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Smear test positive

11 replies

rockinginarockingchair · 19/12/2023 19:20

Hi all i had a smear test 2 weeks ago and got my results today.
Im so worried that they have came back positive for HPV.
Ive been on doctor google and it made me feel worse.
Can anyone tell me its not as bad as i think.
I really dont no what HPV is and now im fearing the worse.

OP posts:
SleepyHedgehog · 19/12/2023 19:33

Reassurance - It's a super common virus (global prevalence 21%) that many people catch then their body clears it without them ever knowing. Think of it like the thing that causes warts on kids fingers then they go away most of the time.
It has been picked up so they will likely do some more frequent smears for you. Hopefully your body will just fight it off and be no more bother. Fingers crossed and make sure you don't smoke

Janedoelondon · 19/12/2023 19:37

Don't panic! This happened to me last May.

A smear test is a screen - it is not a diagnosis of cancer. It is used to identify women at higher risk so they can be treated accordingly.

HPV is a virus and is sexually transmitted. It is responsible for >99% of cervical cancers. Now, having the virus does not mean that you will get cancer. In fact, over 80 percent of women will clear the virus within 2 years. It is only when the virus is active that it increases your risk of cancer.

The NHS changed the way they do smears back in 2019/2020. It used to be that they would just look at your cervix for cell changes - and not test for HPV. This meant some women were HPV positive but this was not recognised, as they had normal smears with no cell changes. By testing for HPV, and then looking at cell changes, the NHS can identify women who are at higher risk at a much earlier stage.

As you tested positive for HPV, they would have also looked at your cells for any changes. Did these come back abnormal or normal?

Now, because you have tested positive for HPV (as I did), you will be called for another smear in a years time, rather than the usual three years. In that time chances are the virus will have cleared and all is fine.

If the virus hasn't cleared and they look at your cells and notice cell changes, these cell changes are NOT cancer. It takes approximately 5-10 years for these cell changes to develop into cancer IF they are left untreated. So if they are detected, you would be referred for a colposcopy to 'freeze off' the harmful cells hence reducing your risk of cancer.

I hope that helps and reassure you but please do try not to worry!

Janedoelondon · 19/12/2023 19:40

In my experience medical professionals don't explain this well enough. I phoned up and spoke to my nurse who talked me through all of the above as I too was worried!

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DeathrowMarriage · 19/12/2023 19:42

Janedoelondon · 19/12/2023 19:37

Don't panic! This happened to me last May.

A smear test is a screen - it is not a diagnosis of cancer. It is used to identify women at higher risk so they can be treated accordingly.

HPV is a virus and is sexually transmitted. It is responsible for >99% of cervical cancers. Now, having the virus does not mean that you will get cancer. In fact, over 80 percent of women will clear the virus within 2 years. It is only when the virus is active that it increases your risk of cancer.

The NHS changed the way they do smears back in 2019/2020. It used to be that they would just look at your cervix for cell changes - and not test for HPV. This meant some women were HPV positive but this was not recognised, as they had normal smears with no cell changes. By testing for HPV, and then looking at cell changes, the NHS can identify women who are at higher risk at a much earlier stage.

As you tested positive for HPV, they would have also looked at your cells for any changes. Did these come back abnormal or normal?

Now, because you have tested positive for HPV (as I did), you will be called for another smear in a years time, rather than the usual three years. In that time chances are the virus will have cleared and all is fine.

If the virus hasn't cleared and they look at your cells and notice cell changes, these cell changes are NOT cancer. It takes approximately 5-10 years for these cell changes to develop into cancer IF they are left untreated. So if they are detected, you would be referred for a colposcopy to 'freeze off' the harmful cells hence reducing your risk of cancer.

I hope that helps and reassure you but please do try not to worry!

What a well-written explanation!

WhamBamThankU · 19/12/2023 20:04

I was HPV positive last December, just had another smear this December and I'm clear.

BananaHammock23 · 19/12/2023 21:08

My smear came back with 'high risk HPV' (I don't know whether that's just positive or not!). I was gutted at the time as it delayed my cycle of IVF that I was about to begin. However, I had another smear to double check that were were no abnormal cells and it was fine. Had another one a year later and no HPV. I think it's so much more common than you think!

rockinginarockingchair · 19/12/2023 21:43

Thanks for the replys.
My results came back as NO abnormal cells just HPV.
It says im at low risk but still scared.

OP posts:
mindutopia · 19/12/2023 21:44

Most people have HPV. It’s more likely you do than not. Only certain strains put you at greater risk of cervical cancer. You’ll just have more frequent smears. They should have tested the cells from this one (for cancer, not HPV) if you came up positive. Hopefully you would have received the report on that as well, which if nothing flagged up is good news.

I had a bad smear years ago (before they tested for HPV) and had a biopsy (was fine) and I had them every year for a few years and never had another abnormal one. My HPV test was negative this year so all gone back to normal.

dementedpixie · 19/12/2023 21:45

Mine also came back.as having hpv but no cell changes. Just means another test in 1 year to see if you have cleared the virus. Just because you have hpv doesn't mean you are going to get cervical cancer. And having no cell changes is a good sign.

rockinginarockingchair · 19/12/2023 21:48

Theres no cell changes thank god.
But as made me think i need to live healthier.
I really as put the wind up me.

OP posts:
cravinganother · 19/12/2023 22:08

Don't panic, I had a positive with abnormal cells! Had to have a biopsy.

Biopsy was clear, one year later my smear is negative!

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