HPV Screening: Where and When

HPV Screening is a very complex subject, and this post won't cover everything you will need to gab with your own gyno about.  Guidelines can be found in many organizations on line, such as the US Preventative Task Force, or the ASCCP. a question that comes up frequently is what about the field effect of the disease? Do you need actual pap tests of areas other than the cervix? The vagina, the vulva, the anal area? How about HPV tests of these areas? HPV tests may be more sensitive in screening for disease that has spread, but we do not know this yet, much work needs to be done. Women will ask if they have not ever had anal sex is it possible to get anal HPV disease, and the answer is that yes, it seems to be possible because the disease affects the epithelium (surface) tissues of the entire area. When we do studies and pap test the cervix and the anal region about half the patients who do test positive for anal HPV and cervical HPV will have disease with the same time of HPV type in both places according to the March 2011 issue of the Female Patient . It is not clear who should yet have this pap smear test of the anal area, and a new journal article points out how common anal infection is in women with cervical disease. Their study showed that those at risk of developing cervical cancer, women with high-grade cervical dysplasia may have an elevated risk of anal cancer," lead author Jacqueline Lammé, MD, from the Department of Obstetrics Gynecology, Naval Medical Center, San Diego, California, and colleagues write in an article published in the August issue of Obstetrics & Gynecology. Women with persistent rectal , like itching might benefit, by a test for anal HPV as well as some other tests, but generally we think of HPV is a disease without symptoms.


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