A member asked:

Is it an emergency at this point to go to the obgyn? about four years ago i found out i had a hpv and i believe i went through with all my gardisil treatments but im not sure now that i look back the thing is im doing an internship in alabama and have no

6 doctors weighed in across 2 answers
Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

HPV& cervical cancer: A woman with hpv should have a pap smear at least every year. In the last 4 years, you should have had pap smears with results communicated to you. It is prudent to go ahead and get routine pap smears to test for the presence of hpv or abnormal cells. You can typically make an appointment with a 'family planning' agency, where prices are lower and at times free.

Answered 11/27/2017

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Dr. John Kirk answered

Specializes in Obstetrics and Gynecology

I : I disagree in some regards with the answer previously submitted to your question thus am responding here. First, hpv is extremely common with rough 50-60% of college-age graduates (you don't need to go to, or graduate from, college to get hpv) having contracted hpv at some time since beginning a sexual relationship. Note, that Gardasil is one of two human papilloma virus (hpv) vaccinations on the market (the other is cervarix). It is available to women age 9-26 and should be given before exposure to the subtypes of hpv covered (subtypes 6, 11, 16 and 18) which are the most common low risk (warts) and high risk(cancer) subtypes of hpv. It does not treat the infection once acquired which is usually from one subtype alone. Instead it prevents a person form becoming infected with those particular strains. A pap should be performed ever year (or two years with three previously negative paps) starting at the age of 21 and continued to 30. After 30 the pap can be done every three years when ordered with hpv dna studies (both performed at your routine annual exam on the same specimen). These two tests, the pap and the hpv dna, are better every three years (if negative) that a pap smear every year and it is less expensive as well. It is also important to relax and know that in the vast majorit of cases the hpv is "cleared" from your cervix approximately 75-80% of the time--without any treatment. Further, cancer of the cervix is a very slow growing process and probably takes from 10-15 years in most (though not all) cases to become cancer from an advanced form of precancer. Finally, don't worry just present in february if that is your siuation unless you are having symptoms to worry about, pain and bleeding irregularly, especially after sex. I wish you the best and expect that you will do fine. Notably many states have access to planned parenthood or a state funded family planning pool that covers paps and birth control for those who can't otherwise afford it. Look to your school, work and community resources.

Answered 11/20/2017

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