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Re: peat HPV DNA testing?

From: KTP (anonymous@obgyn.net)
Tue, 30 Jul 2002 15:41:31 -0500 (CDT)


So what you're saying is that there is never a case of LGSIL that could possibly be caused by a low-risk HPV strain or by something other than HPV? That's interesting because my doctor said that she didn't think it was worth retesting because I probably had Low risk HPV that caused the lesions, but that since it was low risk, it probably wouldn't progress, especially given that I am a nonsmoker.

At Tue, 30 Jul 2002, William McIntosh, MD wrote: >
>At Tue, 30 Jul 2002, KTP wrote:
>>
>>August 1999 - ASCUS pap
>>October 1999 - Colposcopy no findings - ASCUS colpo pap
>>January 2000 - Colposcopy no findings - normal pap
>>May 2000 - Normal pap
>>August 2000 - Normal pap
>>January 2001 - Normal pap
>>August 2001 - ASCUS pap
>>November 2001 - Normal pap
>>March 2002 - ASCUS pap - Negative HPV
>>May 2002 - Colposcopy Clear ECC, 2 punches LGSIL ectocervical only
>>
>>We've elected to followup with a pap in August and a Colposcopy in
>>November. I have asked my doctor to repeat the HPV DNA test in August
>>given the prior negative result, but she said it's useless since I
>>probably do have HPV since my partner had an incidience of warts back in
>>1996 (prior to our relationship).
>>
>>I assume that indeed, I do have a strain of HPV, but would like to know
>>if it is one of the high risk ones. Is there any utility in repeating
>>the DNA test on my pap in August?
>
>Not really, since you are now fairly well identified as someone who has
>high risk HPV. Typing is really only useful in ASCUS situations.
>
>--
>William D. McIntosh, MD, FACOG
>
>This is for educational purposes only, and is not a substitute
>for consultation and examination by a licensed medical professional.
>




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