Re: high risk HPV

From: ainsron (ainsron@sbcglobal.net)
Wed Sep 19 08:55:09 2007


I did recommend that to the mother and daughter, before I got the results back. I still recommend it.

Ronald E. Ainsworth, MD, FACOG

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Raymond Stephen Sent: Tuesday, September 18, 2007 10:20 PM To: Multiple recipients of list OB-GYN-L Subject: Re: high risk HPV

How about advising Gardasil?

Steve

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr. Ainsworth Sent: Wednesday, 19 September 2007 7:31 AM To: Multiple recipients of list OB-GYN-L Subject: high risk HPV

I don't normally order HPV on paps unless I get back ASCUS, then I order High risk HPV and follow the usual decision tree. I recently had a patient with history of HPV who requested that I test for high risk HPV with her pap, she is 18 YO, no history of previous abnormal pap. The pap came back normal, but the high risk HPV was positive. So what do I do now? F/U pap in 3-6 months? Colpo? F/U pap in one year? My feeling, based on no EBM is to follow the pap in one year.

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