YOUNG-WOMEN Messages for March, 2001: Re: Questions about genital wart, HPV,Abnormal pap...the connection

Re: Questions about genital wart, HPV,Abnormal pap...the connection

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sat, 24 Mar 2001 21:38:35 -0600 (CST)

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In reply to: dez: "Questions about genital wart, HPV,Abnormal pap...the connection"

At Wed, 21 Mar 2001, dez wrote: >
>hi, my doctor identified a bump as a genital wart.she wrote HPV on my
>chart. the next week it was burned of, two weeks later i have a pap.
>then three days later i had what turned out to be a yeast infection. a
>week later my pap came back abnormal. the recptioist said that it
>showed mild dysplasia and the doctor wanted to preform a biopsy w
>coploscopy. she took 5 samples.i asked the doctor what exacty she was
>trying to confirm, she said soemthing about warts on the cervix or mild
>dyspalsia . today (2weeks later) i called for the results. the
>receptionist said that the doctor wanted me to come back in 3 months for
>a pap because the test showed no warts on the cervix. i told her that i
>wanted to know what type of HPV i had and she said that the test is
>sayin i don't have HPV. i told her that i had warts and she said that
>genital warts and HPV are two different things. can u have genital
>warts without having HPV?why did the doctor perform the biopsy if
>nothing was present on my cervix ( i thought they know what sample to
>take by spraying the cervix with vinegar and taking the ones that turn
>white are warts on the cervix equivalent to mild dysplasia?)can i still
>get mild dysplasia (whatever that is) why do they want me to come back
>in three months for a pap. where do u think i stand in all of this. can
>you infect your self with your own wart).what are the connections
>between these things? can any of these ? be answered thoroughly.
Dez

With this problem, you should ask the doc for the explanation. What I can ferret out of it is--you had venereal wart on vulva, this was removed. You then had an abnormal pap consistent with mild dysplasia, but the biopsy did not show any dysplasia. In this case, you either need repeat biopsy or repeat pap. Yes, usually when we biopsy something we see, the pathology usually agrees, but here it did not. Possibly your doc knows why. Please ask him, and be sure you talk to him and not his receptionist this time.

--
William F. von Almen, II, MD, FACOG
Editorial Advisor-Pregnancy and Birth
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.

Next message: Michelle: "Re: enlarged uterus"
Previous message: dez: "awaiting answer to question"
In reply to: dez: "Questions about genital wart, HPV,Abnormal pap...the connection"

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