Milda, I know exactly how you feel. I just dealt with this issue today with my daughter. I know most physicians do not believe a 22 year old would save herself for marriage, but my daughter did. She was married in September, and three weeks later went to have pap smear. Unknowingly, she was tested for HPV and all other kinds of venereal diseases, without consent, and ran up a huge bill at the office. No insurance card yet, so had to pay up front. Received a call a few days later that she had normal pap smear, but HPV high risk positive. She was totally floored. She says there is no way she got this in three weeks, especially having used condoms also. We met with the FNP, who acted the same way, no big deal, you will prob test negative next time. We were furious. They are now testing the same fluid again, which is going to produce the same results, because it could be cross contaminated with another specimen. I have worked in a pathology department for 20 years, and know there are false positives and false negatives in all types of diagnoses. It's just so sad how they make a person feel. I feel the HPV test is a gray area, that even the medical community cannot explain results. I think they dont know for sure all the ways it can be contracted. I have researched this to death in the last week, and its unreal what you find. There is a 6% false positive result in HPV DNA testing. I think that's pretty high statistics. A virgin does not want to hear she has HPV when she knows in her heart that is no way. And they brush it off as if its nothing to be concerned with. When it then shows up negative, they brush it off as you got rid of the cells. You tell me how the cells disappear after like you said twenty three days. That is just the way to explain the false positives, I think. How do they know ? I also read somewhere that when performing a HPV DNA, if a specimen is processed that has very high levels of positive HPV, the next following specimens could also test positive due to the chemiluminescent emission (light without heat) the first specimen puts off. I am not sure how all that relates, but seems possible to me. The FNP was incorrect about the guidelines for when a person should have HPV testing also. She said 26 and under. I argued with her that guidelines were if you were over 30, but she disagreed. I looked online, and I was right. I also asked her if the second one came back negative, are they going to amend the first report, and she said probably not, they would just issue a second report. I said Oh No, they wont, they have to amend the first because it is in her permanent record and it is incorrect. That's because it is being tested off the same fluid. If it was a different fluid, they would not amend the first, of course. Bad thing for my daughter is feeling that she has to try to explain to an office how there is no way possible, after being so proud of saving herself for marriage. I asked if there had been any activity at all, and she said no way, none at all, because she felt any type of activity would mean you were not pure. I believe her 100%, because I KNOW my daughter. She would not mind in the least telling me if there had been any activity, because we have that kind or relationship. I just feel so sorry for her, and for you, for having to go through this. It's horrible what it can cause. I think it is unnecessary to even do the HPV test. Why know you have it, if it is going to go away anyway. Continue giving pap smear screenings, and if they are positive, then give the HPV test to see what strains they are. Just my opinion.
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Milda, I know exactly how you feel. I just dealt with this issue today with my daughter. I know most physicians do not believe a 22 year old would save herself for marriage, but my daughter did. She was married in September, and three weeks later went to have pap smear. Unknowingly, she was tested for HPV and all other kinds of venereal diseases, without consent, and ran up a huge bill at the office. No insurance card yet, so had to pay up front. Received a call a few days later that she had normal pap smear, but HPV high risk positive. She was totally floored. She says there is no way she got this in three weeks, especially having used condoms also. We met with the FNP, who acted the same way, no big deal, you will prob test negative next time. We were furious. They are now testing the same fluid again, which is going to produce the same results, because it could be cross contaminated with another specimen. I have worked in a pathology department for 20 years, and know there are false positives and false negatives in all types of diagnoses. It's just so sad how they make a person feel. I feel the HPV test is a gray area, that even the medical community cannot explain results. I think they dont know for sure all the ways it can be contracted. I have researched this to death in the last week, and its unreal what you find. There is a 6% false positive result in HPV DNA testing. I think that's pretty high statistics. A virgin does not want to hear she has HPV when she knows in her heart that is no way. And they brush it off as if its nothing to be concerned with. When it then shows up negative, they brush it off as you got rid of the cells. You tell me how the cells disappear after like you said twenty three days. That is just the way to explain the false positives, I think. How do they know ? I also read somewhere that when performing a HPV DNA, if a specimen is processed that has very high levels of positive HPV, the next following specimens could also test positive due to the chemiluminescent emission (light without heat) the first specimen puts off. I am not sure how all that relates, but seems possible to me. The FNP was incorrect about the guidelines for when a person should have HPV testing also. She said 26 and under. I argued with her that guidelines were if you were over 30, but she disagreed. I looked online, and I was right. I also asked her if the second one came back negative, are they going to amend the first report, and she said probably not, they would just issue a second report. I said Oh No, they wont, they have to amend the first because it is in her permanent record and it is incorrect. That's because it is being tested off the same fluid. If it was a different fluid, they would not amend the first, of course. Bad thing for my daughter is feeling that she has to try to explain to an office how there is no way possible, after being so proud of saving herself for marriage. I asked if there had been any activity at all, and she said no way, none at all, because she felt any type of activity would mean you were not pure. I believe her 100%, because I KNOW my daughter. She would not mind in the least telling me if there had been any activity, because we have that kind or relationship. I just feel so sorry for her, and for you, for having to go through this. It's horrible what it can cause. I think it is unnecessary to even do the HPV test. Why know you have it, if it is going to go away anyway. Continue giving pap smear screenings, and if they are positive, then give the HPV test to see what strains they are. Just my opinion.
October 15, 2010 - 10:31pmThis Comment
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