If you got a positive HPV test and your Pap test was abnormal, your doctor will probably follow up with a colposcopy. Try to see a physician who specializes in this procedure. During a colposcopy, your doctor will look more closely at the cervix, vagina or vulva with a special microscope called a colposcope.
A positive HPV test means you do have an HPV type that may be linked to cervical cancer. This does not mean you have cervical cancer now. But it could be a warning. The specific HPV type may be identified to determine the next step.
If a patient has a high-grade cytology (Pap test) result (i.e., HSIL) and an HPV test that is positive for HPV type 16, then treatment with a loop electrosurgical excision procedure (LEEP) is preferred. A colposcopy with biopsy is not necessary to confirm the diagnosis first.
A positive test result means that you have a type of high-risk HPV that's linked to cervical cancer. It doesn't mean that you have cervical cancer now, but it's a warning sign that cervical cancer could develop in the future.
If HPV is found, your same test sample is checked for abnormal cells. If abnormal cells are found, you will have a colposcopy and treatment. If HPV is not found, we do not need to check for abnormal cells. This is because your risk of developing cervical cancer is very low if you do not have HPV.
You can get HPV by having vaginal, anal, or oral sex with someone who has the virus. It is most commonly spread during vaginal or anal sex. It also spreads through close skin-to-skin touching during sex. A person with HPV can pass the infection to someone even when they have no signs or symptoms.
About 10% of women with HPV infection on their cervix will develop long-lasting HPV infections that put them at risk for cervical cancer. Similarly, when high-risk HPV lingers and infects the cells of the vulva, vagina, penis, or anus, it can cause cell changes called precancers.
But even after the warts are gone, HPV might still be active in the body. That means it can spread to someone else through sex or close sexual contact and cause warts in that person. It's hard to know when people are no longer contagious, because there's no blood test that looks for HPV.
HPV is a very common STI. Among 15- to 59-year-olds, 2 in 5 (40%) people will have HPV. There are many different types of HPV; most do not cause any health problems. HPV is a different virus than HIV or (HSV) herpes.
Women age 21-65 should get a Pap smear every 3 years beginning at age 21. Women age 30 and older can consider Pap testing every 5 years if the procedure is combined with human papillomavirus (HPV)—a common sexually transmitted infection that can cause cervical cancer.
Is there a cure for HPV? There is no cure for the virus (HPV) itself. There are treatments for the health problems that HPV can cause, such as genital warts, cervical changes, and cervical cancer.
If the HPV test is positive, you may need additional follow-up tests. Atypical glandular cells (AGC): Some glandular cells were found that do not look normal. This can be a sign of a more serious problem up inside the uterus, so your healthcare provider will likely ask you to come back for a colposcopy.
Abnormal Pap Smears are typically caused by strains of the Human Papilloma Virus, HPV. An abnormal pap smear result does not mean you have cervical cancer. High risk strains can cause more serious cellular changes. Typically, both high and low risk strains of HPV go away within 24 months.
Most abnormal Pap tests are caused by HPV infections. Other types of infection—such as those caused by bacteria, yeast, or protozoa (Trichomonas)—sometimes lead to minor changes on a Pap test called atypical squamous cells.
HPV is very common. It is estimated that up to 80% of people in Australia have HPV at some time in their lives. Many people who have HPV have no idea that they have been exposed to the infection.
Research has found that it can take 10 to 20 years, or even longer, for HPV-infected cervical cells to develop into a cancerous tumor. Among women whose cervical cells are infected with high-risk HPV, several factors increase the chance that the infection will be long lasting and lead to precancerous cervical cells.
Some HPV infections can lead to cancer
Most HPV infections (9 out of 10) go away by themselves within 2 years. But sometimes, HPV infections will last longer and can cause some cancers. HPV infections can cause cancers of the: Cervix, vagina, and vulva in women.
Unlike other STIs, there is no treatment for HPV, so it is not necessary to disclose HPV to current or previous sexual partners.
If you test positive for HPV 16/18, you will need to have a colposcopy. If you test positive for HPV (but did not have genotyping performed or had genotyping and tested negative for 16/18), you will likely have a colposcopy.
Often, HPV warts will appear three to six months after sexual relations with an infected person; or they may take months to appear; or they may never appear. Likewise, the interval between an infection with HPV and a cervical smear abnormality can vary from months to decades.
If left untreated, some strains of HPV can cause cellular changes in your body that lead to cancer. The most common type of cancer linked to HPV is cervical cancer, but HPV infection can also cause cancer of the vulva, vagina, penis, anus, or back of the throat. HPV is the leading cause of cervical cancer.
Most people with HPV don't have any symptoms or health problems. Sometimes HPV can cause genital warts. Some types of HPV can cause cancer.
For 90 percent of women with HPV, the condition will clear up on its own within two years. Only a small number of women who have one of the HPV strains that cause cervical cancer will ever actually develop the disease.