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Author Topic: anal cytology, anal Pap smear and preparation?  (Read 2921 times)

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Offline giangie92

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anal cytology, anal Pap smear and preparation?
« on: December 13, 2022, 07:06:40 am »
Hello!!! i am a new user and I have hiv.
 I have to take this test tomorrow.
is there a preparation to do before the pap test? Or enema?
did you have an enema before doing the cytology?  did the doctor tell you to do a preparation?

are there any guidelines about anal cytology?

forgive me for the mistakes.  I don't write English very well

Thanks to all
« Last Edit: December 13, 2022, 07:16:33 am by giangie92 »

Offline giangie92

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Re: anal cytology, anal Pap smear and preparation?
« Reply #1 on: December 13, 2022, 11:07:19 am »
Nobody?

Offline Jim Allen

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Re: anal cytology, anal Pap smear and preparation?
« Reply #2 on: December 13, 2022, 12:17:22 pm »
Hiya,

Never had one but as far as I have heard, there is no special preparation for an anal pap smear, but this is something your doctor should have covered with you. Prehaps give them a call and check. https://www.verywellhealth.com/anal-papilloma-screening-47925

Sorry to hear you are living with HIV. How are you getting on and how is treatment going for you?
HIV 101 - Everything you need to know
HIV 101
Read more about Testing here:
HIV Testing
Read about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read about HIV prevention here:
HIV prevention
Read about PEP and PrEP here
PEP and PrEP

Offline giangie92

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Re: anal cytology, anal Pap smear and preparation?
« Reply #3 on: December 13, 2022, 02:19:50 pm »
Hiya,

Never had one but as far as I have heard, there is no special preparation for an anal pap smear, but this is something your doctor should have covered with you. Prehaps give them a call and check. https://www.verywellhealth.com/anal-papilloma-screening-47925

Sorry to hear you are living with HIV. How are you getting on and how is treatment going for you?

my doctor recommends the enema.  but I read on the internet that it is not recommended because the result is distorted.  I have had HIV for almost 3 years, acute infection.  immediate therapy with DOVATO

Offline giangie92

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Re: anal cytology, anal Pap smear and preparation?
« Reply #4 on: December 13, 2022, 02:20:32 pm »
Can someone else who has already done the pap test answer?  thank you

Offline Jim Allen

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Re: anal cytology, anal Pap smear and preparation?
« Reply #5 on: December 13, 2022, 03:21:53 pm »
 
Quote
I have had HIV for almost 3 years, acute infection.  immediate therapy with DOVATO

Thanks for the reply. Glad to hear you are on treatment and doing well, I presume. Now I got a few more details, I've moved your post into a different sub-section of the forum, and people can reply to you here if they so wish.

« Last Edit: December 13, 2022, 03:26:37 pm by Jim Allen »
HIV 101 - Everything you need to know
HIV 101
Read more about Testing here:
HIV Testing
Read about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read about HIV prevention here:
HIV prevention
Read about PEP and PrEP here
PEP and PrEP

Offline J.R.E.

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Re: anal cytology, anal Pap smear and preparation?
« Reply #6 on: December 13, 2022, 05:06:15 pm »
HI,

The procedure is very simple and easy, and quick. I made sure to take a good bowel movement, prior to the procedure. Did NOT have to do an enima.

My Doctor inserted I believe about 4 different swabs, one at a time. It was painless and not uncomfortable.

Because I had gone through 2 of these previously, the 3rd pap smear was done, just a few hours after I did a fleet enima.

I will have to go through this again in February, where another one will be done, at that time, if A typical squamous is found, an appointment will be scheduled where they will do a further scan. This will be done in an operating room, under mild sedative and that procedure I was told. will also be very quick. At that time , the doctor will remove, anything of suspicion.

If there is a way to contact the doctor performing this, check to see if a fleet enima would be necessary for you. If t is required, read instructions carefully.  A fleet enima is not like what they do, prior to a colonoscopy, it only empties what is in the bowel or rectum area.

Here's a link :

https://forums.poz.com/index.php?topic=75836.msg777550



Good luck ---Ray
Current Meds ; Viramune / Epzicom , Eliquis, Diltiazem. Pravastatin 40mg UPDATED 4/26/23
 Tested positive in 1985,.. In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started on  HAART on October 24th, 2003.

 As of April 18th 2023, Viral load Undetectable. <20 (HIV log Copies <1.30)

CD 4 @661 /  CD4 % @ 18 %
Lymphocytes,absolute-3623 (within range)

CD8 Absolute- 2118 (H)
CD8 percentage-58 (H)
CD4/CD8 Ratio-0.37 (L)

71 YEARS YOUNG

Offline J.R.E.

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Re: anal cytology, anal Pap smear and preparation?
« Reply #7 on: December 13, 2022, 05:18:06 pm »
Here is another informative link:

https://healthtalk.unchealthcare.org/whats-an-anal-pap-test-and-do-you-need-one/#:~:text=The%20anal%20Pap%20test%20is,dysplastic%20(precancerous)%20or%20cancerous.

My infectious disease doctor did my first anal pap smear. We were discussing labs, and all of a sudden she ask " Would you like a pap smear done? " I said of course. I was not expecting it, took me by surprise, ans I did no prep for it.

Ray
Current Meds ; Viramune / Epzicom , Eliquis, Diltiazem. Pravastatin 40mg UPDATED 4/26/23
 Tested positive in 1985,.. In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started on  HAART on October 24th, 2003.

 As of April 18th 2023, Viral load Undetectable. <20 (HIV log Copies <1.30)

CD 4 @661 /  CD4 % @ 18 %
Lymphocytes,absolute-3623 (within range)

CD8 Absolute- 2118 (H)
CD8 percentage-58 (H)
CD4/CD8 Ratio-0.37 (L)

71 YEARS YOUNG

Offline J.R.E.

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  • Positive since 1985, joined forums 12/03
Re: anal cytology, anal Pap smear and preparation?
« Reply #8 on: December 13, 2022, 05:25:40 pm »
One more thing,


If you have had any issues with Condyloma or Anal warts, it's a good thing to have this Pap Smear done !

I had anal warts and condyloma removed many years ago. Also happy to say they have never returned. They were surgically removed.

Ray
Current Meds ; Viramune / Epzicom , Eliquis, Diltiazem. Pravastatin 40mg UPDATED 4/26/23
 Tested positive in 1985,.. In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started on  HAART on October 24th, 2003.

 As of April 18th 2023, Viral load Undetectable. <20 (HIV log Copies <1.30)

CD 4 @661 /  CD4 % @ 18 %
Lymphocytes,absolute-3623 (within range)

CD8 Absolute- 2118 (H)
CD8 percentage-58 (H)
CD4/CD8 Ratio-0.37 (L)

71 YEARS YOUNG

Offline giangie92

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Re: anal cytology, anal Pap smear and preparation?
« Reply #9 on: December 13, 2022, 06:51:40 pm »
so I don't do any preparation.  I understand that there is not much difference.  indeed making the enema can be worse

Offline giangie92

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Re: anal cytology, anal Pap smear and preparation?
« Reply #10 on: December 14, 2022, 05:25:38 pm »
I had a pap smear today.
if there were traces of faeces in the collected sample, would the results come out wrong?

Offline J.R.E.

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  • Positive since 1985, joined forums 12/03
Re: anal cytology, anal Pap smear and preparation?
« Reply #11 on: December 14, 2022, 05:37:29 pm »
I had a pap smear today.
if there were traces of faeces in the collected sample, would the results come out wrong?

Hi,..

I highly doubt it. did they tell you when you would get results ?



Ray
Current Meds ; Viramune / Epzicom , Eliquis, Diltiazem. Pravastatin 40mg UPDATED 4/26/23
 Tested positive in 1985,.. In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started on  HAART on October 24th, 2003.

 As of April 18th 2023, Viral load Undetectable. <20 (HIV log Copies <1.30)

CD 4 @661 /  CD4 % @ 18 %
Lymphocytes,absolute-3623 (within range)

CD8 Absolute- 2118 (H)
CD8 percentage-58 (H)
CD4/CD8 Ratio-0.37 (L)

71 YEARS YOUNG

Offline giangie92

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  • Posts: 7
Re: anal cytology, anal Pap smear and preparation?
« Reply #12 on: December 14, 2022, 07:05:03 pm »
Hi,..

I highly doubt it. did they tell you when you would get results ?



Ray

Next time that I have hiv checkup, so in abril.
Anyway I will contact my doctor to receive it by email first part of report in about a week.
there will be 2 medical reports and both will be ready in about 3 weeks:
1 part is anal cytology
2 part is test HPV DNA.

I already did this pap test last year and the result was: AIN 1 and HPV 31 and 68.
they said that anoscopy HRA was not necessary but only to repeat the check with the pap smear after 1 year  and thatís now.
what do you think about it?
Thanks you

Ps: I have already had 3 gardasil 9 vaccines and 2 years ago I had one small perianal warts removed in the clinic by curettage of the lesion.
« Last Edit: December 14, 2022, 07:09:12 pm by giangie92 »

Offline J.R.E.

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  • Positive since 1985, joined forums 12/03
Re: anal cytology, anal Pap smear and preparation?
« Reply #13 on: December 15, 2022, 10:19:29 pm »


I already did this pap test last year and the result was: AIN 1 and HPV 31 and 68.
they said that anoscopy HRA was not necessary but only to repeat the check with the pap smear after 1 year  and thatís now.
what do you think about it?
Thanks you



Hi,.

I would never want to second guess you Doctors. From what I am reading, your doctors seem very competent.

If you have concerns, you could probably try and get a second opinion. The good news is, you don't have HPV - 16 or HPV - 18. Those two have a better chance of developing into HPV cancers.

Let us know when you get the results, and don't hesitate to ask your doctors as many questions that you can.


Take care of yourself--Ray


Current Meds ; Viramune / Epzicom , Eliquis, Diltiazem. Pravastatin 40mg UPDATED 4/26/23
 Tested positive in 1985,.. In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started on  HAART on October 24th, 2003.

 As of April 18th 2023, Viral load Undetectable. <20 (HIV log Copies <1.30)

CD 4 @661 /  CD4 % @ 18 %
Lymphocytes,absolute-3623 (within range)

CD8 Absolute- 2118 (H)
CD8 percentage-58 (H)
CD4/CD8 Ratio-0.37 (L)

71 YEARS YOUNG

Offline J.R.E.

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  • Posts: 8,195
  • Positive since 1985, joined forums 12/03
Re: anal cytology, anal Pap smear and preparation?
« Reply #14 on: December 15, 2022, 10:28:44 pm »


I am not sure if I supplied this link to you or not, but would suggests you print it out, and show it to your doctor. And then, Voice your concerns and questions.

https://www.cancer.gov/about-cancer/causes-prevention/risk/infectious-agents/hpv-and-cancer#:~:text=High%2Drisk%20HPVs%20can%20cause,for%20most%20HPV%2Drelated%20cancers.

Ray
Current Meds ; Viramune / Epzicom , Eliquis, Diltiazem. Pravastatin 40mg UPDATED 4/26/23
 Tested positive in 1985,.. In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started on  HAART on October 24th, 2003.

 As of April 18th 2023, Viral load Undetectable. <20 (HIV log Copies <1.30)

CD 4 @661 /  CD4 % @ 18 %
Lymphocytes,absolute-3623 (within range)

CD8 Absolute- 2118 (H)
CD8 percentage-58 (H)
CD4/CD8 Ratio-0.37 (L)

71 YEARS YOUNG

 


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