The Right Time For A Pap Smear And The Time Limit For This Test?
Hello HealthReplies.com, My name is Kiko, a 25-year-old heterosexual woman. 1.5 years ago I had sex with 2 different partners. The last risky relationship was the end of April 2018. Previously around the end of 2017, I felt there was tissue growing around the pubic lips but because there was no disturbance or discomfort whatsoever, I let it go. In July 2018 I consulted the SpKK doctor regarding a growing and increasingly disturbing aesthetic network. My doctor said that I had an STI in the form of Condyloma Acuminatum and Molluscum Contagiosum. I received treatment for a month to knock down the tissue. But 2 weeks after falling out, Molluscum appears again in a new place (Condyloma has fallen). The same doctor then advised me to test for HIV because there is tissue that grows near the cervix (it is feared to grow in service and potentially cancer). If the results are negative, I can do a Pap smear test and get a vaccine. In October 2018, less than 6 months after the last risky act, I tested for the first time with a non-reactive / negative test. I then asked if I needed another test and was answered no, because I had gone through a window by Indonesian standards and the doctor said I was HIV-free. Here are my questions, 1. Since the time of HIV testing has passed the window and I have never carried out risk-taking activities after the test results to date, am I really HIV negative? 2. Is it true that the Condyloma and Molluscum viruses cannot completely disappear and can re-emerge? What treatment can I do to prevent it? My condyloma has now fallen off and my Molluscum has shrunk and disappeared.3. The SpKK doctor advised me to take a Pap smear, but I was waiting for Condyloma and Molluscum free skin conditions. When is the right time for a Pap smear and is there a time limit for this test to show accurate results? If the test results are normal, what vaccine and for what is usually given to the patient? Thank you in advance. Regards.
Hello Kiko, thanks for the question. I help answer sequentially yes.
The window period or also called the window period is a condition where an infection has occurred but antibodies (specific immune system) have not been formed against the HIV virus, which generally ranges from 3-12 weeks after the first infection. When it has passed the window, antibodies are generally formed so that in an anti-HIV test, the antibodies will produce a positive value. If you have never been infected with HIV, it will give negative results. The results that come out when checking after passing the window period, generally can be trusted because the inspection method used to detect the first time generally has a high enough accuracy so that the results can be trusted.
The virus that causes both diseases will disappear if it is treated properly and thoroughly, but if it is not complete or has repeated infections, eating the virus can cause disease again. You can also read more about these two diseases in the following article: condyloma (genital warts) & molluscum
If you are experiencing condyloma or molluscum, it is generally not included in the obstruction to do a pap smear examination. Some things to avoid before doing a pap smear in general are:
- do not have intercourse approximately 2 days before performing the procedure
- do not use spermicide drugs, vaginal rinse, jelly or vaginal creams, or drugs that are inserted into the vagina before performing the procedure
But to ascertain whether you are allowed to do a pap smear or not, you should further consult with an obstetrician. You can also read more fully about this examination in the following article: pap smear.
If your pap smear results are normal, then you will be advised to get an HPV vaccination or what is commonly referred to as a vaccination to prevent cervical cancer. Although this vaccine is commonly known to prevent cervical cancer, it is also important to know that this vaccine can also prevent the occurrence of condyloma as you have suffered, because in principle the vaccine contains several types of HPV virus that has been attenuated which is responsible for causing certain diseases, such as cervical cancer and condyloma.
I hope this helps.