Condylomata acuminata w/o HPV

[fabee]

Is it possible to have Condylomata acuminata with no traces of HPV found in a colposcopy?  

[Hollyv]

Your case may be a little complicated and endometriosis often is. I wondered what your symptoms were and usually excessive bleeding and clots can indicate this, also often accompanied with pelvic pain and extreme menstrual pain among other symptoms. But your symptoms can also indicate something else. An ultrasound is often a way to diagnose this. I wondered if they had done an ultrasound because that is often the first approach and they are looking for cysts. The next approach is usually using drugs to see if they can control this and alter your pain and hormones such as BC pills and others and then maybe laparoscopic surgery, laser laparoscopic or other treatments.

I am little confused on the other approach. Did you have a Pap because you were due for a Pap? And I’m not sure what level of abnormal your Pap was—if it was just a mild abnormality such as ASCUS and you tested positive for HPV? I would try to get my Pap result if I were you. And, I’m not sure why she did two colposcopies. And if the colposcopy was normal that seems odd because then there is no HPV. And if you have never been sexually active you should not have HPV. And your Dr. should know that many colposcopies are normal in women, actually greater than 50% of the time, so why do a second one?

So the way I think I would approach this if I were you, is to see someone else. A second opinion is always a good idea. I would get all of my results and take them to another office, including all lab reports and Dr.’s notes. If your Gyn is a good one, she will understand that second opinions happen all the time—you are not burning a bridge. If she is unhappy about this, then she may not have your best interests at heart. At present, you seem to have had too many tests with very little information given back to you.

Endometriosis is a condition that affects the uterus, not the cervix. I’m not sure if you have any cervical problems because it sounds like the colposcopy was normal.

You do not have either high risk HPV which is associated very minorly with cervical cancer or low risk HPV which is associated with genital warts if you have not been sexually active. I’m not sure where your Dr. came up with term condylomata accuminata but it does not seem to apply to you in this case. Did you question her about this?

Finally, I would not have a LEEP unless you get a really good reason for one from another physician. If you have not been sexually active and they have not found HPV with the colposcopy—exactly what tissue would they be removing during the LEEP and why?

Good Luck!

[fabee]

I'm 28.  The endometriosis was diagnosed after an ultrasound - before the pap and colposcopies.

The doctor is a gynecologist through my insurance company's network of clinics.  I went to see her after experiencing heavy blood clots during my period - which she attributed to the endometriosis.  But then insisted on doing all these other tests.  

It's beyond confusing to me.

[Hollyv]

How old are you and what were the symptoms that you had before you saw your Dr. Is your Dr. an OB/Gyn? If you have not been sexually actice you would not have GW's. You do not get cervical cancer from genital warts. The diagnosis of endometrious cannot be made from a Pap. A Pap result comes with either normal or several levels of abnormal levels. Depending on the level of abnormal result they send you for further testing. It is unusual to have 2 colposcopies within 2 weeks, not unheard of but one of the reasons for this is if they did not get enough tissue for a biopsy and they were really worried they may do another.

[fabee]

Also, there are no warts I can see. It's just very strange to me a doctor is telling me about how this will all mean cervical cancer.

[fabee]

The pap result came back with endometriosis - a condition my doctor said cannot be treated.  She basically has a blank check with my insurance company and has actually done 2 colposcopies in 2 weeks' time.  Now she's telling me I need a LEEP procedure for this Condylomata.  I feel I am being lied to - and being put through a lot of painful tests and then being told I have things that I didn't think I could possibly have.  How does someone never sexually active get HPV and genital warts?  She tells me I have this - even though the results of all tests taken say there is no HPV.

[Hollyv]

Yes, you can have genital warts and have a normal colposcopy. GW is low risk HPV and the colposcopy is looking for cervical dyplasia that is caused by high risk HPV. With colposcopy they look for changes in the cervix visually and then if they see any changes or abnormal areas they will do a biopsy to confirm. Did you have an abnormal Pap, it is unusual for a physician to do a colposcopy just because they saw genital warts?

[Griever3000]

Hi,

Well, Condylomata acuminata are basically warts in the genital area caused by HPV. So if you have Condylomata acuminata then you have HPV, because HPV is the cause of Condylomata acuminata (Genital warts).

However, i believe that you can have other types of skin growths (don't remember the names) in the area and it might not be HPV at all. Its better to get a thorough evaluation from a specialist.

Have you got the test they give you for HPV after the pap? I don't know too much about the procedure since i am a male and unfamiliar with how they test females in this case.