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Human Papillomavirus (HPV) Message Board
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Old 10-27-2009, 01:27 PM   #1
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the connection with cervical screening and HPV

I had a smear test. Results back and it states that i have boarderline abnormalities and possible HPV. However when having the smear test the nurse stated that everything was looked normal. Upon review of HPV, i am a little confused. Is it a STD or could it be something else? or are the NHS in manchester merely figure building as i know they are or have been carrying a survey for the HPV checks to be included within the smear test. I have been requested to undergo a Colposcopy Examination. Is the HPV a red herring and/or a precautionary step to accompnay the examination?

 
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Old 10-27-2009, 08:14 PM   #2
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Re: the connection with cervical screening and HPV

The pap smear has an accuracy rate ranging from 40-80% (in detecting abnormalities which end up being cancer).

The HPV/dna test has an accuracy rate of something like 92%.

The two tests together, on women over 30, has an accuracy rate of greater than 97%. (Maybe it is 99%, I can't exactly remember).

HPV is considered an STD because it is transmitted during intimate/sexual contact (not just sexual intercourse). It is also the most common STD; greater than 80% of women (aged 50+) have been exposed to HPV at some point in their lives.

The pap is only a screening tool; it isn't diagnostic. With borderline abnormalities, a colposcopy will give the doctor a better idea of what is going on with the outer cervix.

My suggestion is that if a woman is high risk HPV positive and is over 30, then if/when she needs a colposcopy I suggest she also ask for an ECC (endocervical curettage). It is the only non-surgical way for a doctor to sample the cervical canal (where up to 30% of cervical cancers are found).

Does that answer some of your questions?

 
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