HPV, Obstetrics and Gynecology FAQ

Understanding HPV 18 Positive Results: Next Steps for Cervical Health

Cervical cancer Hello Dr. Wu, my friend, a 59-year-old woman, has been working in mainland China with her husband. On October 8 of this year, she tested positive for HPV type 18 (human papillomavirus) during a health check-up. She consulted three well-known hospitals regarding th...

Dr. Wu Xianghui Reply:
1. A positive result for Human Papillomavirus (HPV) type 18 does not indicate cervical cancer. 2. It is recommended to consult with a specialist in obstetrics and gynecology for further discussion. 3. In cases of abnormal cervical cytology with a positive HPV result, it is advise...

Light Bleeding After Cervical Smear and Vaginal Suppository Use: Is It Normal?

After using a suppository for one week following a pelvic examination and Pap smear, there is still slight bleeding? Hello Doctor, I had a routine Pap smear in September, and the results indicated inflammation with increased discharge. A week ago, during a follow-up visit, the do...

Dr. Wu Xianghui Reply:
1. If there are concerns, it is recommended to return to the outpatient clinic for examination and consultation. 2. "Vaginal infections" can cause abnormal discharge, perineal itching, odor, burning sensation during urination, frequent urination, and bleeding. More seve...

Can You Deliver Naturally with HPV During Pregnancy?

Production of Papillomavirus I was diagnosed with HPV types 51/82 during my fifth month of pregnancy. Throughout my pregnancy, I have experienced watery discharge with a strong odor. Can I still have a natural birth? People say that childbirth is an opportunity for women to be re...

Dr. Cao Guotao Reply:
Hello, it does not affect natural childbirth. Wishing you good health.

Understanding Genital Warts: Transmission Risks and Prevention

Cauliflower infection Hello Doctor, today I went to the hospital to examine a growth in my genital area (located between the anus and vagina, with no other growths present). The size is about one to two millimeters, and both doctors I consulted believe it to be genital warts (bas...

Dr. Zhang Kunmin Reply:
Hello, the cauliflower-like lesions are a common sexually transmitted disease caused by the human papillomavirus (HPV). The primary mode of transmission is through sexual intercourse, which includes various forms of sexual activity (such as anal and oral sex, although transmissio...

Impact of Washing Before Pap Smear and HPV DNA Test: What You Should Know

Pap smear examination Hello Doctor, I would like to ask you a few questions. 1: In the morning, I washed my genital area with soap but did not perform vaginal douching. In the afternoon, I went for a thin-layer Pap smear and HPV DNA test. Will this affect the interpretation of ...

Dr. Wu Xianghui Reply:
Cleaning does not affect the interpretation of the smear, but acute and chronic vaginal infections do.

Effectiveness of HPV Vaccine After HPV Infection: Key Insights

Is it effective to receive the HPV vaccine after being infected with HPV? 1. Is CIN3 considered a carcinoma in situ? Does it require long-term treatment? 2. For patients diagnosed with HPV types 16 or 18 and have undergone LEEP surgery for CIN3, is receiving the HPV9 vaccine st...

Dr. Wu Xianghui Reply:
1. CIN 3 is not cancer; it is classified as a high-grade squamous intraepithelial lesion (HSIL) of the cervix. 2. It is recommended to receive the cervical cancer vaccine, but there is no guarantee that it will produce antibodies.

Can You Deliver Naturally with HPV During Pregnancy?

Dr. Cao Guotao Reply:
Hello, you should still be able to have a natural delivery. Wishing you good health.

Understanding CIN1 and Its Impact on Oral Health: What You Need to Know

Human Papillomavirus 53.66 Hello, I was diagnosed with CIN 1 in May and tested positive for HPV type 53. In June, I underwent cauterization. I would like to know if the HPV infection could affect my oral mucosa and potentially lead to oropharyngeal cancer, especially considering ...

Dr. Wu Xianghui Reply:
1. It is recommended to receive the HPV vaccine. 2. The likelihood of the body producing antibodies against the HPV virus significantly decreases with age (however, the product is indicated for ages 9-26). 3. Unless there is no possibility of fertility, receiving the HPV vaccine ...

Understanding the Impact of Early HPV Vaccine Doses: What You Need to Know

Cervical cancer vaccine Hello, the nine-valent vaccine is administered in three doses. The first dose was given on May 29 and the second dose on July 30, both within the normal timeframe. The third dose was originally scheduled for November 29, but it was administered earlier due...

Dr. Zhang Kunmin Reply:
Hello, the general recommendation is to space the first and second doses of the HPV vaccine at least one month apart, but no more than three months apart. The second and third doses should be spaced at least three months apart, but no more than six months apart. If you are unable...

Understanding Esophageal Tumor Risks in Newborns and HPV Testing

The probability of infants developing esophageal organ tumors? Hello Dr. Tsao, I would like to inquire about something. I had a natural delivery, but I was informed afterward that I have genital warts. I was really taken aback and didn't understand how the examinations were ...

Dr. Cao Guotao Reply:
Hello, if you have genital warts and are concerned about your child potentially contracting them in the throat, it's important to note that infants do not receive the vaccine. It is advisable to take your child to a pediatric otolaryngologist if there are any issues. Wishing...

Understanding Abnormal Pap Smear Results: HPV Testing and Next Steps

Abnormal Pap smear results? Hello Doctor: I recently had a Pap smear at the clinic, and the results were abnormal with a score of 7. If further testing is needed, including HPV testing and colposcopy, can I choose one of the two? Additionally, given my current situation, is it st...

Dr. Cao Guotao Reply:
Hello, you should undergo a colposcopy with cervical biopsy. As for the HPV vaccine, it is effective only if you are not already infected with HPV. Wishing you good health.

Understanding HPV Testing: Common Concerns and Recommendations

Questions about HPV testing? Hello, Doctor Huang: I had my first sexual experience about 4 months ago with my ex-boyfriend, who is not a virgin. Since I cannot determine whether my ex-boyfriend had any previous sexual partners who were HPV carriers, I have some questions that I h...

Dr. Huang Zifei Reply:
Dear Z, 1. Oral HPV can also be screened using a swab test, which can be performed by both obstetricians and infectious disease specialists. 2. If you are concerned, you can certainly get tested (this is an out-of-pocket expense). About 90% of those infected with this virus can ...

Can I Get My HPV Vaccine on September 27 After Delays?

Timing for HPV Vaccination Hello Doctor, I received my first vaccine dose on April 12 and my second dose in early June. Due to scheduling conflicts, I am unable to go to the hospital for vaccination in October. Can I receive the vaccine on September 27? Would it cause any issues ...

Dr. Wu Xianghui Reply:
The third dose is recommended to be administered at least 4 months after the second dose for optimal effectiveness, so it is advised to postpone the vaccination. (But remember to get vaccinated.)

Switching to Nine-Valent HPV Vaccine: Do You Need All Three Doses Again?

Change of brand for cervical cancer vaccine administration? Hello, doctor! When I inquired about the HPV vaccine with the hospital physician, they did not mention the availability of the quadrivalent and nonavalent vaccine options and directly administered the first dose of the b...

Dr. Zhang Kunmin Reply:
Hello, based on your description, it is not recommended to mix different types of HPV vaccines. This means that from the first dose to the final dose, you should receive the same type of HPV vaccine. Thank you! Wishing you peace and health. Dr. Zhang

Do You Need a Pap Smear Before Getting the HPV Vaccine?

Pre-vaccination assessment for the HPV vaccine? Hello Dr. Chang, I would like to ask if it is necessary to have a Pap smear before receiving the HPV vaccine. I had a Pap smear and HPV test done last June, and I am considering getting the HPV vaccine soon. However, during the pand...

Dr. Zhang Kunmin Reply:
Hello, the recommendation is that all women who have ever engaged in sexual intercourse should regularly undergo Pap smear tests and follow-ups. If a woman has not had a Pap smear in the past year, it is advised to have the Pap smear done before receiving the HPV vaccine. Both th...

Understanding Abnormal Bleeding and Pap Smear Results in Women

Pap smear, menstrual irregularities, and bleeding issues? Two weeks ago, I went to the gynecologist due to abnormal bleeding (thick, coffee-colored and red discharge). I had a miscarriage in May due to the absence of a fetal heartbeat. The doctor said I am not pregnant and, durin...

Dr. Chen Zhiyu Reply:
Regarding your concerns, here are the responses: 1. Based on the information you provided, it is noted that the abnormal bleeding occurred approximately three months after the miscarriage. It is indeed possible that ovarian function is in a phase of readjustment; however, a defi...

Can You Get the HPV Vaccine While on Birth Control Pills?

Cervical cancer vaccine Hello doctor, I would like to ask if it is safe to receive the nine-valent HPV vaccine while taking pre-exposure contraceptive pills? If it is safe, can I continue taking the pills normally after getting the vaccine? Thank you.

Dr. Cao Guotao Reply:
Hello, it generally does not have an impact. Wishing you good health.

Understanding HPV Type 84: Symptoms, Treatment, and Immune Response

HPV type 84 Does HPV type 84 cause warts? What happens if a male contracts it? Can the virus be cleared by the immune system on its own, or is medication or treatment necessary?

Dr. Wu Xianghui Reply:
1. Common types of genital warts are type 6 and type 11. 2. There is a possibility of transmission to sexual partners. 3. There is a chance of developing antibodies autonomously. 4. Currently, there is only the [9-valent human papillomavirus (HPV) recombinant vaccine for ty...

Do HPV Types 51 and 82 Require Cesarean Delivery to Prevent Vertical Transmission?

Production of Papillomavirus Detection of human papillomavirus (HPV) types 51 and 82 during prenatal check-ups does not necessarily mean that a cesarean section is required to prevent vertical transmission. The decision for mode of delivery should be based on various factors, inc...

Dr. Huang Yuande Reply:
In principle, it is not necessary unless there are clinical symptoms, such as the presence of warty lesions.

Understanding Bartholin Gland Cysts: Symptoms, Causes, and Treatment Options

Bartholin's gland cyst Hello doctor... I'm sorry, but I would like to ask a question. I don't like the feeling of wet underwear, so I have a habit of using panty liners for a long time. However, sometimes I forget to change them, so I only change them once every ha...

Dr. Lin Manying Reply:
Ms. Jie: Hello, based on your description, it is more likely to be folliculitis. It is recommended to visit a gynecologist for an examination. The Ministry of Health and Welfare Hualien Hospital cares about your health.

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