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> HPV and STDs
suffering
post Apr 28 2006, 09:21 AM
Post #641


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Does cervical dyplesia show up on a pap smear? Or do you have to request another test?
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bklynhermit
post Apr 28 2006, 06:50 AM
Post #642


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Posts: 436
From: Brooklyn, NY


there are a lot of strains of HPV (something like 100, around 30 of which are sexually transmitted). Some strains manifest themselves as genital warts. Other strains are the ones that cause cancer. If you have cervical dysplasia, that means you already have one of the cancer-causing strains (dysplasia being a pre-cancerous cervical abnormality - which is probably what i have, too). That strain doesn't involve exterior warts. However. HPV is an incredibly common STI, and it's entirely possible to have more than one strain at the same time. Just because you already have one strain that doesn't cause warts doesn't mean you can't also have a strain that causes warts. Or at least, that's the way I understand it.

Either way, you should probably talk to your gyno about it.
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alwaysonmymind
post Apr 27 2006, 09:56 PM
Post #643


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I have hpv but my doctor says its cervical dyplesia. When I went to the gyno I showed him a little bump like a pimple I had on my vagina. he said it was just a pimple most likely from shaving. So that eventually went away and a year later I have another pimple. It's very small. Do you think this can be a wart? Do any of you have these symptoms?
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p_176
post Apr 27 2006, 06:52 AM
Post #644


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From: Baltimore


dandelion - laser surgery - think carefully about it - i have had 2 so far, and will probably have another in about three weeks.
it's painful recovery, but a quick recovery (about 2 weeks, with the worst of the pain in the first 2-3 days)...it's really not any better than acid treatment - the hpv can come back, i think it's like 20-30% chance of recurrence?
as for sex - my dr is like, well even if you don't have an outbreak you can still pass it on...so just have sex/it's your boyfriend so he's ok with the situation....my response is just that i don't think it's fair to my boyfriend - it's not his problem it's my problem....i just really feel like i should never have had sex in the first place...he should just find someone else who is healthier than i am.
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fuego_lento
post Apr 26 2006, 08:30 PM
Post #645


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From: NYC


Bklyn, I was going to say the same thing about it being ridiculous your HMO wouldn't cover the biopsy. Glad PP was wrong about it.

Dandelion, P_176, I feel for you. I had an easy time with warts -- mine cleared up in 2 weeks and after one little "follow-up" wart a bit later on, I haven't seen any activity since. Thing is, I have an incredibly persistent case of herpes (Valtrex may work for some folks, but not so much for me) and even now, years after my first outbreak, I still get at least one outbreak a month (this is down from constant outbreaks during my first year, but the "average" number of outbreaks per year is supposed to be 2-6, not 12-15). I've whined about it ad nauseam in the herpes thread, but I do understand how it is to feel like there's never a safe time to have sex. I'm just about always waiting for an outbreak, having one, or waiting for it to clear up. Lather, rinse, repeat. I'm single, but the feeling that I can't promise anyone a normal sex life, free of obvious risks, really weighs on me. It's hard. So yeah, I can relate.

Oh yeah, and Dandelion, try calling a dermatologist for the laser treatments, if you decide to go that route.
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bklynhermit
post Apr 26 2006, 05:51 PM
Post #646


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From: Brooklyn, NY


hah! dashed home from work, pulled out the HMO paperwork, and from everything i can tell, i'm perfectly covered, unless i were to have to have more frequent pap smears as a result (i'm only eligible for two freebies a year). i'm concerned about whether i need referral paperwork, but i can probably call my midwife to ask about it.

boo, planned parenthood NYC (yay PP other places, just boo NYC)
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dandelion
post Apr 26 2006, 01:24 PM
Post #647


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I sooo empathize bklynhermit. I work at a big nyc law firm, so you'd think I wouldn't have issues with insurance, and I just found out that starting Jan. 1, they changed their health plan somehow, so now my acid treatments for hpv skin bumps are considered outpatient surgery...which gives me a $150 copay. It is not even close to being surgery! But the bitch I spoke with from my insurance gave me the whole spiel about how the American Medical Association considers this surgery, bla bla. I'm like, i was never told my insurance plan changed so I kept going for treatments...and she was just like, that's between you and your employer. I hung up on her, I'm just so frustrated. Yeah like i'm going to discuss this with my employer. So basically I have three visits unpaid for right now, almost $500, and what do I do in the future? I make a good salary but who the hell has $150 to burn every few weeks? I can't stand it anymore. Why can't it just go away!?? I feel like it never will.

I have a question, has anyone out there tried laser surgery for removal? I'm considering doing that because i'm not about to keep paying $150 for acid treatments or freezing which don't work anyway, and my gyno was going to give me a referral to someone he knew who is actually an oncologist who does it, but I stormed out of the office after being harassed about my bill. So I have no idea what type of dr. would do that kind of laser surgery for this problem or who to call. Anyone have any ideas??

P_176 I have continuing probs with my sex life over this. Since I was diagnosed about a year ago, it is always an issue. Basically my dr says not to have sex when you have a wart, or after treatment for two weeks. So considering they keep recurring, I have pretty much been abstinent much of that time. My husband tries to be understanding but I just don't really think he gets it and of course we are both frustrated. Plus I pretty much don't receive oral sex anymore which I really can't blame him for but, it just sucks basically. Sometimes I think this is the worst STD (besides HIV of course) because it seems like for some people, nothing works for the bumps and they come and go all the time. At least with herpes there is valtrex.
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bklynhermit
post Apr 26 2006, 07:17 AM
Post #648


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Posts: 436
From: Brooklyn, NY


oh, it is not a happy day dipping into this thread.

yesterday, i found out my last pap was abnormal, and now i have to have a biopsy. since i usually see a midwife, i've had to call around to find a gynecologist. my health insurance tends to be spotty (oh, the life of a freelancer), so planned parenthood was at the top of my list. i called them up this morning to see about scheduling a biopsy, and the receptionist i spoke with told me that my health plan (one of the huge HMOs) doesn't cover colposcopy/biopsy after an abnormal pap smear.

it's possible she was wrong -- HMOs are sprawling and I've already come accross things my specific plan covers that aren't normally covered. but it's also possible she's right. which amazes me.

HPV is the most common STI -- something like 90% of all sexually active people have it at one time or another. It's often asymptomatic. It leads to cervical cancer. so WHY ISN'T PROPER SCREENING FOR IT COVERED BY MY HEALTH INSURANCE?!

I mean, i'm assuming that my HMO would cover screenings for other cancers -- mammograms, colonoscopies, etc. so why not this? how effing outrageous!
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p_176
post Apr 25 2006, 05:38 PM
Post #649


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Posts: 532
From: Baltimore


hi folks
i am new here....have had hpv for going on 3 years now...with constant outbreaks....was wondering how you view sex and relationships after learning you had hpv....i'm engaged but i really feel it's not fair for my fiance to be with me, since i frequently have outbreaks and various treatments....any advice? please?
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