I have a check up recently and found out I had HPV 56 & 91. I am worried that how to cure . Can you give me some advise ?
Thanks Elaine
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Dear Elaine,
HPV is group of viruses that has been linked to cancer of cervix. There are over 100 HPV viruses and not all are related to cancer. The worst two are HPV 16 and 18. HPV 56 is one of the high risk HPV meaning that this has higher tendency to cause abnormal change in the cervix. Most of these HPV viruses and abnormal change will go away with time and needs no treatment. What you need right now is a procedure called colposcopy and cervical biopsy, which looks at the cervix under a magnifying lens and get some tissue out. The tissue is then send for test. If all you have is just mild abnormality, you only need regular monitoring. Your doctor should give you more details when performing the colposcopy for you.
As I consulted other doctor before, found that I had 6 uterine fibroids, of which 2 are 4-6CM, the others are 1-2CM. The actual size, I dont know why that doctor dont tell me, I really want to find a good doctor, but I can not find it. I do not know whether there is a need for surgery or not, I see on this site DR. Fan's evaluation is very good, but know that you won't accept new patient any more. Highly appreciated if you can give some opinions to me. Million Thanks!!!
Best Rdgs, Brittany
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Dear Brittany,
Thanks for your email. Sorry to hear that you have numerous fibroids. The most important fact is that fibroids are mostly benign and the chance of cancer is very low, irrespective of their sizes. But sad to say, they almost inevitably get bigger with time and currently there is no effective and safe long term medications to stop their growth. Whether surgery is needed depends on the symptoms. At your age, in most cases, we prefer to observe first. When time comes and surgery is required, the most appropriate choice may be taking away the fibroids alone, but there is the risk of residual fibroids being missed out and recurrence of fibroids (up to 30%). So much so, you need close monitor at this stage as your chance of future operation is high. I am not accepting new cases booking regularly as quotas are tight. You may email to me directly if you don’t mind a long waiting queue.
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