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Sunday, September 28, 2014

HPV Detection Without A Pelvic Exam: Eventually You Need One!

Pelvic examinations are critically important to rule out STD lesions, skin cancers, pelvic floor disorders, and so much more. But as a first step, especially for tests you need when you are asymptomatic, we have tried to improve testing for women (and men). Improved testing may be checking urine or blood, and it turns out that checking the urine is an excellent way to detect genital diseases. Gynos have been using urine tests for Chlamydia and Gonorrhea for a long time. A simple urine test for human papillomavirus (HPV) has now been shown to accurately detect HPV, which is now known to be present, at some time, in the lives of 2/3 individuals.
The study was published online on September 16 in BMJ. You do need your gyno to validate the results however and to determine if you need a cervical cancer test, which cannot be done on urine. We also know that we have over 170 types of HPV that can be detected, but we worry the most about HPV 16 and 18, and type specific testing is most studied on the cervix. HIV, syphilis, hepatitis B and hepatitis C are best tested through blood testing however. Come in to gab with your gyno and get a plan for your personal testing.

This study did not receive any funding. The authors have disclosed no relevant financial relationships.
BMJ. Published online September 16, 2014. Full text, Editorial

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