HPV for 4 years

[Achiras06]

Hi I was diagnosed HPV since 2008 high risk.  Since then every time I have my regular pap smear the doctor performed colposcopy and biopsy.   I have my same sexual  partner, my fiance almost 4 years.   At the  beginning I didn't know anything about this virus.  I had a previous boyfriend in 2004,  He dissapear in my life suddenly, when I went to the doctor and I was diagnosed with clamydia, I took antibiotics and completely cleared after my treatment.  I was fustrated, depressed and I was alone,  he was my first sexual partner in my life. After that  I took my time to be with somone,   I met my fiance and I took my time before to have sexual relationship,  of course I told him my sexual experience, but we started to be intimate with condom, and the first pap smear was indicate HPV high risk since 2008/  I wonder why my body didnt eliminate this virus till now   I am tired and worried, my fiance of course has been supportive but I know we cant blame anybody at this point.  , I am waiting for my next pap smear in May again..... results, colposcopy and byopsy.   I M FRUSTRATED, sad...... I am going to get married in April, I found someome that I really trust and love.  But this HPV thing is there.... I am a very healthy person, exercise, eat fruits vegetables..... just 2 partners sexual in my life.... but the HPV still there.  How to fight this virus??? I am 39 years old, no kids, I have also fibroids hystory.   4 DNC (dilatation, couratagee )already in order to remove fibroids that we founded in my uterus.... but the virus still there :-(

[Hollyv]

Do you know what your biopsy result was? Most Dr.'s can see visually if there is anything that is suspect and then the biopsy confirms it. Dr.'s are supposed to biopsy aceto white suspicious areas during a colposcopy, however many Dr.'s when they don't see anything (the ones that are not as good because you can take a weekend course to be certified), take a couple of biopsies just to "make sure." and this is bad medicine. Three colpsocopies in one year borders on malpractice and furthermore all it does is make money for the physician, puts you at risk for infection, makes you uncomfortable and increases your anxiety. This physician does not know how to do a colposcopy. I am presuming that your biopsy was normal or at the very most CIN 1 which in essence also means normal because most CIN reverts to normal and you are at low risk with only 2 partners. If it was greater than this they would have suggested doing a LEEP procedure. Ask your friends who they see as for a GYN and if they trust them or ask your family Dr. for a referral to a good GYN in your area. Someone wrote that an HPV PCR test was only only 95% accurate, a nested HPV DNA test is 100% accurate because the results are matched with the gen bank. HPV PCR is done in the US but usually only at research universities and you need a well connected Dr. to have it done. I had as ASCUS Pap and my HPV PCR test was negative. Most women get 1-2 ASCUS Paps in their lifetime because Pap testing is subject to interpretation. The Digene test is less than 50% accurate with lots of false positives. If you have your colposcopy results post them, if not request your records from your Dr.

[mkh9]

You are welcome. Let us know how you do. Feel free to message me or write here whatever you like. I hope your appointment goes well.
mkh9

[Achiras06]

Thank you so much! Definetely I am going to see another doctor!! HPV still in my system after 4 years is something I really concerned.   My health is first.  Get a new diagnostic and follow up for sure.  

[mkh9]

I also agree and disagree with the last post. I know you are focused on your wedding and also very tired of colpolscopies and there are risks. However, you are a high risk patient and the virus has not cleared from your system in 4 years plus you have the ASCUS results each time. I think the doctor is following current guidelines. The question is is the risk of colpolscopy once a year worse than getting a precancerous situation like CIN-1 cells. I would make sure you keep on top of this. I'm glad you are getting another opinion. BTW, PCR is not 100% accurate (perhaps 95%) and yes I meant to say molecular test rather than PCR.  They do PCR in the U.S. but not as often as Digene. But they are not FDA approved yet. The molecular tests are approved or cleared but the Digene test has a lot of false positives too. But to have a postiive every year is significant. For someone over 30 HPV is more significant Try to take all this information to your doctor and have them explain the results. I look forward to hearing about your new doctors opinion.  
mkh9

[Achiras06]

Thanks for your answers! I really appreciate it! Effectively my pap smear shows everytime ASCUS (atypical cells of unknown significance).  I requested copy of my results of my two last pap smear.  The reason I asked for copies because many people is confused why the dr performed every time colposcopy and byopsy, the dr performed the pap smear and I guess test for HPV because I saw in my results HIGH RISK HPV .... so  my fiance took me to get a second opinion last year from another dr and here you go....again colposcopy and byopsy because came with ASCUS (atypical cells of unknown significance) and for my history of HPV.  But at least I have the relieve that ASCUS are mild or very low abnormality.  I have always the fear to have cervical cancer but definetely I am going to see another dr I have been scheduled for my next pap smear on May but I guest im going to see another dr and get my records from her.  The other dr I saw in April last year I was not feel comfortable, he did the same exams colposcopy and byopsy and he called me that the colposcopy it was not good, no enought specimen to get results, finally I got 3 colposcopy in one year. Now I have paps every 6 months and eventually the dr came with sonograms and colposcopy again  nooo I am tired :-(  last time I was in pain, cramps, bloating, very incomfortable after this coloscopy perfom in november last year.   i dont want to take anymore...
Thanks again for ur reply.   The only think is on my mind is my wedding wohooooooo !

[Hollyv]

I agree with the previous poster in a few areas and disagree in a few others. You should not have a colposcopy with biopsies each year. This could be harmful. You should ask or request copies of your Paps to find out what level of abnormal they are. And what were your colposcopy and past biopsy results--did they indicate anything?  If your Paps are ASCUS, the lowest level of abnormal it could just indicate inflammation or mild abnormality from your past D & C's. Did you have the Digene HPV test with your past paps; that is the test they usually do in the US. The above poster asked if you had a PCR test and that is usually never done in the US. It would be great if you had an HPV PCR test because they are 100% accurate but it would be unusual. You are pretty low risk for HPV with only 2 sexual partners not to have it cleared. And sometimes the tests give false positives. You might want to get all your records and results and see a new Dr. for a second opinion. Good luck with your wedding!

[mkh9]

Well, I'm glad you found a good person to spend your life with. HPV doesn't always clear sometimes it gets into your DNA and you can get a precancerous type growth or a growth that is an ASCUS (atypical cells of unknown significance). But I don't understand by they are doing the colposcopy every year. Are they basing it on an abnormal PAP smear every year or that you have HPV every year? If it is HPV but the PAP is normal then you shouldn't have to keep having the copolscopy. The PAP smear isn't what tells the doctor you have HPV. They do a HPV DNA (PCR) test separate from the PAP smear. The PAP smear shows if you have abnormal cells or not. Do you know if the PAP  is what they are doing the colposcopy for? Are they freezing the cells off or scraping the area?