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Author Topic: Anal Pap Inquiry  (Read 1705 times)

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Offline ppp333

  • Member
  • Posts: 53
Anal Pap Inquiry
« on: May 10, 2011, 10:26:16 PM »
Hi everyone,

Today I went to my doc to get my routine bloodwork.  As of last time I was UD with CD4 439 and % 41. I asked about my anal pap smear results from last time and they said they would look into it and call me.  I got the call from the PA this afternoon that it came back reactive.  What exactly does this mean and should I be freaking out? My appointment with the cool/rectal specialist to get evaluated isn't until next week.  But has anyone had this experience.  Does this mean it's cancer or that I just have a strain of HPV? Please advise... Thanks, this forum has been most helpful and even when there r disagreements I still feel like everyone cares about each other and is willing to comfort and give advice... Thank u!

Offline emeraldize

  • Member
  • Posts: 3,398
Re: Anal Pap Inquiry
« Reply #1 on: May 10, 2011, 10:53:45 PM »
I'm not a guy, so I haven't had an anal pap smear, but because of folks I work with, I'm droppin' by to give you a note of calm.

First, don't freak out. You've got a date with a specialist and he/she may suggest a high resolution anoscopy as a next step, if indicated.

Most important, relax knowing you're truly ahead of the game for having gotten a pap smear. You've got a week's worth of waiting and then you'll have information that reflects your case.


Offline mikeyb39

  • Member
  • Posts: 980
Re: Anal Pap Inquiry
« Reply #2 on: May 10, 2011, 11:35:58 PM »
Hi ppp,
yeah don't freak out.  The reactive just means that you more than likely have the HPV virus. This doesn't mean you are going to get cancer or warts, but will need to keep an eye on it.  My doctor says that most guys that have anal sex will come across this virus at some point.  At least in his practice its very common.
11/02/2010  cd4-251, vl-591000
12/09/2010  started Atripla
02/18/2011  cd4-425, vl-800
06/10/2011  cd4-447, vl-70
10/10/2011  cd4-666, vl-80
01/05/2012  swiched med (prezista,norvir ,isentress, )
02/10/2012  cd4-733, vl-UD  Viread removed
06/10/2012  cd4-614, vl-UD
12/14/2012  cd4-764, vl-UD
09/01/2013  cd4-785, vl-UD
03/06/2014. cd4- 1078, VL-UD
09/05/2014  cd4-850 , VL-UD
09/05/2014 switched meds isentress, prezcobix -still only two antivirals
10/14/2015  cd4-600 , VL-UD

Offline tednlou2

  • Member
  • Posts: 5,731
Re: Anal Pap Inquiry
« Reply #3 on: May 11, 2011, 01:06:37 AM »
When I asked my colorectal doc about getting an anal pap smear, he said it would be hard to find anyone doing them here in my area.  He said they just don't know enough right now.  He said many would likely show to have some issues, but he said they rarely go on to become cancer-- whereas cervical dysplasia almost always becomes cancerous.  I hope I'm remembering all that correctly.  Then, he said what would they do if anal dysplasia was found.  He said if they went in to remove it, the procedure is so damaging to the anal tissue that it would cause so many problems when it very well would not have become cancerous anyway.

When I mentioned this here before, someone said that is not true about causing a lot of damage to the anal tissue by removing.  But, I do remember reading a study saying almost the exact same thing my doc did.  However, those NYC HIV prevention ads suggest anal cancer is very common.  So, I hope the very knowledgable folks here post the true facts.  It has been confusing reading it is a big problem and anal paps should be done regularly vs what my doc said and others echoing that.  Oh, anal paps aren't just for males, right?

Offline wolfter

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  • Posts: 5,458
Re: Anal Pap Inquiry
« Reply #4 on: May 11, 2011, 08:16:09 AM »
It is my understanding that once it becomes dyplastic, it should be removed as it can invade the surrounding tissue.  There's debate amongst my doctors about the need to remove those that only contain HPV.  My doctor also indicates the majority of his male patients test positive for HPV and have outbreaks on a regular basis.  I'll let you know what the surgeon says since I'm having this procedure done in a couple of hours.
Being honest is not wronging others, continuing the dishonesty is.

Offline ppp333

  • Member
  • Posts: 53
Re: Anal Pap Inquiry
« Reply #5 on: May 11, 2011, 02:47:05 PM »
Just to give a follow up as I saw the doc early today they looked in with a cam and all is good.  He stated that the cells were slightly inflamed due to an internal hemorrhoid which could have cause the test to be a false reactive but having a yearly check up is always good! Best to all

Offline emeraldize

  • Member
  • Posts: 3,398
Re: Anal Pap Inquiry
« Reply #6 on: May 11, 2011, 03:37:23 PM »
Great news!


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