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What Does Positive Pap Smear Test For HPV Indicate?

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Posted on Mon, 21 Apr 2014
Question: HI, I have done my normal health checkup in that my pep smear test was positive,After that i have undergone a test for HPV and it shows it is positive.Now they are saying you need to do a coloposscopy.And this ll cost around 10k ,so wanted to understand and right step what to do.
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Answered by Dr. Vaishalee Punj (3 hours later)
Brief Answer: Colposcopy needed Detailed Answer: Hi Thanks for your query. I have gone through your reports. The pap-smear shows low-grade squamous intraepithelial lesion of the cervix. Your HPV reports came back positive. Vaginal swab is normal. The best next step here would be to go for colposcopy. But it is not an emergency, since LSILs grow very slowly. Alternatively you can repeat the pap-smear in 6 months and if repeat is also positive then you may go for colposcopy.. Mostly LSILs disappear spontaneously. Some remain and may progress to HSIL, etc. I would not get worried about HPV coming back positive. More than 90% adults are HPV positive. I mostly do not even ask the woman to go for HPV test, since it usually comes back positive. Hope you got your answer. Let me know if I can assist you further. Dr Vaishalee
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Vaishalee Punj

General & Family Physician

Practicing since :2003

Answered : 3262 Questions

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What Does Positive Pap Smear Test For HPV Indicate?

Brief Answer: Colposcopy needed Detailed Answer: Hi Thanks for your query. I have gone through your reports. The pap-smear shows low-grade squamous intraepithelial lesion of the cervix. Your HPV reports came back positive. Vaginal swab is normal. The best next step here would be to go for colposcopy. But it is not an emergency, since LSILs grow very slowly. Alternatively you can repeat the pap-smear in 6 months and if repeat is also positive then you may go for colposcopy.. Mostly LSILs disappear spontaneously. Some remain and may progress to HSIL, etc. I would not get worried about HPV coming back positive. More than 90% adults are HPV positive. I mostly do not even ask the woman to go for HPV test, since it usually comes back positive. Hope you got your answer. Let me know if I can assist you further. Dr Vaishalee