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Worried!!!
Sent to Health Experts March 01 02:52 PM

I had my annual pap test on Monday. In 1999 I had an abnormal pap smear (age 21) but was scared and didn't go back to the doctor until a year later, where I was diagnosed with severe cervical dysplasia and had to have a cone biopsy. Ever since then I have had normal paps, and I get them every year (won't ever skip again!). My doc told me at my last pap a year ago (which was normal) I was also tested for HPV and it came back negative. I have a few questions about this:
1. Do I have HPV still? (I never tested positive to my knowledge and don't know if I was tested back in 2000)
2. What are my chances of the dysplasia coming back again?
3. Is this pap likely to come back okay, considering my history?
I am really stressing myself out about this pap, to the point where I have lost my appetite and am full of anxiety. I am somewhat of a hypchondriac but would like some reassurance. I have a 21 month old son but really want another baby and am worried about my fertility being affected.

 

Optional Information:
Female, Age: 30, Maryland

Customer (name blocked for privacy)
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Answer
March 1 2:57 PM (5 minutes and 27 seconds later)
         
REPLIEDCheck Mark
Your last PAP was negative for HPV , it is difficult to tell about result of Mondays PAP smear. Possibility is of it being positive is less..

Dysplasia changes can occur again , you should regularly do PAP smear.

As i told you earlier its difficult to tell about Monday PAP.

THANKS

Edited by DR.AMIT MD on March 1 2008 at 2:59 PM

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March 1 3:12 PM (14 minutes and 33 seconds later)
         
ACCEPTEDCheck Mark
I apologize to Dr. Amit, I wanted to clarify some of the answers here. You do not have HPV, if the test came back negative. Dysplasia is able to come back again, although if your paps have been normal for the past few years, and you are in a monogamous relationship, the chances of it returning are somewhat decreased. Considering that your HPV test came back negative, and your last few paps came back normal, it's likely, but not guaranteed, that this pap will come back normal. Being in a monogamous relationship and having negative HPV makes your chances of having any abnormal changes less, and as long as you have had a child already and no more cervical changes occur, your fertility is unlikely to be affected.

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Reply
March 1 3:13 PM (37 seconds later)
         
Reply to DR.AMIT MD's Post: Hi Dr. Amit!

I have a few more questions, then I will accept the answer!

If my last pap was normal and negative for HPV, can I assume most likely that even if I get another abnormal pap it will be mild or moderate dysplasia and worse? I think mine was severe because I waited too long to get treatment.

Also, how long does cervical dysplasia take to progress? How long before it becomes cancerous?

Thanks!
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Answer
March 1 3:29 PM (16 minutes and 52 seconds later)
         
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March 1 3:34 PM (4 minutes and 4 seconds later)
         
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