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Cervical Cancer resources
Nov 26, 2006
I would like a good resource for information on HIV and treatment of cervical cancer, in particular should the results of pap tests after a leep procedure be interpreted differently for HIV + than HIV - patients. i have had a leep and then a pap 3 months later that was not normal. the Dr did another leep and i had a pap last week awaiting results. she has mentioned hysterectomy and cancer specialists and i think i need to see a obgyn that has exp with hiv patients. any good resources you can point me to so that i can help my dr understand this. My viral load is completely supressed and CD4 at 300. good health and on medication. thanks
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Response from Ms. Salisbury
Hi, I am going to answer your question the best I can. I will also refer you to Dr Sullivan on the expert panel to get his advise in women' health issues. I have attached an article about cervical cancer and its causes for you to read-I know it is very technical.
My feeling is probably your cervical dysplasia is caused by human papilloma virus (HPV) which is the #1 cause of cervical cancer in all women whether they are HIV positive or not. The concern with HIV+ women is ridding the body of the HPV. Unfortunately it is a tough virus to clear when the immune system is under stress, even though your are virally suppressed and your CD4 is 300. Women that are not HIV+ seem to clear the virus 90% of the time.
HPV is sexually contacted and can lie dormant for years. It sounds like your practitioner is performing the appropriate tests and procedures. The LEEP can remove the infected tissue and allow new tissue to form that is not infected. Following up is very important. Sometimes the only way to rid the cervix of the infection or abnormal cells is to do a hysterectomy.
A second opinion is your choice. There are a number of OB/GYNS in large cities that specialize in HIV positive women health issues. I would recommend you go online to the American Academy of HIV medicine website and see who is closest to your home.
It is important to keep reading and stay informed about your health concerns. Take care. Carol
medscape.com
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