WOMENS-HEALTH Messages for September, 2000: Re: Abnormal pap / HPV results.... and vulvodynia ...could a doctor please reply

Re: Abnormal pap / HPV results.... and vulvodynia ...could a doctor please reply

From: jwang,MD (anonymous@obgyn.net)
Mon, 18 Sep 2000 07:21:45 -0500 (CDT)

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In reply to: Confused: "Abnormal pap / HPV results.... and vulvodynia ...could a doctor please reply"

At Sun, 17 Sep 2000, Confused wrote: >
>Hello
>About 2 yrs ago I started having vaginal pain on contact. At first I
>did not make much of it... but after a few months I went to a Dr.
>
>My pap came back 'abnormal'
>
>I then had a colposcopy and punch biopsy. Wheh the GYN was looking thru
>the colposcope, she sai she saw some 'white areas' and took samples. She
>was convinced I had HPV.
>
>A few days later she called me and told me that the results of the punch
>biopsy did show some abnormality and she was still waiting for the HPV
>results to find out what strain I had.
>
>The HPV results came back negative ( no HPV). She said that it was
>probably a false result. But then my pap came back normal as well.
>
>Thru this all I still had no relief from my original complaint - painful
>sex. The dr. then sent me a letter saying that since the pap results
>and HPV results showed no problem, I should come in again for an exam.
>The next pap came back normal again.
>
>I went to a different Dr. and she did a Qtip test and told me I have
>vestibular adenitis. I understand that this is a form of vulvodynia.
>
>Here are my questions...
>
>1. Is it possible that I have HPV? How can I make sure I do not?

It is possible, but it sounds like your doc did a DNA probe test, which are very accurate. It is more likely that you don't.

>
>2. What test should be done to determine the cause of my vestibluar
>adenitis ? The Qtip test just confirmed that I have pain [ I already
>knew that...].

That test may be all that you needed to make the diagnosis.

>
>3. I usually have pain only during sex. However, after my exam/qtip
>test.. ifelt continuous pain for severa days. Why is that?

The Q-tip test gave direct stimulation of the pain site, so it may have caused more intense and longer lasting pain. >

>I really appreciate your taking the time to answer my questions. It is
>really kind of the doctors on this board to donate time. Thank you so
>much.

-- J Wang, M.D Assitant Clinical Prof. Tufts University School of Medicine

>**Note: Opinions expressed here are for educational purposes only >and, as such, do not constitute a physician-patient relationship. >This information is not intended to supplant the need for you to >consult with your physician prior to choosing therapeutic options >and/or interventions.>

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