Treatments · HPV & colposcopy

HPV and colposcopy: what your result means and what comes next

An abnormal Pap test or a positive HPV test does not mean cancer. It means the cervix should be looked at more closely. That is a colposcopy: an exam with a magnifying lens.

An abnormal result is not a diagnosis

I tested positive for HPV. Do I have cancer? No. It is a signal to look more closely, and the infection often goes away on its own.

We start with your results. We go over them with you and explain what they mean.

Depending on what they show, there are two paths. Sometimes it is enough to repeat the test in a year, to see whether the infection is gone. Other times a colposcopy makes sense.

During a colposcopy the cervix is cleaned and a solution, similar to vinegar, is applied to highlight the areas that need a look. It may burn or tingle. Then the cervix is examined with a magnifying lens.

If an area looks different, a very small sample is taken to be tested in the lab. That is a biopsy.

The result decides what comes next: watching, repeating tests or treating.

Want us to take a look?

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The office replies and proposes a date.

What to expect

If no biopsy was taken
You can go on with your day with no restrictions. You may have very light spotting for a day or two.
If a biopsy was taken
You may have pain for a day or two, light bleeding for a few days and dark discharge. For a week, avoid tampons, douching and intercourse.
When to contact us
If bleeding is heavier than a period, or if you have fever, chills or severe belly pain.

What patients ask most

I have HPV. Will I get cancer?

Not necessarily. A positive result points to a type of virus linked to cervical cancer, but it does not mean you have it or will get it. It is a signal to keep watch.

Does HPV go away?

In many cases the infection goes away on its own. That is why the next step is sometimes simply repeating the test in a year.

Does a colposcopy hurt?

The solution may burn or tingle. If a sample is taken, you may be sore for a day or two.

When do I get the result?

It depends on the lab. Ask us that day when to expect it.

Sources

This page is for information only and does not replace a medical evaluation. It was prepared based on:

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