WOMENS-HEALTH Messages for July, 2007: Re: GENERAL: Pap Tests and Taking the Pill

Re: GENERAL: Pap Tests and Taking the Pill

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Fri, 27 Jul 2007 08:44:37 -0500 (CDT)

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In reply to: Veronica: "GENERAL: Pap Tests and Taking the Pill"

Veronica

I vote for every year. The pill pushes the transformation zone out onto the cervix, making it more vulnerable. This is because of the artificial hormone environment of the pill.

It is a known fact that 90% of women have evidence of hpv by the time they turn 30. We know hpv can stay dormant for years, then present itself.

Both these facts make me insist on yearly paps for my patients on the pill...Dr. von Almen

At Fri, 27 Jul 2007, Veronica wrote: >
>Hello,
>
>I've had a number of negative pap smears (12 in a row) and do not
>participate in any "high-risk" behaviour. From every thing I've read,
>and heard, guidelines recommend a pap every two to three years after 3
>negative results in a row (I'm over 30 and my immune system is fine). My
>doctor insists in a pap every year because I take the pill. The public
>health nurse I talked to said there was no reason to do a pap every year
>simply because someone is taking the pill, especially after so many
>negative test results, and recommended once every two years.
>I was wondering what your thoughts were on this.

--
William F. von Almen, II, MD, FACOG
Private Practice
New Orleans, La.

Next message: Walter Futterweit, MD, FACE,FACP: "Re: PCOS: PCOS"
Previous message: Pat Sonnenstuhl: "Re: GENERAL: Pap Tests and Taking the Pill"
In reply to: Veronica: "GENERAL: Pap Tests and Taking the Pill"

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