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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For HPV

My sister was diagnosed with HPV 9 yrs. after her divorce; she thought she had been in a monogamous relationship, but now knows it was not on his side. After several abnl. PAPs, colonoscopies, LEEP, then hysterectomy 11/13 leaving one ovary intact, she had subsequent normal PAPs, including one in 11/2014. A PAP done last week has come back abnl., and she has been referred for another colposcopy. Why is her PAP now abnl. and what steps should she take? What is possible/probable treatment?
Thu, 6 Aug 2015
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OBGYN 's  Response
Unfortunately people who have had abnormal cells on their cervix and HPV (especially if it was hard to get rid of) are still at risk for vaginal dysplasia (abnormal precancerous cells) after treatment, especially in the first two years. It would be necessary to see the actual report of your sister's pap smear to see what abnormality led them to recommend colposcopy but once she has the colposcopy done and the biopsy results come back you should know what treatment she needs. Vaginal cancer is very rare, and only severe dysplasia requires any treatment. 90 percent of people will have normal PAPS by 2 years after a surgical procedure for dysplasia, so it may just be necessary for her doctor to take a look and her PAP may become normal again after more time. I hope this was a satisfactory explanation and good luck to your sister and her health.
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Suggest Treatment For HPV

Unfortunately people who have had abnormal cells on their cervix and HPV (especially if it was hard to get rid of) are still at risk for vaginal dysplasia (abnormal precancerous cells) after treatment, especially in the first two years. It would be necessary to see the actual report of your sister s pap smear to see what abnormality led them to recommend colposcopy but once she has the colposcopy done and the biopsy results come back you should know what treatment she needs. Vaginal cancer is very rare, and only severe dysplasia requires any treatment. 90 percent of people will have normal PAPS by 2 years after a surgical procedure for dysplasia, so it may just be necessary for her doctor to take a look and her PAP may become normal again after more time. I hope this was a satisfactory explanation and good luck to your sister and her health.