Most HPV infections are asymptomatic. Most are picked up on routine screening pap smears.
Less commonly patients present with visible warts.
Recent recommendations for pap smears have added routine high risk
HPV testing (regardless of pap smear results) in women over the age of 30.
Women under the age of 30 are not routinely HPV tested if their pap
is normal (if the pap shows atypical or abnormal cells in women of any age,
high risk HPV testing is done as a reflex test) because of the
high rate of contracting and resolving HPV infections.
Wendy Fried, M.D., FACOG, FACS,
is an OB/Gyn with Northern Obstetrics and Gynecology, PC in North Hills, New York
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