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Re: GYN: HPV Testing From: Joanne Bulley, MD (jbulley@cheshire.net) Sun Mar 26 17:52:53 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Re: GYN: HPV Testing" Previous message: H.Fehmi Yazıcıoğlu: "Re: liability of US Endometrial Thickness" In reply to: Garry Siegel: "GYN: HPV Testing" Next in thread: Myer S. Bornstein, MD, CPE, FACOG: "Re: GYN: HPV Testing" Reply: Myer S. Bornstein, MD, CPE, FACOG: "Re: GYN: HPV Testing" Since we can't get rid of the HPV, and we treat based on pathology, why do the typing? In the past, I have used a 5% 5F-U cream 2gm once per week for 10 weeks when there was a lot of generalized HPV thoughout the cervix, vagina and fornices. This has worked quite well. I haven't done this for quite some time. But short of "doing something" about the HPV, the only reason I can think of for seeing if HPV or what type is there, is to use in counseling the woman to NEVER forget to get her pap! That even in a budgetary crisis, this is one place to not scimp! At Fri, 24 Mar 2000, Garry Siegel wrote: > >I have begun to selective test for HPV type in paps or tissue >...... >Paps 2 or 3 times a year, unless worsened than ASCUS/reactive? > >Colpo once or more annually, interspersed with paps? > >Other? I guess I'd recheck in 6 months with another Pap. Colpo if (when) she gets to SIL. This would also depend on her mental state over "knowing" she had the "bad" strain of HPV. >2. 44 nulliparous YO menopausal woman, menopausal after > a LEEP with CIS/clear margins. Her > Her LEEP tissue was positive for high risk HPV. > >Normally, she would have frequent paps over the next year or two, and >probably every six months forever. > Again, what is her mental status of the issue after you tell her the HPV typing? What if she asks you for a hyst? How much of the vagina are you going to take to try to "get" all of the HPV? Have you really done anything to improve her chance of cure - other than to have a counseling point to make sure she never falls out of the recall pattern? -- Joanne Bulley, MD Keene, NH, USA Next message: Joanne Bulley, MD: "Re: GYN: HPV Testing" Previous message: H.Fehmi Yazıcıoğlu: "Re: liability of US Endometrial Thickness" In reply to: Garry Siegel: "GYN: HPV Testing" Next in thread: Myer S. Bornstein, MD, CPE, FACOG: "Re: GYN: HPV Testing" Reply: Myer S. Bornstein, MD, CPE, FACOG: "Re: GYN: HPV Testing"

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