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Doctor insights on: Reflex Hpv Testing

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Can HPV be cured or is it only treated ??

Can HPV be cured or is it only treated ??

HPV: HPV is a very common virus and there are many strains. Only a few of them are associated with cervical cancer for the female. Once you have the virus it will stay in your system. There is no treatment for the virus. The best prevention at this time is to get the HPV vaccine prior to sexual activity to prevent you from contracting the virus. Screening pap smears is important to look for changes. ...Read more

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Dr. Jan Lei Iwata
4 doctors shared insights

Hpv (Definition)

Human Papillomavirus (HPV) is the most common sexually transmitted infection. There are over 100 different types of HPV that causes warts in different areas of the body. HPV is incredibly common and almost all sexually active men and women get it during their lifetime. Most of the time HPV does not cause any symptoms or complications. However, A limited number of these HPV viruses are pathogenic and if not monitored carefully can be responsible for causing cervical and penile cancer. Some of these viruses have been ...Read more


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Recently had pap, lb+reflex hr hpv done. Normal pap but says endocervical/metaplastic cells sufficient but no result for HPV? Should I be worried? 

Recently had pap, lb+reflex hr hpv done. Normal pap but says endocervical/metaplastic cells sufficient but no result for HPV? Should I be worried? 

Just keep on pap...: All what you have to do if having history of HPV is doing PAP smear more diligent and vigilant than those without HPV since there is nothing could be done with the past, in attesting: Life is a constant changing and adjusting dynamic process of struggle to cope with reality, certainty, & uncertainty of daily living for survival, growth, & continuation from inception to eternity. ...Read more

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PapIGrfxHPV ASCU results negative for my pap HPV say (NEGHPV) HPV DNA reflex criteria were not met with this specimen result NO HPV test perform mean?

Normal, no HPV: If I correctly understand the abbreviations, your doctor ordered a pap smear for which HPV testing was to be done if the smear was abnormal. Your pap did not show those abnormalities; therefore HPV testing wasn't done. In other words, it's all good news: your results were fine with nothing to worry about. If you remain uncertain for some reason, contact your doctor's office. ...Read more

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Pap/ HPV reflex to hpv16/18 with ct/cg show endocervical , glandular or metaplastic cells/ or parabasal cells present. Is this simply inflammation?

In reality, this is: All what you have to do if having history of HPV is doing PAP smear more diligent and vigilant than those without HPV since there is nothing could be done with the past, in attesting: Life is a constant changing and adjusting dynamic process of struggle to cope with reality, certainty, & uncertainty of daily living for survival, growth, & continuation from inception to eternity. ...Read more

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What does it mean if i got a normal pap but a positive HPV testing?

What does it mean if i got a normal pap but a positive HPV testing?

HPV : It means that you do not have any precancerous cells or precancerous changes in your cervix but the hpv virus is present. Hpv is so common and routine testing with a pap is not usually recommended until after age 30. Most young women will simply clear the virus on their own without treatment. ...Read more

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I requested a HPV test after testing negative the past five years ( five years ago I had cervical hpv). If it comes out negative am I still contagious?

I requested a HPV test after testing negative the past five years ( five years ago I had cervical hpv). If it comes out negative am I still contagious?

No need for retest: It was a mistake to have another HPV test. if you have been sexually active in the past 5 years, probably you have been reexposed and likely reinfected with HPV. A positive result now probably would not be recurrence of your past infection. Regardless of your new test result, you can safely assume that previous infection is gone and no longer contagious. Your more recent infection(s)? Maybe. ...Read more

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When did doctors start testing for hpv?

When did doctors start testing for hpv?

Good question: People frequently interpret abnormal pap smears as showing effects of hpv without actually testing for hpv and convey this to patients as being + for hpv. Actual testing for high risk hpv combined with pap became a screening alternative in 2004 and incorporated into guidelines in 2006. In 2012, combined pap/hpv testing every 5 yrs became the preferred screening for women over 30. ...Read more

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What kind of doctor do you go to for oral HPV testing?

Maybe ENT, but...: ...despite rising rates of throat cancer due to HPV16, it remains rare, and oral HPV testing is not recommended by most experts. This may change someday, but for now there is no agreement on exactly what strains to test for or even the best way to collect a sample. Knowing whether or not oral HPV is present makes no clear difference in judging cancer risk or preventing it and there's no treatment. ...Read more

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Tested positive for E6/E7 oncoproteins hpv test. Pap otherwise normal. What does this mean? Further testing necessary?

Tested positive for E6/E7 oncoproteins hpv test. Pap otherwise normal. What does this mean? Further testing necessary?

Ask your doctor...: Glad to know you got normal PAP smear despite having (+) HPV, which are very common for many but bearing no serious consequence. For females with (+) HPV, esp. with type 16 & 16, they just need to exercise more diligence and vigilance to have PAP than those unaffected. Besides, gear up constant practice of healthy lifestyle without overindulgence & obsession as the foundation of long-term care... ...Read more

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They tested me again for my HPV is it an overall culture i asked if i had anything else and the nurse said i didnt, is it just HPV testing or overall?

They tested me again for my HPV is it an overall culture i asked if i had anything else and the nurse said i didnt, is it just HPV testing or overall?

Overall?: There is no test that picks up everything or even a few things. What does overall mean? Are you speaking of stds? All twelve of them? This is a very good example why being specific and asking follow up questions is vital when working with health care professionals. We should all know what the real risks are and know how to test and or prevent stds. ...Read more

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How much time should it take for the doctor to find out I have HPV and call me in for further testing?

Results: from a biopsy of a suspicious lesion varies depending upon the pathology department but usually a week is sufficient. Call your doctor's office to find out if the results are back and schedule a follow up. ...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?

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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HPV may be eradicated by AHCC supplements. Does this mean a permanent eradication or making it dormant if abnormal pap? or more testing needed?

No evidence: There is no evidence whatsoever that any supplements have any effect on HPV "eradication." Until some evidence is produced, assume it is complete BS. Good wishes. ...Read more

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Regular paps age 23 "inconclusive" but all follow ups since ok. Pap every 12-18 months recent pap (no HPV testing) age 40 ascus. Rec repeat pap in six months . Worried now. Does this mean cancer ?

Regular paps age 23 "inconclusive" but all follow ups since ok. Pap every 12-18 months  recent pap (no HPV testing) age 40 ascus.  Rec repeat pap in six months .  Worried now. Does this mean cancer ?

The opposite: It means the opposite of cancer. These results should lead you to relax not worry. If you had cancer there would be progression. There would be definitive changes that are diagnosable. Ascus, even persistent, is something you can relax about. Cancer does not stay stable or unchanged. ...Read more

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If i had a lymph node biopsied and tested for stds, would the testing include hpv?

If i had a lymph node biopsied and tested for stds, would the testing include hpv?

No: A lymph node biopsy will be examined under the microscope. We're most concerned with any form of cancer and with some of the distinctive inflammatory diseases that may enlarge a node. Of the common sexually transmitted diseases, only syphilis presents a distinctive appearance here; testing for HIV and mono should precede biopsy. Hpv isn't diagnosed on lymph node biopsy. ...Read more

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Normal cytology, positive for hr hpv rna. Does the rna just mean the virus is active? Need additional testing to ensure pap didn't miss something?

Normal cytology, positive for hr hpv rna. Does the rna just mean the virus is active? Need additional testing to ensure pap didn't miss something?

Yes/no: Yes you have it in your system & no you don't need additional testing right now.These strains belong to a family of virus well known for hibernating for long periods in the tissues.You may shed virus off & on without any symptoms.If it ever starts a problem it might be decades from now, if you are one of the unlucky ones.Just do your regular testing as advised ...Read more

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ASCUS pap then normal then ASCUS. No HPV testing. not standard in Ontario Family Dr said redo pap six month. Ok to wait ? An concern for cancer

ASCUS pap then normal then ASCUS. No HPV testing.  not standard in Ontario   Family Dr said redo pap six month.   Ok to wait ?  An concern for cancer

ASCUS: Atypical cells of underdetermined significance - meaning they are close to normal but not completely. However, these cells do not look cancerous at this time and it will likely take a very long time for it become cancerous. Cytology testing maybe an appropriate follow up and you'll need HPV in the future to determine if you need colposcopy (magnification aided exam of your cervix) ...Read more

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I want to be HPV clean after testing positive with HPV16 & others. What to do? How can I be back to normal & STD free. There has to be a solution plz

 I want to be HPV clean after testing positive with HPV16 & others. What to do? How can I be back to normal & STD free. There has to be a solution plz

Adjust expectations: Most will eventually quit shedding this virus and be at low risk of passing it to a partner. However, the HPV family of viruses tend too persist indefinitely in some patients and may re-emerge years later. ...Read more

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My daughter asked for HPV test w/pap. Test says all norm, even HPV but then says "hpv DNA testing not performed" huh? Isnt DNA how they test for hpv?

My daughter asked for HPV test w/pap. Test says all norm, even HPV but then says "hpv DNA testing not performed"  huh? Isnt DNA how they test for hpv?

HPV: As a general rule hpv testing by dna hybridization is not done unless the results of the pap smear are equivocal, because of the costs and minimal benefit after a completely normal pap. ...Read more

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Pap showed Im positive for abnormal cells & further testing showed high risk HPV cells. What treatment is there alternative to cutting my cervix?

Pap showed Im positive for abnormal cells & further testing showed high risk HPV cells. What treatment is there alternative to cutting my cervix?

Biopsy: It sounds like ASCUS(atypical cells) with high risk hpv. You do not need to have your cervix cut. Just need to have it looked at with a microscope device called a colposcope. Depending on how things look you may need a small biopsy to see if you need treatment or just a repeat pap. Probably nothing bad but definitely get it checked out. ...Read more