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Pap smear
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Pap smear

I had a pap smear and my Dr told me it was positive for HPV. How is that so? I know a pap can be normal and you can still have HPV, and a pap can be abnormal and you may not have HPV. So how do they KNOW that I have HPV?
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784382_tn?1376934640
you had a pap done...the cells were abnormal and they sent out your cultures to the lab for further testing.... did they tell you mild, moderate , or high risk?.... what are they next steps that they want to take  in treatment?....

you could have abnormal cells and not have HPV your right...The Pap smear test detects changes in the cervix, which may become cancer. However, having an abnormal Pap smear test result does not necessarily mean you have or will get cervical cancer. This is especially true for women who follow their doctor’s recommendations for when to have the Pap smear test.
A thin layer of tissue, composed of cells, covers the cervix. As cervical cells develop, the cells on the bottom layer move to the surface of the cervix. Sometimes, during cellular development, cervical cells may become damaged or abnormal. When this occurs, these cells develop in an abnormal way and sometimes require removal to prevent cervical cancer

one of the most common causes of abnormal cells is HPV.... if you dont believe them go get another pap done by a different dr office.....good luck
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Avatar_n_tn
All they told me was that I tested positive for HPV and to set up an appt with the gynecologist. So now my appt isn't for another week and I'm freaking out about what could be wrong. I read somewhere that warts on the cervix is the most common cause of an abnormal pap? is that true because I've also read that hpv's that cause cervical cancer are the only ones that can be detected through an abnormal pap?
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784382_tn?1376934640
who told you to get HPV test?.... you didnt go to obgyn first?....your normal doctor gave you a pap smear?.....you could have abnormal cells on your cervix that would cause you to have them be abnormal... im not too sure about warts
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Avatar_n_tn
I've never seen a obgyn before. I had my first pap last year and it came back good then I had my second this year. Both times it was just the nurse practitioner that gave the pap smear. I take the depo shot for birth control so that was the reason for the check up. Then someone from the office called on the phone and just said I tested positive for HPV, she didn't give me any information really.
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784382_tn?1376934640
where are you from?....the US?.... as far as i knew they didnt do paps in a regular doctors office....just a gyno.....

when you go see the gyno ask them what test they did and then ask what are the treatments for the type of HPV that you have....
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Avatar_n_tn
Yea, I'm from the US. Because it was from a pap, that means cells were definitely abnormal? They didn't say that it was abnormal just that I had HPV, but they wouldn't have tested for hpv if there weren't abnormal cells would they?
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Avatar_f_tn
Yes, you can have active HPV but not have an abnormal pap.  I did. There is a test for HPV that the dr's do at the same time as your PAP.  

HPV can cause abnormal cells but not always.  It is the reason for the majority of abnormal paps and especially for cervical cancer.  I guess you could have an abnormal pap if you had a regular STD like the clap but I'm not sure.  

Lots of women have HPV and never have a problem.  Even if you do have an abnormal pap, in most cases it resolved itself and you don't need treatment.  That's what happened to me.

I had an abnormal pap caused by HPV.  Had several colposcopy's but the dr didn't find anything.  Went back every 6 months for about a few years just to see if if everything was ok.  The last 2 paps have been normal and the HPV is testing negative.

It's pretty standard to test for HPV now a days.  It may just be a way for dr's to make more money because to be honest, most sexually active people (men and women) have it.  Most of the time, HPV doesn't cause any problems.  All it does is cause anxiety for people when they find out they have HPV, which most of us have anyway.

Don't worry about it but do keep up on your paps.  Good luck and I'm sure you will be fine.


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Avatar_f_tn
I just re-read my post and I think it's confusing.  I had 2 abnormal paps due to HPV.  Had colposcopies and they were fine.  Colposcopies can find out if the cells are pre-cancerous and need to be removed.  The dr didn't find any cells to remove.

If you have a "normal pap" but the HPV is positive. the dr's won't do anything b/c there is nothing to remove.  

My paps reverted to "normal" but the HPV was still showing active for almost 2 yrs.  Now, 4 yrs later, the paps and HPV have been negative.

So, I had an abnormal pap from HPV and then normal pap and active HPV and then normal pap and negative hpv.  Never had any treatment except the colposcopies.

Sorry about the confusion of my post.
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Avatar_n_tn
Ok, I wish they would have told me exactly what they found instead of leaving me alone for two weeks to stress about it! We'll see.
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