A member asked:

Reg pap rests age 23 result inconclusive regular follow up pap all normal. pap 12-18 mth since 23 all normal. recent pap age 40 ascus told pap in 6months. invasive cancer? hpv test not done ?

2 doctors weighed in across 2 answers
Dr. Elise Sadoun answered

Specializes in Family Medicine

What is the question: I'm not sure what you are asking. If you had a pap indicating invasive cancer, then there is no need to test for hpv because it is known to be caused by hpv. We use hpv as a screening test in ladies older than 30, and to differentiate risk in patients who have an ascus pap. Please speak to your doctor about your concerns, good luck.

Answered 2/3/2021

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Get an HPV test: I always do hpv testing on ascus paps. Because if it's hpv positive i would do a colposcopy right away. The chance of finding cancer in a ascus hpv (+) pap is less than 1%. But if it's hpv negative, you are off the hook, and i wouldn't repeat the pap for a year.

Answered 2/4/2014

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