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Have Abnormal Periods Like Spotting And Then Normal Flow. Had Abnormal Cells On Uterus And HPV Virus. Suggest?

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Posted on Fri, 19 Jul 2013
Question: Hi I'm a 26 yr old female, I have two daughters one is 6, and the other is 10months and I've had normal periods since my last daughter was born but these last few months have been weird, I spot and then after 3 days its starts a semi normal flow. I saw a dr and she said about 4 years ago I had abnormal cells on my uterus and had the hpv virus and I'm scared to go back for fear what she will find, any advice?
doctor
Answered by Dr. Dr. Ahmed Bahaa (1 hour later)
Dear user, welcome to healthcare magic.
I will start my answer by the most important thing in your message which is the fact that you have genital herpes.
There is nothing to worry about as long as you understand the rules of the game.
Presence of HPV infection makes you high risk for developing cervical cancer.
Cervical cancer will not appear suddenly. It passes by premalignant changes, a process which takes years.
The good thing is that there is a screening test which can detect these premalignant changes, and treating them in the right way will prevent the occurrence of cancer.
This test is easy to do without pain or need for anesthesia. It may be performed in the outpatient clinic.
This test should be done immediately, and will be repeated every one to three years according to the results.
This test is named Pap smear.
As for the menstrual irregularity, you should have an examination and a pelvic ultrasound at first to exclude organic causes.
So, I advise you not to be scared (there is nothing to be scared of), visit your doctor to evaluate the menstrual irregularity and to have a Pap smear.
I am interested to know the results of your doctor visit and Pap smear.
I hope I have answered your query and will be happy to answer more questions from you.
Good luck.
Dr. Ahmed Bahaa.
Above answer was peer-reviewed by : Dr. Vasanth
doctor
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Follow up: Dr. Dr. Ahmed Bahaa (39 minutes later)
I heard that I may get a biopsy which can be painful is that required to check the abnormal cells ?
doctor
Answered by Dr. Dr. Ahmed Bahaa (1 hour later)
Hi,
The initial screening test (Pap smear) is not painful at all. Based on the results the gynecologist may need to take a colposcopic guided biopsy (biopsy under magnification), which is not painful also (just a feeling of discomfort).
So please proceed to visit your doctor and do not hesitate.
Good luck.
Dr. Ahmed Bahaa.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Dr. Ahmed Bahaa

OB & GYN Specialist

Practicing since :2000

Answered : 215 Questions

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Have Abnormal Periods Like Spotting And Then Normal Flow. Had Abnormal Cells On Uterus And HPV Virus. Suggest?

Dear user, welcome to healthcare magic.
I will start my answer by the most important thing in your message which is the fact that you have genital herpes.
There is nothing to worry about as long as you understand the rules of the game.
Presence of HPV infection makes you high risk for developing cervical cancer.
Cervical cancer will not appear suddenly. It passes by premalignant changes, a process which takes years.
The good thing is that there is a screening test which can detect these premalignant changes, and treating them in the right way will prevent the occurrence of cancer.
This test is easy to do without pain or need for anesthesia. It may be performed in the outpatient clinic.
This test should be done immediately, and will be repeated every one to three years according to the results.
This test is named Pap smear.
As for the menstrual irregularity, you should have an examination and a pelvic ultrasound at first to exclude organic causes.
So, I advise you not to be scared (there is nothing to be scared of), visit your doctor to evaluate the menstrual irregularity and to have a Pap smear.
I am interested to know the results of your doctor visit and Pap smear.
I hope I have answered your query and will be happy to answer more questions from you.
Good luck.
Dr. Ahmed Bahaa.