WOMENS-HEALTH Messages for September, 2000: Re: Abnormal Pap Test Results

Re: Abnormal Pap Test Results

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Sat, 30 Sep 2000 01:19:10 -0500 (CDT)

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In reply to: Sandra: "Abnormal Pap Test Results"
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At Fri, 29 Sep 2000, Sandra wrote: >
>In August 1999 my pap test result came back with a diagnosis of
>hyperkeratosis. I had never had an abnormal pap smear prior to this.
>This was my first time seeing this new doctor. My OBGYN repeated the
>test in October and the result was normal. I do not know if the result
>was normal because at the time of the re-test I had a yeast infection
>that I was treating. The doctor had to remove the mediction from my
>cervix that I was using to treat the infection.
>
>This August my pap test came back diagnosed as ASCUS. I am due to have
>a colposcopy next week and am very worried about what the results may
>show.
>
>I do not smoke and have never had sexual intercourse. I did have toxic
>shock syndrome in 1988. I have read that a diagnosis of hyperkeratosis
>is more worrisome because it can indicate that more keratin is being
>produced because of a tumor. I am worried that my condition is
>"progressing" from hyperkeratosis to ASCUS.
>
>1. I do not fall into any of the "risk" categories. Can my results be
>from the distant bacterial infection I experienced in 1988 from toxic
>shock?

ASCUS is such a non-informative finding that it could merely have been from the infection you had at the time of the pap being done. It is unlikely to be rlated to the TSS 12 yrs ago >
>2. Is it possible to acquire the HPV virus without actually having
>sexual intercourse?

IT is possible to get HPV without actually having vaginal penetration (ie, from a penis rubbing on your genitals) >
>3. Is it possible that the results of my colposcopy could still only
>indicate inflammation or do you think that they will find dysplasia upon
>examination?

you certainly could just have inflammation -- and in your case, that is probably the most likely diagnosis

>
>4. Do the history of my results indicate a "progression" of potential
>disease?

No >
>5. Can tampons cause ASCUS or hyperkeratosis results on pap smears? I
>have always used tampons throughout the entire course of my menstrual
>cycle. I am not necessarily very cautious about changing them
>frequently.

Yes, tampons can lead to inflammatin which may be reported as ASCUS >
>Thank you for your help.

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

This information is for educational purposes only and does not construe a doctor-patient relationship. It does not replace the need for you to consult your own doctor.

***private e-mails will be deleted without reading. Please respect my family time

Next message: Kelly Shanahan, MD: "Re: Are These Standard Tests During A Twin Pregnancy"
Previous message: Kelly Shanahan, MD: "Re: conversion from mcg's to mg's - need help?"
In reply to: Sandra: "Abnormal Pap Test Results"
Next in thread: R. Daniel Braun, MD: "Re: Abnormal Pap Test Results"

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