HPV

[sunne4u]

Hello, i am writing to you about HPV  , i just had my pap done 2 weeks ago and it came  back negative for strains 16 and 18 but positive for other high risk strains, I am 54 yrs old i have had HPV before but low strains. I do not have a cervix and would like to know what cancers i could have or not. this is scary for me and will be seeing another dr in about 2 weeks. Please let me know what you think, thank you

[Hollyv]

I’m not sure why you are having Paps. I presume you have had a total hysterectomy with your cervix removed. If your hyst was not done for cancer then there should be no reason for you to have Paps. Some physicians continue to Pap the upper vaginal wall if your hysterectomy was for cancer. The HPV test is a screening test and can produce false positive results. You are also menopausal which would mean that you have normal changes in your vaginal wall due to aging. You probably just need a repeat Pap in 6 months to 12 months.

[Bhupinder Kaur, MD]

Hello,
Virtually all cervical cancers are caused by HPV infections, with just two HPV types, 16 and 18, responsible for about 70 percent of all cases. HPV also causes anal cancer, with about 85 percent of all cases caused by HPV-16. HPV types 16 and 18 have also been found to cause close to half of vaginal, vulvar, and penile cancers. Other than that, HPV infections have been found to cause cancer of the oropharynx.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.