always high risk hpv if abnormal pap?

[karma85]

i had a pap smear done in feb(started having sex with a new guy in jan,and quickly became pregnant)so at my 1st prenatal visit they did all the testing and stuff.everything was normal.

in may i noticed bumps,and sure enough it was genital warts.they redid the pap smear,and it did show abnormal cells and came back as LSIL.

is it ALWAYS high risk hpv when it causes pap smear changes?i know i have low risk because of the wart outbreak...but am not sure i also have high risk?

[simplynat]

Low risk HPV can sometimes cause a mild dysplasia (CIN1) but it is never the sole cause of a moderate (CIN2) or severe dysplasia (CIN3). There are studies where low risk HPV strains were found in moderate and severe dysplasia but never alone, there was always an active high risk strain as well. It is common to have strains of both low risk and high risk, did they perform an HPV test with your smear? As you likely know most mild cases of dysplasia will go away on their own and it is commong for pregnancy to create an environment for HPV to become active. The longer the virus is active the more likely it is for dysplasia to either develop or progress. Most often if it is pregnancy that brought about the active infection, with close monitoring and following the delivery the dysplasia will regress.