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Doctor insights on: Thin Prep Pap W Hpv And Gc Ct

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Does abnormal pap always result in HPV if chlamydia and gonorrhea came back neg?

Does abnormal pap always result in HPV if chlamydia and gonorrhea came back neg?

Abnormal pap smear: Most abnormal pap smears are due to HPV, even if HPV itself doesn't show up on testing. There are exceptions, but only a minority are not from HPV. Whether or not other STDs like chlamydia or gonorrhea are present makes no difference. If you have had an abnormal pap smear, discuss it with your doctor and follow her advice about further testing, follow-up, etc. Good luck! ...Read more

Dr. Steven Griggs
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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Abnormal pap smear result, chart online says A in "Flag" category w/ HSIL. With title "Pap IG, CT-Ng, rfx HPV ASCU what does this mean? Do I have HPV?

Abnormal pap smear result, chart online says A in "Flag" category w/ HSIL. With title "Pap IG, CT-Ng, rfx HPV ASCU what does this mean? Do I have HPV?

Follow up on this!: It is not entirely clear what this line means but let me break it down for you a bit. HSIL stands for high grade squamous intraepithelial lesion. This is one step before cervical cancer and if that's what the pap said, you need a colposcopy and cervical biopsy. CT usually means chlamydia was negative. Rfx HPV means reflex HPV in the event that the pap is ASCUS. HPV is positive for most HSIL. ...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?

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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10 yrs ago pap smear showed hpv. All paps normal since. Now urine pos leukocytes, catheterized sample & CT scan neg, some flank pain. Could it be hpv?

10 yrs ago pap smear showed hpv. All paps normal since. Now urine pos leukocytes, catheterized sample & CT scan neg, some flank pain. Could it be hpv?

Unlikely: Hpv does not cause leukocytes in the urine nor flank pain. Most hpv infections are cleared by the immune system and 10 years of normal pap smears is a good sign. Speak with your doctor. ...Read more

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Pap results were rare atypical squamous cell/High grade squamous intraepithelial lesion w/ negative HPV OB didn't explain please help!! ?

Pap results were rare atypical squamous cell/High grade squamous intraepithelial lesion w/ negative HPV OB didn't explain please help!! ?

Unsure: You will need additional evaluation and may need treatment for the abnormal cells. If your doctor does not give a reasonable explanation of your condition and the appropriate work-up and follow-up, you should consider finding another doctor. ...Read more

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I was diagnosed with squamous metaplasia w/ pos hpv, is it safe to wait for a yr for next pap? My doctor was saying that its perfectly fine.

I was diagnosed with squamous metaplasia w/ pos hpv, is it safe to wait for a yr for next pap? My doctor was saying that its perfectly fine.

Follow advice: Your doctor's advice is sound, however do get a check up in a year.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more

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I had squamous metaplasia chronic cervici w/ +hpv last yr. I was due for my pap this may, I cudnt go, is it possible it cud have bcome cancer by now?

I had squamous metaplasia chronic cervici w/ +hpv last yr. I was due for my pap this may, I cudnt go, is it possible it cud have bcome cancer by now?

HPV: While it is unlikely that a cancer would progress that quickly it is important that you follow up consistently with your doctors recommendations ...Read more

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Diagnosed w/ HPV 2yrs ago. Inadequate Pap smear 2x. DR said I don't have the cancerous strains. But my prof. (Nurse pract) said I'll still get cancer?

Diagnosed w/ HPV 2yrs ago. Inadequate Pap smear 2x. DR said I don't have the cancerous strains. But my prof. (Nurse pract) said I'll still get cancer?

Odd statement: I don't know the wording your NP used, but there appears to be a miscommunication. You might, in your lifetime, go on to develop cancer, but most do not. Even those who have tested positive for the high risk strains may never get it. It may motivate some to be more compliant with having the PAP tests done but that is all. ...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? Isn't 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? Isn't 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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No pap re 4 yrs aft 40 yrs perfect paps. 6 mo ago Pap diagnosis ASC-US & HPV neg. Age 64. Wed 45 yrs. No sex 6yrs 11yrs post meno w/atrophy. SCARED cancer!

No pap re 4 yrs aft 40 yrs perfect paps. 6 mo ago Pap diagnosis ASC-US & HPV neg. Age 64. Wed 45 yrs. No sex 6yrs 11yrs post meno w/atrophy. SCARED cancer!

Normal: As long as the HPV testing is negative your risk of cancer is vanishingly small. ASCUS is the " we're just not sure" category and in your case is almost certainly due to the atrophy. Hope this is reassuring ...Read more

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Can an abnormal pap mean you have hpv?

Can an abnormal pap mean you have hpv?

Pap Smears and HPV: It is lilely there is high-risk hpv present with an abnormal pap but the chance of that depends on what the pap abnormality is. If the pap is ascus (atypical cell of undetermined significance) the likelihood of hpv is less than a hsil (high grade) where it is almost certainly there. ...Read more

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How is HPV contracted? PAP came back "inadequate" & NEG for HPV 16, 18 & POS for 31-68. Only have 1 partner. What happens now w/ me & my partner? : (

You don’t have HPV: Your pap result indicate that you are negative for HPV meaning that you don’t have it. In this case nothing happens to you since you don’t have HPV. HPV is transmitted sexually. An “inadequate” results means that there were not enough cells to determine if the cells themselves were normal or not. Since HPV testing was normal there is not likely to be cause for alarm ...Read more

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Diagnosed w/ HPV wed via pap. No visible symptoms! Gyno said no other tests r needed & get pap in 1 year. Should I be concerned 4 warts & cancer?

Diagnosed w/ HPV wed via pap. No visible symptoms! Gyno said no other tests r needed & get pap in 1 year. Should I be concerned 4 warts & cancer?

Follow up with doc: Most hpv will resolve on its own. Approximately 5-10% of hpv infections may not resolve and eventually result in abnormal pap tests with pre-cancer changes. Following up regularly with your doctor is the most important step. If the pap smear changes, your doctor will discuss further treatment if needed.

Keep following your doctor's instructions. ...Read more

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2yrs ago dx w/HPV. Inad paps but no cancerous strains. Dr says I have gen warts. My prof (nurse pract) said those with gen warts will get cancer later

2yrs ago dx w/HPV. Inad paps but no cancerous strains. Dr says I have gen warts. My prof (nurse pract) said those with gen warts will get cancer later

Similar answer: The wart strains produce warts, not cervical cancer. In the pre vaccine era as many as 70% of college age women tested positive for genital HPV antibodies in some studies. The don't all go on to get cancer. That is a myth. While you may also have acquired a cancer associated HPV strain the same way, it doesn't mean you are destined to develop cancer. You need to discuss this with a therapist ...Read more

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Are all gential warts the HPV virus? Do results show on a pap test? Are they all incurable?

Are all gential warts the HPV virus? Do results show on a pap test? Are they all incurable?

Warts: All genitals warts are hpv and they're all incurable. Certain strains can cause cervical cancer so be careful! No matter how good the sex is, it's not worth dying over.
Hpv won't show up on a pap smear but precancerous or cancerous changes will. ...Read more

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Hpv from rape. Abnormal cells in pap smear, mom had same but no hpv. Should I worry? Gyno appt pending

Hpv from rape. Abnormal cells in pap smear, mom had same but no hpv. Should I worry? Gyno appt pending

HPV: I'm sorry to hear you've experienced a rape by age 16. Hpv can lead to abnormal cervical cells in a pap smear. . . So I'm glad that you're set up to see your gynecologist. Worrying only wastes today, so please don't do that if possible. Absorb yourself in other activities you enjoy -- and make sure you work with your doctor in all ways. ...Read more

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Pap same back HPV positive slightly abnormal a typical cells and a yeast infection. Does it sound very serios?

Pap same back HPV positive slightly abnormal a typical cells and a yeast infection. Does it sound very serios?

No: This reading on a pap smear can mean low grade inflammation due to infection or perhaps yeast or other irritatants. Make sure you follow up with your gyn or pcp and get further testing as indicated by any other testing done at the time of your pap smear such as a test for human pappiloma virus. Your history would be important too in answering your question. Follow up per your pcp's instructions. ...Read more

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If pap results come back I have LSIL does it mean I have high risk Hpv or could it be due to just having Hpv?

If pap results come back I have LSIL does it mean I have high risk Hpv or could it be due to just having Hpv?

LSIL from HPV: It is probably a high risk HPV that is causing the changes in the cells of your cervix. Frequently a pap will also report whether there is high or low risk HPV present. In my office, the lab that does the paps automatically checks for HPV on abnormal paps. ...Read more

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I'm hpv pos high risk, I go for my pap every yr. Last yr it was squamous metaplasia. Would I get cancer in a yr?

I'm hpv pos high risk, I go for my pap every yr. Last yr it was squamous metaplasia. Would I get cancer in a yr?

Not necessarily: Squamous metaplasia is simply the replacement of one normal squamous cell with another by pathological definition. What that means is that squamous cells are the main component of the outside of the cervix (exocervix) and is normal. This is not a precursor to CIN also known as dysplasia, which can lead to HPV associated carcinoma. ...Read more

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I've had an abnormal pap last year and a leep... And now another abnormal pap with high risk hpv, what can I expect?

Continued vigilance: Please follow your doctor's advice about regular check ups and any treatment recommendations. God forbid, the abnormality persists or get worse, you may need to consider a hysterectomy. ...Read more

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If someone has the HPV virus but their pap smear is normal, what treatment is available to get rid of the HPV virus?

If someone has the HPV virus but their pap smear is normal, what treatment is available to get rid of the HPV virus?

None: It's not possible to eradicate the hpv virus, but you can learn the isotype to see if you have increased risks for cervical dysplasia/cancer. If your cervix looks normal and your pap is normal, just make sure to continue your exams as directed by your doc. Always keep track of any abnormal bleeding or post-coital bleeding and let your doc know this as well, especially of you have high risk hpv. ...Read more

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Could you tell me if someone has HPV virus but pap smear normal, what treatment is available to get rid of HPV virus?

Could you tell me if someone has HPV virus but pap smear normal, what treatment is available to get rid of HPV virus?

Time: The body is capable of clearing hpv over time. 80% of women who contract hpv will clear it within one year. 90% will have cleared hpv within 3 years. About 10% of women will require more than 3 years to clear the virus - or they never clear it. They are at greatest risk for complications due to hpv, including cervical cancer. ...Read more

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Tested positive for hpv non 16 and non 18 and abnormal pap (ASCUS). My husband is afraid to have sexual intercourse now?

Needs an education: In the pre-vaccine era some studies showed as many as 70% of women with blood evidence of prior HPV. You are negative for the strains associated with oral cancer & he doesn't have a cervix. I don't know where he thinks he will find any woman that doesn't carry HPV. It would be nice if he can explore the data on HPV & visit with his doc on the issue. He does need a chance to learn & hopefully will ...Read more

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I have tested positive for high risk HPV & abnormal pap so having colposcopy done. When should you do a repeat pap smear?

I have tested positive for high risk HPV & abnormal pap so having colposcopy done. When should you do a repeat pap smear?

Depends on findings: Of examination by colposcopy. It your doctor detects an abnormal site, s/he may do a biopsy, and will advise about the frequency of pap testing. In any case you should not wait more than one year for a repeat pap. ...Read more

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How often do labs "misplace" samples to be tested? I had my pap, hpv, etc. Tested, but my std swabs mysteriously vanished!

It's like asking...: That is like asking, "How often do you misplace your car keys? " It happens, hopefully rarely, but likely varies from person to person (and varies from lab to lab, in the case of lab samples). All lab procedures have humans somewhere in the process... which means there is room for human error. Doctors usually know if one particular lab is overly prone to losing samples. ...Read more

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AGCUS pap, negative hpv 16/18/31. Positive mrna for "other" high risk strand. Watery mucus discharge. Should I be worried?

Yes: The HPV types present in your test increase your risk for cervical cancer, bladder cancer, and transmission of that risk to others during intercourse. Sometimes AGUS can change back to normal, but this needs to be followed closely by your doctor! ...Read more

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So I just want to confirm. It is possible to have an abnormal Pap during pregnancy due to hormonal changes and not the HPV virus?

So I just want to confirm. It is possible to have an abnormal Pap during pregnancy due to hormonal changes and not the HPV virus?

Yes: Typically a pathologist will look at a cell's nuclear to cytoplasmic ratio to determine if cells are abnormal or not. In pregnancy, your cervix will shed basal cells, which can be frequently confused for cells with high N/C ratios. It is normal when pregnant. But in some instances it does require further workup and closer monitoring. ...Read more

Dr. Chad Levitt
1 Doctor shared a insight

Computed Tomography (Definition)

Ct uses xrays taken an 360 degrees combined with a computer to see"inside" the body. The table moves as the xray tube and detectors spin around the patient 10 times a second or more! The image shows excellent soft tissue detail, enhanced with injection of intravenous contrast or oral contrast. This way the body is shown in slices, in any plane, usually axially, but ...Read more


Dr. Ed Friedlander
941 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