08.19.2008  BY DR. KATE
I'm glad that HPV is getting lots of media-love, especially if it prompts my patients to come in for their annual exams and Pap smears. But I'm hearing more and more lately, "Test me for everything, especially for HPV." Unlike chlamydia and HIV, testing for HPV is not nearly so straightforward.
  • Getting a pap smear?  Recommendations call for automatic HPV testing in women 30 years and older. If they test positive, they are more likely to have an HPV strain that lingers. So even if their pap is normal, they need their next pap sooner (in a year, instead of 2 to 3 years). But women under 30 only get HPV testing if they have an abnormal pap. The logic is that so many young women have HPV, and will clear the virus on their own without any treatment, that it's not a good use of resources to check everyone. This, of course, is small consolation to YOU as an individual, who wants to know what you've got. If your gyno won't test you for HPV, know that condoms are decent protection, you'll likely contract HPV at some point anyway, and you're equally likely to heal from the virus with no lasting damage.
  • Getting an STD screen?  The only way to know if you've been exposed to the wart-varieties of HPV is if your gyno actually sees a wart (or condyloma). If your vulva is clear, there is no way to actually test you for the virus. So no news is good news, in other words.
  • You're a guy?  Unfortunately, there's no commercial test for you yet. But if your girlfriend has the virus, chances are high that you've got it too.
If you're under 26 years old, Gardasil remains the best way to protect yourself against HPV. I'm hopeful that insurance coverage for the vaccine will expand, and that the price will come down with time...if more women are vaccinated, how we test will be less important. How does your doctor handle HPV testing?


2 Comments

said:

I had the Gardasil shot (well, actually, a series of three shots) a little over a year ago because my boyfriend caught HPV from his girlfriend at the time who was cheating on him and she had passed the virus onto him [my boyfriend]--whatta gem, huh??? Anyway, about a month and-a-half earlier I had been diagnosed with HSV Type I (Genital). HSV stands for Herpes Simplex Virus; and for people who aren't familiar with the "types" of herpes, I'll tell you now. There are two types of herpes: HSV I and HSV II. HSV I (the kind I have) is a way milder form of the virus than HSV II. This means that my chances of getting an outbreak are minimal compared to people with HSV II. However, just because I don't get as many outbreaks DOESN'T MEAN that my chances of SPREADING the disease onto my partner are slimmer than someone with HSV II. Actually, I caught the disease in a messed-up way (lack of a four letter word) too. The person that gave me this lovely disease had told me that he had been tested and he was clean. We had sex, and two days later I started waking up in the worst pain I had EVER felt (down there). The sores weren't going away so I went to the doctor and was tested for herpes, and three days later I got the phone call that would change my life forever. Now I have to take medication every day and as a person, I feel betrayed and as though I cannot trust anyone. Heck, I knew the guy for TEN YEARS!!! It's not like it was a one night stand or anything. Anyway, when my boyfriend and I started dating, he told me that he had HSV so we decided to put off having sex until I could figure out what to do. I made a phone call to my OBGYN and they REJECTED ME. They said that if I have had more than three sexual partners, then I probably have already had the virus and it had "passed through" my system. WHAT?!?! How do THEY know that I have had the virus?!?! AND WHY ON GOD'S GREEN EARTH WOULD THEY REJECT ME KNOWING THAT I HAVE A BOYFRIEND WITH A DISEASE THAT COULD POTENTIALLY KILL ME AND THEY HAD A VACCINE THAT COULD HELP ME TO PREVENT GETTING HPV?!?! I mean, I have to take medicine everyday so my chances of giving my boyfriend HSV are slim-to-none. After several phone calls, I FINALLY got into treatment and have been okay so far.

Amber said:

I don't understand why you were so concerned about getting HpV from your boyfriend? what about your boyfriend getting HSV from YOU?????? I have both, and in my mind HSV is way worse awkward and every other uncomfortable thing to deal with. My HPV is rarely around and it is once every few years i show up with a abnormal pap. I don't understand and I think you are being way to hard on your boyfriend and his ex girlfriend. DO YOU KNOW HOW MANY PEOPLE IN THIS WORLD HAVE BOTH OF THOSE STD's and DON"T KNOW IT?

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Em & Lo, more formally known as Emma Taylor and Lorelei Sharkey, are the self-proclaimed Emily Posts of the modern bedroom.

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