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Relationship Discussion (non-explicit)
Reply to "He doesn’t want to see me after I disclosed health results"
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[quote=Anonymous][quote=Anonymous]I’m a CNM and just chiming in with some HPV 101 as there is a lot of correct info in here but also a fair bit of incorrect info Nearly all sexually active adults will be exposed to HPV at some point [b]There is no routine HPV test for men unless they are a candidate for anal paps[/b] Screening for women happens with the pap, though it is ordered as a separate test. Your provider can order pap only, HPV only, co-testing ( both), or pap that reflexes to HPV if abnormal. Which test they order depends on age, history, and how up to date they are on the ever changing body of evidence about screening guidelines There are strains considered highest risk for dysplasia ( pre cancerous changes) primarily 16/18, “ other high risk” strains, strains that cause warts, and strains that seem do have no impact We don’t know if our bodies clear HPV or it goes dormant There is no blood test for cervical HPV There is evidence of increased HPV for peri menopausal women, we don’t know if this is related to behaviours ( e.g. divorce/ new partners) or reactivation of dormant strains or both HPV (at least from the lab we use) are reported as negative, positive other high risk, or positive 16 or 18. Your doctor isn’t ordering testing for “low risk” HPV, but some of the positive results are considered lower risk than others Hope that is useful info[/quote] As far as I know, there’s no test, routine or otherwise, available to men except anal pap, which as you indicate makes sense for only a subset of sexually actively men. There seems to be a misunderstanding that men aren’t routinely tested but can request a test. There isn’t one available that has been validated, to my knowledge. [/quote]
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