HPV positive and severe dyskaryosis, anyone else in/been in the same boat?

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Hi everyone,

I'm 25 years old and have recently had my first smear test. I got the results through a few days back and I have tested positive for HPV and I also have severely abnormal cells.

I was curious as to whether anyone has been misdiagnosed before with PID( Pelvic Inflammatory Disease) and/ or IBS (Irritiable bowel syndrome.) Over the past few years i've been diagnosed with both of these things and I'm worried that infact it was something more sinister and related to my recent abnormal results.

Any kind of advice/ information would be a great help to me.

Thanks in advance smile Amy

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3 Replies

  • Posted

    Hi Amy

    About 40% of women under 30 will be HPV+ but by age 30 that figure drops to about 5%. Young women usually clear the virus in a year or two. Most older women do too, but in rare cases a HPV+ woman will develop invasive cervical cancer.

    i don't believe women under 30 should be offered pap or HPV tests, they don't help and lead to worry and lots of excess biopsies and potentially harmful over-treatment.

    The Dutch have an evidence based program that protects young women, they'll scrap their 7 pap test program, 5 yearly from 30 to 60, and offer instead 5 HPV primary tests or self-testing at ages 30,35,40,50 and 60 and only the roughly 5% who are HPV+ will be offered a 5 yearly pap test.

    The Finns have never offered pap tests to women under 30, they have the lowest rates of this always rare cancer in the world and refer far fewer women for biopsies etc.

    not one country has shown a benefit pap testing those under 30, but this group produce the most false positive. Young women can produce an abnormal pap test and a normal test a few months later. False positives can be caused by the pap test picking up normal changes in the maturing cervix or transient and harmless infections. Pap testing does not prevent the very rare cases that occur in young women, this is often because young women tend to get an adenocarcinoma of the cervix, this even rarer form of cc is usually missed by pap testing, women may get a false negative result. So these very rare cases occur whether you do pap tests or not. False negatives can falsely reassure and lead to a delay in seeing a doctor with symptoms.

    young Finnish and Dutch women are simply advised to see a doctor with persistent and unusual symptoms, not for a pap test, but a proper investigation.

    So I would be very careful with pap testing and HPV testing at your age and would not be rushed into a biopsy etc.

    When I read a young woman has produced an abnormal pap test and is HPV+ I'm not surprised, this is why evidence based testing excludes those under 30.

    Now evidence based programs will only offer pap tests to those aged 30 to 60 who test HPV+

    • Posted

      Thanks for getting back to me Eliz, it made for some interesting reading.
    • Posted

      hiya ive just had my smear test and mine come back hpv positive! then at the same time they did a cytolopomy and that came back negative? im really confused? hope your ok though smile x

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