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I am 60 years old and have HPV Genotype 16.

By Anonymous March 14, 2019 - 7:32am
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Colposcopy showed some dysplasia. I had mild dysplasia in my early 20's, but nothing until now. Dr.'s options are 1. wait 6 months for another pap, 2. have the cervical area removed, or 3.have a hysterectomy. I called my long time Dr. (25 years) where I used to live (just moved last year) and he said if I was his Mother, he would advise the hysterectomy just so I don't have to worry about it any more. I'm concerned about physical problems with the pelvic floor in the future with a hysterectomy, if any. I'm done with menopause so that won't be an issue. I'm leaning toward option 2 but not sure if that is just delaying the inevitable hysterectomy.

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HERWriter Guide

Hello Anon

Thank you for writing.

HPV infections are some of the most common STI's. Most cases resolve themselves. In your case, you have HPV16 which is considered high risk so I understand your concerns.

However, a hysterectomy is a rather radical option. Doctors, particularly male doctors, throw out that option without really thinking about the side effects although I realize menopause is over for you. However, as you say, there are still risks. If your current doctor does not see urgency in your case, perhaps wait the 6 months to retest and then make your decision. However, if you want to proceed differently, by all means do so - it's your body, do what you feel is best for you.

March 14, 2019 - 3:26pm
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