By HP im guessing you are talking about human papillomavirus
). HPV has a very specific presentation which raises suspicion almost immediately after a physical examination by a doctor. Mainly due to the presence of warts in the genital region.
Without these, suspecting HPV would be unethical. Although, a positive pap smear
for cervical cancer
could also raise suspicion for past history of HPV without the presence of warts.
I would advise you to go ahead with the transvaginal ultrasound
(TVS) and write back to me with the pap smear and blood work results, as these will help in diagnosing/ruling out other conditions that can cause a similar presentation.
In the meantime, answering your query directly, I would suspect HPV, but not now, and only after ruling out more common causes for such a presentation.
Hope this helps.