Hi there Thanks for your query Menstrual irregularities, hair thinning and tiredness can be due to hormonal imbalances like hypothyroidism. Hypothyroidism is a decrease in the thyroid hormone levels in the blood. It can be diagnosed by measuring the thyroid hormones levels in your blood. You may also need to be tested for iron deficiency anemia. Since you have had abnormal pap smear results in the past, it is time to repeat the pap test. It will also help to rule out any pelvic infections along with any precancerous or cancerous lesions on the cervix. It is important to routinely get the pap smears done to keep track of the lesions on the cervix. Usually the pap smears are done every six months to one year depending on the type of lesion. It may be done sooner if the lesion is growing fast. Getting diagnosed with HPV is not of much concern as 80 - 90 % of general population have positive serology for HPV. Thus I am concerned about your symptoms and would advise you to discuss it with your physician so that appropriate investigations and treatment can follow. Hope I addressed your concerns. Thanks