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Q: Pap test and HPV infection
asked by: DoctorQuestion on April 17th, 2008
Doctor Question
I had my first pap smear on the 7th of March. My doctor called me a week later and told me I have LGSIL. He said it wasn't anything to worry about, but I needed to get a colposcopy. I got my colposcopy on the 14th of April, and my new doctor told me I have HPV. I've only ever had sex with my husband, and he swears I'm the only person he's ever slept with as well. Could my doctor have just assumed I had HPV? Why wouldn't my doctor who did the pap have told me? And is there any other way to contract HPV other than fooling around?


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DoctorAnswer replied on April 22nd, 2008
Doctor Answer
Vaginal Health Answer A3964
A Pap-test can’t confirm presence of an HPV-infection. A Pap-test can only assume the presence of an HPV-infection according to the cell changes (dysplasia) that can be caused by HPV. To prove an HPV-infection a DNA-HPV-test is usually required. Not all HPV-types can cause dysplasia and cervical cancer. Certain types of HPV (16, 18, 31 and 45) are associated with great risk for developing cervical cancer.


Genital types of HPV are usually spread through sexual contact. Since the HPV can stand alive in an outer environment, it is possible to get an HPV-infection by indirect contact with contaminated objects like clothes, sex-tools, other body parts (fingers) etc.





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