Women's health and wellness from a Board Certified Obstetrician and Gynecologist, topics from wellness, sex, to infertility, your periods and hormones, menstrual periods, uterine fibroids, bladder problems, endometriosis, healthy weight management
Which HPV Virus Is Causing Your Abnormal Pap Smear?
know that the Human Papilloma Virus (HPV) has almost 100 different
types or "cousin" virus out there. And many are either completely
harmless or virtually never seen in people. You can be tested for this
virus. So your question may be if you test positive for the HPV virus which do you have, and then the question remains: if you have one of the HPV virus how serious is this infection. For women who have had testing for the first time, we are certainly not going to know how long you have carried the virus if you test positive, but we know a lot more about various types of the HPV infection. About half the women with high grade abnormal pap smears will have HPV 16 or 18. The National
Cancer Institute estimates that about 1 in 5 women who test positive for
HPV 16 or 18 will develop the severe dysplasia that is the step before
invasive cancer. About 70-75% of all cervical cancers are caused by HPV
16 or 18, and many women are infected with both viruses. HPV alone is probably only present in about 5% of the total cases. If it is not HPV 16 or 18, it is now known that about 25% will have one of 5 different HPV types: 31, 33, 45, 52 or 58. These types are detected in many of the HPV tests in use. If you are found to have HPV it is possible you will be told to have the colposcopy test viewed on the machine above. If you would like more indepth knowledge of the HPV statistics and interesting source of information is at the HPV-IMPACT study. Knowing about these other 5 types is important, as they are the ones that will be covered in the next generation of the HPV vaccine. The vaccine hopefully will be available to men and women by the end of the year. But no reason to wait, if you have not been vaccinated, please see your gyno to discuss the risks and benefits of immediate vaccination.
Periods can be fairly easy, passing some tissue at a time, or off can come the whole lining in one piece called a decidual cast. Generally the lining of the uterus is only 6-8 mm thick at the time of the menstrual period, and it is shed gradually, a few cells at a time. The decidual cast is when the entire lining passes spontaneously. It's not uncommon, but it usually both uncomfortable, and alarming to some. But us women are designed to have some sort of periods Or Not? We have to pass tissue each month. Or Not? Are they good for us? Or Not? Do we want them? Or Not? Is this something that is individual? Or Not? It's a complex topic that I will be discussing a lot over my time in this blog. So lets start with basics: How much do we bleed and what are we loosing, and just what was this that the patient passed? And another basic: track your periods, and the Women's Health Practice site http://www.womenshealthpractice.com/media/pdf/menstrual_chart.pdf you can find one. Wom…
For women on an IUD sex drive changes are often reported. We have already discussed relationships between the levels of testosterone and a woman's sexual function in a prior post. Women on OCs (oral contraceptives, birth control pills) have a known decreased levels of male hormones due to suppression of their hormones naturally made by their ovaries. We take advantage of that fact, and it is a bonus non-contraceptive effect of the pill, that when using OCs to suppress ovarian male hormones this treatment therefore helps to control acne, PMS, heavy bleeding, menstrual cramps as well as other hormonal symptoms such as breast pains. But a disadvantage of this is that some studies have reported that the suppression of testosterone by OCs also suppress sexual function and desire. We know that even aging changes our male hormone levels, by your mid 40s you probably have about a 30% decrease in your male hormones due to decreased ovulation and decreased adrenal gland function. Add cont…
If you have had an endometrial ablation and have developed symptoms of pelvic pain you might have post endometrial ablation syndrome. What is post-endometrial ablation syndrome? It is a constellation of symptoms due to entrapped blood or tissue within a uterus that has previously undergone an endometrial ablation. We are able to diagnose this at Women's Health Practice but occasionally other conditions are causing similar symptoms. Other complications of endometrial ablation include pregnancy, risks from pre-existing conditions such as a polyp or fibroid, an infection of the uterus, or a pregnancy. If you have had a tubal ligation then it is possible that the condition could be post-ablation tubal sterilization syndrome. The ablation procedure is designed to destroy all lining tissue, but in fact there is no way to confirm the completeness of the ablation. It is thought that either residual or regrowth of the tissue is producing the symptoms of post-endometrial ablation syndrome.…