Hello and welcome to HCM
Since you were positive for HPV few years ago, I suggest you to undergo PAP smear
does not predispose to HPV infection
PAP test for changes of cervical intraepithelial lesion should be carried out regularly in age group above 40.
Regarding your black spots on labia, you ahould visit your physician/ gynaecologist.
The nature of the lesions can only be determined aftervexamining them.
They can be just harmless hyperpigmentation
or naevus or a tumor
Exact charaterization can only be done after examining and after histopathological examination if required.
Pregnancy is associated with hyperpigmentation of some parts of body like the face. This discoloration can be a manifestation of pregnancy induced changes.
Thanks and take care
Dr Shailja P Wahal