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Doctor insights on: Only One Sexual Partner And Have Abnormal Pap

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30 years old, had three sexual partners-- been with my husband for 11 years now. I've never once had an abnormal pap.does that mean I never had hpv?

30 years old, had three sexual partners-- been with my husband for 11 years now. I've never once had an abnormal pap.does that mean I never had hpv?

No: Keep getting your pap smears but you're at low risk. Congratulations on your successful relationship and your wise life choices overall. And if HPV does turn up, we can manage it with near-100% success if you're compliant. In the old days, cancer of the cervix caused by HPV was a mass killer, worse than breast cancer today. Now the key is avoiding HPV, but managing it sensibly when it turns up. ...Read more

Dr. Ed Friedlander
901 doctors shared insights

Pap Smear (Definition)

A pap smear (cervical smear) is a text looking at the cells from the canal and outside of the cervix to see if any abnormalities (especially ...Read more


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I have only had one sexual partner for the last 16 years, now my pap is positive for HPV. Does that mean he cheated, or could I have been having it?

I have only had one sexual partner for the last 16 years, now my pap is positive for HPV. Does that mean he cheated, or could I have been having it?

Means nothing: Everybody has a few strains of HPV, and when they'll pop up and when they'll decide to hide is known only to them. Plus, there are lab errors. I'm glad you have someone special, and there's nothing to be gained by searching for possible infidelity. ...Read more

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My husband and I have never had any other sexual partners, but my last pap smear showed hpv. Further testing showed hpv-16. How is this possible?

My husband and I have never had any other sexual partners, but my last pap smear showed    hpv.  Further testing showed hpv-16.  How is this possible?

Stop worrying: I'm not satisfied that even the "bad" strains of hpv are always transmitted sexually. And this is not a helpful line of inquiry. You love one another, and have promised to be together for the rest of your lives. Don't let this be a cause of suspicion, and remain vigilant for the cancer risk to you both, and things will be good. I wish more people would save themselves for that one special person. ...Read more

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Is bleeding during a pap smear and tender cervix normal? Hi, I am 19 years old I have only had two sexual partners I have had lower abdominal pain which the doctors think is from my scar tissue. Today i had a pap smear and my gyno said my cervix was swoll

Is bleeding during a pap smear and tender cervix normal? Hi, I am 19 years old I have only had two sexual partners I have had lower abdominal pain which the doctors think is from my scar tissue. Today i had a pap smear and my gyno said my cervix was swoll

First : First of all your concern about cervical cancer is valid, given that your grandmother had cervical cancer. But, at 19 yrs old cervical cancer is not something to be concerned. The incidence is almost none to rare. In fact, as per new guidelines by health care leaders, pap smear should be started when woman is 21 yrs old. However there are other reasons why a pap smear was thought necessary before age 21. The most important thing for woman exam (pelvic exam) at your age is std screening and if woman has any menstrual problems or pelvic pain issues. So, with the above information i provided, bleeding during pap smear if it is unusually more and if the cervix is very tender, i would recommend that you should get std screening. Infections with chlamydia and trichomonas can cause tender cervix, pain with intercourse and also can make it bleed easily. Sometimes, woman might not have typical symptoms of burning and vaginal discharge with chlamydia infection. Just that infection with chlamydia has long term implications on fertility and other complications, it is worth getting checked. My sincere advise is to use protection without failure any time to prevent stds. I do want to provide you with some more information about cervical cancer and how to modify any risk factors to decrease your risk of cervical cancer in the future. One of the risk factors that causes cervical cancer is hpv infection. But more than half of women of your age fight it off and get rid of it. Human papilloma virus is a infection that is transmitted sexually. This puts women at high risk for cervical cancer. There is a vaccine available to prevent the risk of getting high risk hpv from partners. At your age that is very well worth the cost to get the vaccine. It is a series of 3 injections over a period of 6 months. Please talk to your doctor for more information about risk factors for cervical cancer. I hope this is helpful information to you. ...Read more

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What causes an abnormal menstrual cycle? I am a healthy 33 year old female. I don't smoke, do drugs or drink. I have two children (12 and 10) both normal births. I have only one sexual partner (my husband) who had a vasectomy about 8 years ago. I have had

What causes an abnormal menstrual cycle? I am a healthy 33 year old female. I don't smoke, do drugs or drink. I have two children (12 and 10) both normal births. I have only one sexual partner (my husband) who had a vasectomy about 8 years ago. I have had

I : I can understand your concern as that is a very unusual menstrual cycle. Please take a pregnancy test to be sure that isn't the cause, but it sounds unlikely. Please have your thyroid hormones checked to be sure you are not hypothyroid. It is also important to be sure you are receiving adequate nutrition, as patient's with malnutrition can have irregular cycles. That is a very long time to go without a period so i advise that you do see a gynecologist and have this completely evaluated. ...Read more

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If you have a normal pap smear, can you have an abnormal one 3 years later if you haven't been sexually active since then?

If you have a normal pap smear, can you have an abnormal one 3 years later if you haven't been sexually active since then?

Absolutely: Hpv, once introduced, will continue present and can cause premalignant and worse changes even if a person is abstinent. Please get with your physician for proper followup. ...Read more

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Only one sexual partner and cervical dysplasia reoccured, what's wrong?

Only one sexual partner and cervical dysplasia reoccured, what's wrong?

HPV is for life: Once you've met the strain of hpv that caused your dysplasia, you have it for life regardless of who you may or may not be with afterwards. I'm glad you've found love and also that your premalignant lesion was found (and i trust treated) in a timely way. Best wishes. ...Read more