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Human Papillomavirus (HPV) Message Board
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Old 08-05-2004, 01:38 PM   #1
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Unhappy Pap & HPV DNA Tests

I just had both of the tests done because I kept getting abnormal results on my pap. I got the results today and the dr said that I tested positive for the HPV test, which means I am at a very high risk for cervical cancer. I thought HPV was genital warts?!?! Does this mean I have them? I don't have any weirdness down there, and she said everything LOOKS perfect, but also said that they could be so small you can't even see them. I am really confused, and I tried getting an understandable answer out of the doctor when I was there, and I thought I did, but after reading more on the HPV thing, all the stuff is saying it is a virus and so on. I see on the other boards people say, "i have hpv" and are talkinga bout having warts on their genitals. She didn't talk to me about any further treatment or anything except that I have to get pap tests done every 3-6 months now. I don't understand what is going on, and I cannot speak directly to my dr right now. Please somebody, if you have any information, let me know. It would be greatly appreciated.

 
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Old 08-05-2004, 06:59 PM   #2
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Re: Pap & HPV DNA Tests

HPV is not just one specific viruses. There are actually many related viruses that are all refered to as HPV, because they are in the same family but are subtypes. This is like saying that you have the flu; you can get the flu many times because it is caused by several related viruses. Only some of the HPV strains are those that increase risk for cervical cancer. Other strains are those that cause genital warts. (I don't know enough about this to say that the strain that you have NEVER causes genital warts, so until you ask your doctor don't assume that you can't give warts to others just because you don't have them yourself.) But no, since you don't have any warts, you don't have genital warts. You just have one (or more) of the strains of HPV that increases your risk for cervical cancer. This doesn't mean that you will get cervical cancer, especially if you get regular PAP smears. Cervical cancer develops from abnormal cells on your cervix. The PAP smear finds those abnormal cells before they turn into cancer (generally), so they can be addressed before you have any problems. The virus makes it more likely that you will develop abnormal cells, and then cancer, but that doesn't mean that you WILL get cancer. As long as you keep getting those PAP smears to monitor your health, and changes can be taken care of before they become cancerous. All viruses invade human cells and cause problems that way. A cold virus invades the cells in the lining of your nose, etc. HPV can invade the cells of the genitals (causing warts) or the cells of the cervix (causing abnormal cell growth). Different viruses prefer different types of cells, so that is why some strains of HPV cause warts and some increase your risk of cervical cancer. I hope that helps clear up some of your confusion until you can talk with your doctor.

 
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