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Cancer: Cervical & Ovarian Message Board

Cancer: Cervical & Ovarian Board Index

I would request (demand) a copy of the HPV test results, the PAP results and the biopsy results. Most HPV tests only screen for the most common HPV types. It usually only tests for high-risk types (some tests do look for low-risk types as well), but it is not "Type-specific", meaning that it does not specify which HPV strains(s) for which you are positive--only that you are postive for one of the strains included in the test. Bottom line is that you are correct--HPV test is a screen, not a diagnostic tool. If your biopsy showed no dysplasia, you should not get any treatment without getting second or even third opinion, especially at your age. Some Dr.'s suggest LEEP for mild dysplasia (even though this is usually not called for unless lesions are found inside cervical canal) because most of their patients are fearful and confused and have insurance that will pay for it. I would be very suprised if insurance would even pay for LEEP based upon neagative biopsy. Many people (most) who have high-risk HPV never develop any dysplasia. It would be completely irresponsible to do LEEP in your case. Both American Society of Colposcopy and Cervical Pathology and the American College of Obstetrics and Gynecology have set forth management protocol for all levels of cellular cervical abnormalcy. Both have websites and I recommend that you read through it to set your mind at ease. Get your test results!

Good Luck to you.

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