PREGNANCY-BIRTH Messages for March, 2001: Re: How is HPV diagnosed?

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Re: How is HPV diagnosed?

From: M. Kelly Shanahan, MD, (anonymous@obgyn.net)
Sat, 3 Mar 2001 01:28:25 -0600 (CST)

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In reply to: Linda: "How is HPV diagnosed?"

At Fri, 2 Mar 2001, Linda wrote: >
>About 7 years ago I had a pap test that came back with dysplasia caused
>by what the lab thought was HPV. I went to a different GYN for a second
>opinion and for a colposcopy. When I had a colposcopy and biopsy done
>of one small inflamed area, it was determined that the lab test was
>wrong, there was no dysplasia present, and I had a case of cervicitis,
>which was monitored and cleared quickly. I have not had a bad pap
>since. Incidentally, the biopsy and cultures from the colposcopy was
>sent to a lab in NYC that is known for its accuracy.
>
>I am curious then as to whether to take the diagnosis of HPV from the
>first lab seriously given the errors in their report. I have had two
>healthy children since then and am pregnant with my third. I certainly
>don't want to put this child or my husband at risk. Is there a blood
>test or culture test that can determine the presence of HPV?

yes, there is a test -- a cervical swab is taken and tested for HPV. It is not 100% accurate, because if there is HPV present in small amounts only, hte test may not pick it up

I asked my >GYN at the time I had the colposcopy about HPV testing and was told then
>it was notoriously unreliable and not worth it. Has the testing
>improved in the past 6 years?

yes, but still not foolproof >
>Thanks.
>
>--
>Linda
>

-- M. Kelly Shanahan, MD, FACOG South Lake Tahoe, CA

author, Your Over-35 Week-by-Week Pregnancy Guide

****Responses are for educational purposes only and do not construe a doctor-patient relationship. This does not replace a face-to-face consultation with your own doctor.****

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Next message: M. Kelly Shanahan, MD, : "Re: 'hot flashes' in early pregnancy"
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In reply to: Linda: "How is HPV diagnosed?"

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