I don't think either my family doctor OR my original gynecologist told me the cause was hpv. My family doctor said the abnormal pap was likely "inflammation" from my previous close pregnancies. The gynecologist only said "you get this from having sex" but added no specifics.
As soon as I got the call that I'd had an abnormal pap though, I started doing some research and found out on my own that it was caused by hpv.
How old is your friend? Is she in a committed relationship? You have to wonder if docs are sometimes hesitant to tell women about this because it is considered an std. Not saying it's right - heaven knows, full disclosure is what is needed. If the docs would take the time to sit down with their patients and EXPLAIN to them about hpv it would be so much better. Like, tell your patient that it is a very common virus. Tell your patient that you can carry the virus and not know it until you have an abnormal pap. Tell your patient that it is rare for the cell changes to progress to cancer when they are caught early enough. But no, that would take up more than the 5 minutes they allocate for each appointment!
Not that I feel strongly on the issue....