaccine. 1. Is treatment necessary for low-risk HPV positive (unknown type)? Is it normal to have low-risk H...
Dr. Lin Xinwang Reply:
Hello: HPV infection does not require treatment with suppositories; approximately 70-80% of cases can resolve on their own if the immune system is strong. However, if there are persistent recurrent infections, cervical cellular changes may occur. HPV is a sexually transmitted inf...[Read More] Understanding Low-Risk HPV: Treatment, Risks, and Cervical Health Insights
Cervical Screening Consultation for Individuals with No Sexual Experience
Consultation for Pap Smear in Individuals with No Sexual Experience Hello Doctor: So far, I have not engaged in sexual intercourse with others, but I have experience with masturbation (without vaginal penetration) and have used tampons. I have received all three doses of the HPV ...
Dr. Zhang Kunmin Reply:
Hello, based on your description, a Pap smear is currently not appropriate. If you have no sexual experience and have been vaccinated, the risk of cervical cancer is low. However, an ultrasound cannot replace a Pap smear for cervical screening; it is typically used to evaluate th...[Read More] Cervical Screening Consultation for Individuals with No Sexual Experience
Do I Need a Pap Smear Without Sexual Intercourse? Understanding Vaginal Bleeding
Is a Pap smear necessary for vaginal bleeding without sexual intercourse? Hello Doctor, in recent years I have experienced irregular bleeding, menstrual cycles that are more than two months apart, and periods lasting longer than seven days. I also frequently have vaginitis, which...
Dr. Huang Yuande Reply:
1. In principle, it is not necessary, but if you are concerned, you can inform the physician in advance that you have no sexual experience, and request that they take extra care during the sampling. 2. It is not impossible to develop cervical cancer without sexual intercourse, bu...[Read More] Do I Need a Pap Smear Without Sexual Intercourse? Understanding Vaginal Bleeding
Understanding Ovulation Bleeding: Causes and Concerns for Women
Ovulation bleeding The discharge is yellow-green and has an odor. Doctors have said it is a bacterial infection, and treatment with medication has shown some improvement. My last menstrual period was from February 11 to 15, and my ovulation period was on February 26. On the eveni...
Dr. Chen Zhiyu Reply:
Hello! It is recommended to seek medical evaluation and assessment for abnormal bleeding outside of the menstrual period. Thank you.[Read More] Understanding Ovulation Bleeding: Causes and Concerns for Women
Understanding Abnormal Bleeding: When to Seek Gynecological Care
Intermenstrual bleeding Hello, Doctor. My last menstrual period was from February 3 to February 6. In the first few days, the menstrual flow was similar to usual but gradually decreased. However, on the morning of the fourth day, the flow suddenly increased, and I noticed blood c...
Dr. Huang Yuande Reply:
1. The spotting from February 15 to February 21 may be physiological ovulatory bleeding or occasional hormonal abnormalities; it is recommended to monitor the situation further. 2. The accuracy of the Pap smear is about 80%, and it is best to have one done annually for peace of m...[Read More] Understanding Abnormal Bleeding: When to Seek Gynecological Care
Understanding HPV, Cervical Dysplasia, and Cervical Cancer Risks
HPV testing, cervical precancerous lesions, cervical cancer issues? Q1. If approximately five years ago, there was sexual intercourse and both parties confirmed that they were inexperienced and it was their first time, is there still a possibility of developing cervical precancer...
Dr. Zhang Kunmin Reply:
Hello, based on your description: 1. The chances are low. 2. Most cases are asymptomatic. 3. This is theoretically true, but various virus types and individual patient conditions may differ. 4. It is best to have a physician arrange for an examination and evaluation. Thank you! W...[Read More] Understanding HPV, Cervical Dysplasia, and Cervical Cancer Risks
Understanding Vaginal Discomfort and Blood-tinged Discharge: What to Know
There is blood-tinged discharge and mild discomfort in the genital area? I have been feeling discomfort in my vaginal area lately. It's not very painful or itchy, just a mild discomfort, tightness, and warmth that I can't quite describe. For the past three days, my disc...
Dr. Cao Guotao Reply:
Hello, you can apply some anti-itch ointment first. If you still experience discomfort, it is advisable to see a gynecologist. Wishing you good health.[Read More] Understanding Vaginal Discomfort and Blood-tinged Discharge: What to Know
Understanding Abnormal Discharge: Infection, Pregnancy, or Other Concerns?
Infection or pregnancy? Hello Doctor, I previously stopped taking the contraceptive pill for a month due to some reasons, and I resumed taking it in October. I stopped the medication on January 2nd. On December 27th, I noticed an increase in discharge and some blood streaks, so I...
Dr. Cao Guotao Reply:
Hello, if there is abnormal bleeding after your menstrual period, it is advisable to see a gynecologist. It could be related to cervical cancer, and a Pap smear test is recommended. Wishing you good health.[Read More] Understanding Abnormal Discharge: Infection, Pregnancy, or Other Concerns?
Understanding Symptoms: Infection, Pregnancy, or Cervical Issues?
Infection or pregnancy? Hello Doctor, I previously stopped taking the contraceptive pill for a month due to some reasons, and I resumed taking it in October. I stopped the medication on January 2nd. On December 27th, I noticed an increase in discharge and some blood streaks, so I...
Dr. Cao Guotao Reply:
Hello, I have already responded to your question earlier, and it should be unlikely for you to be pregnant. Wishing you good health.[Read More] Understanding Symptoms: Infection, Pregnancy, or Cervical Issues?
Understanding CIN1 Diagnosis Without HPV: Implications and Risks
Lesion present but no virus detected? A few months ago, a Pap smear showed CIN 1. After four months of follow-up, the Pap smear indicated inflammation, and the HPV test result was negative, but the biopsy still showed CIN 1. Why is there CIN 1 without the presence of the virus? C...
Dr. Huang Yuande Reply:
1. During the viral sampling process, it is possible that the virus may not be detected, resulting in a false negative or the detection of a less common HPV type. 2. Vaccination still provides protective benefits, and CIN-1 has a high likelihood of resolving on its own; therefore...[Read More] Understanding CIN1 Diagnosis Without HPV: Implications and Risks
Understanding CIN1: HPV Negativity, Risks, and Treatment Options
Questions about lesions? HPV virus test negative for infection, but biopsy shows CIN 1, and Pap smear indicates inflammation. How does this compare in severity to typical HPV-infected CIN 1? What is the risk of progression to cancer? What are the chances of spontaneous clearance?...
Dr. Zhang Kunmin Reply:
Hello, the situation you described cannot be compared. If there is no HPV virus, the risk is generally lower. There is no evidence that the vaccine prevents worsening, and the lesions are not related to general inflammation. It is recommended to follow the management principles f...[Read More] Understanding CIN1: HPV Negativity, Risks, and Treatment Options
Concerns About Receiving Expired Cervical Cancer Vaccine: What to Know
Cervical cancer vaccine consultation? Recently, I received a dose of the cervical cancer vaccine (Gardasil) that was two days past its expiration date. The clinic has sincerely apologized, but I am still a bit worried. I would like to ask the doctor if this will have any adverse ...
Dr. Cao Guotao Reply:
Hello, it generally does not have an impact. The timing for vaccination is approximately fine, and it can also be done a little earlier. Wishing you good health![Read More] Concerns About Receiving Expired Cervical Cancer Vaccine: What to Know
Understanding Treatment Options for Metastatic Cervical Cancer
Please provide information on the treatment for metastatic cervical cancer? Dear Doctor: My mother was diagnosed with stage IIB cervical cancer in September 2017 and underwent chemotherapy (cisplatin) and radiation therapy (both internal and external). In March 2020, after discov...
Dr. Lin Xinwang Reply:
Hello, Feng: 1. First of all, imaging studies have their limitations; positron emission tomography (PET) may not detect very small metastatic cancer cells, and the same applies to computed tomography (CT). Therefore, clinical assessment is usually still necessary. Based on your...[Read More] Understanding Treatment Options for Metastatic Cervical Cancer
Can Tamoxifen Users Receive the Cervical Cancer Vaccine?
Cervical cancer vaccine & Tamoxifen Hello, Director: A 40-year-old patient with stage I breast cancer, who has completed chemotherapy and radiotherapy, is currently taking Tamoxifen. Can she receive the cervical cancer vaccine while on Tamoxifen? Thank you, Director.
Dr. Huang Yuande Reply:
Sure, remember to have regular abdominal ultrasounds.[Read More] Can Tamoxifen Users Receive the Cervical Cancer Vaccine?
Understanding HPV-90: High-Risk Infection Concerns and Vaccination Insights
Recently diagnosed with HPV type 90 infection? I would like to ask the doctor about my recent report indicating that I am infected with HPV type 90, which is classified as a high-risk type. I couldn't find much information online about what it means to be infected with this ...
Dr. Cao Guotao Reply:
Hello, I also found that a score of 90 is considered high risk. Having an infection with human papillomavirus (HPV) does not mean one will develop cervical cancer; it only increases the risk. Therefore, a Pap smear is essential. Wishing you good health.[Read More] Understanding HPV-90: High-Risk Infection Concerns and Vaccination Insights
Understanding HPV: Concerns About Recurrence and Treatment Options
Regarding cauliflower recovery? Hello Doctor: In August 2018, I was diagnosed with HPV types 11 and 16, and I had visible warts. After undergoing two rounds of electrosurgery, they did not recur. In 2020, I was tested again and HPV type 11 was negative, but HPV type 16 was still ...
Dr. Zhang Kunmin Reply:
Hello, the HPV that primarily causes genital warts is mostly type 6 and type 11. The high-risk HPV types associated with cervical cancer are types 16, 18, 31, 33, 35, 45, 52, and 58. Glands generally refer to structures that secrete vaginal lubrication. Sexually transmitted infec...[Read More] Understanding HPV: Concerns About Recurrence and Treatment Options
Understanding HPV16: Risks, Relationships, and Recovery After 4 Years
HPV infection for 4 years? Hello Doctor: I was diagnosed with HPV type 16 in August 2018. I have tested positive for HPV 16 again in October 2020 and October 2022. My Pap smear showed a grade 2 Candida infection. My lifestyle and functioning have been maintained, but I am still p...
Dr. Chen Zhiyu Reply:
Hello! Currently, there are no specific medications available to treat HPV infections. HPV types 16 and 18 are the most common high-risk human papillomaviruses associated with precancerous lesions of the cervix, cervical cancer, and cancers of the external genitalia. Men can also...[Read More] Understanding HPV16: Risks, Relationships, and Recovery After 4 Years
Understanding Pap Smear Accuracy and Cervical Cancer Risks for Women
Pap smear examination 1. I noticed from the records that I had sexual intercourse late Friday night (which is also Saturday) with a condom, and I wiped the vaginal area with tissue. Is it okay for me to have a Pap smear early Tuesday morning? Will it affect the accuracy of the re...
Dr. Huang Yuande Reply:
1. No, because the primary purpose of a Pap smear is to screen for cancer, so it will not be affected. 2. No, the virus is ubiquitous; as long as there is clean sexual activity and good local hygiene, it should be fine. 3. No, those are different viruses.[Read More] Understanding Pap Smear Accuracy and Cervical Cancer Risks for Women
Is the HPV Vaccine Necessary for 44-Year-Old Women with No Sexual Experience?
The necessity of receiving the nine-valent vaccine for elderly individuals with no sexual experience? Hello Dr. Zhang, I am 44 years old and have never had sexual intercourse, and I may not have it in the future. In March of this year, I was diagnosed with endometriosis after exp...
Dr. Zhang Kunmin Reply:
Hello, based on your description, the cervical cancer vaccine not only prevents cervical cancer but also provides protection against HPV-related cancers such as vaginal cancer, vulvar cancer, penile cancer, anal cancer, and genital warts. HPV can cause lesions beyond cervical can...[Read More] Is the HPV Vaccine Necessary for 44-Year-Old Women with No Sexual Experience?
Should HPV Vaccination Be Considered for Sexually Inactive Women?
The necessity of receiving the nine-valent vaccine for elderly individuals with no sexual experience? Hello Dr. Zhang, I am 44 years old and have never engaged in sexual intercourse, and I may not in the future. This March, I was diagnosed with endometriosis after experiencing se...
Dr. Zhang Kunmin Reply:
Hello, based on your description, the cervical cancer vaccine not only prevents cervical cancer but also provides protection against HPV-related cancers such as vaginal cancer, vulvar cancer, penile cancer, anal cancer, and genital warts. HPV can cause lesions beyond cervical can...[Read More] Should HPV Vaccination Be Considered for Sexually Inactive Women?