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Avatar universal

Worried

Dear Doctor:

I've been in such a night mare for the last 4 months. im 32 and been married for 4 years now. In my post natal appointment i had a pap smear and results were + HPV and CIN1, i had a leep procedure for that and 3 months after the leep i got my normal pap. im not not only worried about my exposure to this VIRUS in my gential area but also my anus NOW.

since HPV is something weired you dont know whom gave it to you i had a one short and one long term relation with my x and i had encountered unprotected anal sex :( scared to death now. and in the beginning of my marriage i had only one with my current husband :( im not not scared of cervical cancer but also anal cancer . i cant sleep i spent nights googling i left my husband i hate sex.... i cant takecare of my baby anymore im in deep S__T. im in an emotional roller coster . Doctor dont tell me i have to go for anal pap..this is making me so scared to death.  i hate myself i feel dirty and really im in tears all day.its a death penilty ... i lost interest in everything. i sit in my room the whole day and my son stays in the other room i dont want to feel guilty that one day i will let him down because of my STD . Its like a death penilty for me im crying while im writting this ..............is anal cancer is rare then why heterosexual women is more likely to have it....

Thanks dr.
3 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Recognition of the problem is always the first step.  But you MUST discuss this with your doctor.  This is not something you can "overcome" on your own.  Good luck.
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Avatar universal
Thanks doctor , yes you are right I think I need to see a doctor I'm really depressed and Im loosing interest in everything . Thanks a lot Doctor I will do my best to overcome this issue . God bless
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.

I would like to help, but the problem you describe is entirely emotional.  You know some of the key facts about HPV -- it is sexually transmitted, but almost everyone gets it; it is impossible to know when and where a particular infection was acquired; abnormal pap smears often show up many years after the initial infection, so there is no implication your husband has been unfaithful.  Anal cancer is rare, even in people with high risk HPV infection -- and in any case, careful examination by your doctor (when you have your routine pap smears) will discover any pre-cancerous lesions or early cancer before it becomes harmful.  Anal pap smears are controversial -- perhaps useful in homosexual men, but definitely not recomended in situations like yours.  You are wrong that "heterosexual women [are] more likely to have it":  anal cancer is 10 times most common in gay men.  It's only slightly more common in women than in straight men.

Most of your comment comments like "scared", "can't sleep nights", "emotional roller coaster", "I hate myself", "I feel dirty", "lost interest in everything", "I sit in my room the whole day" show you have a serious mental health problem.  Of course I cannot make a diagnosis, but I believe you are seriously depressed.  Having HPV or an abnormal pap, and possible anal cancer, are NOT the cause of your feelings.  Your mind is focusing on these problems, but not rationally so.  Please see your doctor and describe your feelings in detail.  Psychiatric care probably will be recommended.  I recommend it out of compassion, not criticsm.

There is no additional information about HPV that is going to make you feel better, so I'm not going to reinforce your fears by allowing this discussion to continue.  Feel free to report back after you have spoken with your own doctor about it, or when you have started down a path toward proper psychological care.

Good luck--   HHH, MD
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