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

Re: Abnormal Pap Test Results

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Sat, 30 Sep 2000 09:13:49 -0500 (CDT)

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In reply to: Sandra: "Abnormal Pap Test Results"

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.

Check out this URL: http://www.obgyn.net/meno/news_articles/braun_pap.htm

Hyperkeratosis is not an abnormal Pap.

>
>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?
>

>2. Is it possible to acquire the HPV virus without actually having
>sexual intercourse?

YES, you can even acquire it at birth, among many other exposures.

>
>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?

Most likely inflammation, many Gynecologists would not even do colposcopy for these results.

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

>
>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.

RDB

>
>Thank you for your help.

--
R. Daniel Braun, MD FACOG  FOG

This is for educational purposes only, and is not intended to be replacement or substitute for consultation and examination by an appropriate medical professional.  Due to time constraints, private e-mails cannot be answered.

Next message: R. Daniel Braun, MD: "Re: Are These Standard Tests During A Twin Pregnancy"
Previous message: J: "Re: incompetent cervix, need answers"
In reply to: Sandra: "Abnormal Pap Test Results"

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