Hi, lwhittie. I'm sorry you're having so much trouble with hpv.

    For most people, they don't have trouble with hpv after hysterectomy. If they do, the most common place to have abnormal cells would be the vaginal wall. For people who have had a hysterectomy for CIN 3 or greater, the rate of having vaginal dysplasia (abnormal vaginal cells) is about 5%.

    Having abnormal cells in the vulva is even more rare. Having anal hpv/anal dysplasia is possible, although not common.

    In any case, it's important for people to understand that while a hysterectomy is not a guarantee to end problems with hpv, it doesn't make them more likely, either. Over the years some people have asked if removing the cervix "makes all the hpv in your body attack someplace else" and I assure you, it doesn't work like that. Removing the cervix means you will no longer have abnormal cell growth or get cervical cancer. The risk of other hpv problems stays the same as it ever was.

    Hope this helps. I can tell you that for me it's been six years since my hysterectomy, and so far, no further problems with hpv at all. Hopefully it stays that way forever.

    Thank you so much! There is soo much crazy information out there! I’m trying to be ok w the possibility of a hysterectomy. I’ve been terrified

    In case you do end up being recommended to go forward with the hysterectomy, I'll share that before mine I found a lot of useful info at http://www.hystersisters.com. They have lots of articles about the different types of hysterectomy, checklists of what to do to prepare and tips for recovery. There is also a gyn cancers forum for women having a hysterectomy for reasons related to cancer or pre-cancer. I feel like the site was fair and evenhanded with the pros and cons.

    I didn't want a hyst either but at least know it is the second most common surgery in the US (right after C-section), so if you do need one, they are pretty routine and most people do fine with them.

    Hi Junipersage, I've read in some pages that it's not uncommon for women to develop VAIN or VIN after hysterectomy. If the virus doesn't attack other parts if the cervix is removed, why is this pattern happening? I really don't know the statistics but I'm genuinely wondering as this is something that has terrified me as well and is the reason why I refuse to have any procedure unless absolutely necessary. One of my gyn told me "don't get cryosurgery or leep because what that does is destroy the squamocolumnar junction (something like that) and the virus will then enter deeper in the tissue and make it worse a and harder to detect" hearing that really frightened me!

    Hello, I had hysterectomy in 2013 after 5 years of abnormal cells which lead to Endocervical adenocarcinoma in situ, honestly I don't know why they let it get that far. I was told to get vaginal screens every year until I'm 75. My doc didn't think it was necessary. Every one has been great until now, the hpv 18 is back, GREAT now what. If I was you, I would get the hysterectomy before it goes to far & spreads. Can anyone answer this, I have been with my partner for 27 years, we did break up in 2012 for 8 months. I read that it is a low risk of it reoccurring unless one or the other had sex with someone else.

    @Lunararose, I posted an answer to the question about cryosurgery and LEEP on your other thread.

    The likelihood of having VAIN or VIN after hysterectomy for CIN 3 or greater is about 5%. People who haven't had a hysterectomy can have VAIN or VIN also. Having had a hysterectomy or not doesn't change your odds of having VAIN or VIN.

    Mostly, HPV prefers to be in the cells of the cervix, and if it is going to cause abnormal cell growth it is going to be in the cervix. For most people, once they have a hysterectomy, all the cells of the cervix are removed and that takes away all the hpv infected cells and abnormal cells.

    But a small percentage of people also have hpv infect the cells of the vaginal wall, and it can cause abnormal cell growth there too. This can happen whether they have a hysterectomy or not. We don't know why a small percentage of people have hpv or abnormal cell growth in the vaginal walls and most others don't. It might be just chance, or it could be related to some other factor we haven't figured out yet, but it doesn't seem to be related to hysterectomy.

    @gypsrose, it sounds like you are trying to understand why, in your case, HPV 18 is back. It's true that the risk of HPV becoming active again after hysterectomy is low. But "low risk" is not the same as "no risk". It's possible that by chance you just happened to fall into the unlucky few who have low risk things happen.

    I'm glad you have continued to get regular screens. The guidelines for women who have had a hysterectomy for hpv-related reasons is to continue with regular screening for 20 years or until age 65, *whichever is longer*. Good for you for advocating for yourself.

    If you or your partner had sex with someone else, then of course that would put you at risk for getting a new strain of hpv. So if HPV 18 is a new strain for you, then yes it could be from recent exposure. But it doesn't change anything about strains you already had. If hpv 18 was the same strain that caused your AIS in the first place, and it's coming back again now, then it's just bad luck.

    I'm hoping that despite your positive hpv test, your vaginal screen was still normal. If you were to go on and develop VAIN (abnormal cell growth of the vaginal wall) there are a number of treatments for that. But I'm hoping you won't need them and your hpv becomes dormant again. I'm sorry you're having to deal with this. I had AIS also and had a hysterectomy right around the same time you did. It's something we all worry about. Sending ((hugs)).

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    Your Message
    Can you still have HPV after a total hysterectomy?
    We conclude that HPV infection can cause vaginal cancer after complete hysterectomy in cases complicated by CIN. Therefore, HPV should be regularly assessed during the postoperative follow-up period. more
    Does total cost equal total revenue?
    When the total revenue is equal to the total cost, the firm is not making any additional profit but is also not in loss. The earnings are equal to the expense hence it is called the break even point. more
    What are the total fixed cost total variable cost and total cost of a firm?
    The sum of total fixed cost and total variable cost is called the total cost. 1) TFC curve remains constant throughout all the levels of output as fixed factor is constant in short run. 2) TVC rises as the output is increased by employing more and more of labour units. more
    What is bid total and ask total?
    The bid represents the highest price someone is willing to pay for a share. The ask is the lowest price where someone is willing to sell a share. The difference between bid and ask is called the spread. more
    How do you find total revenue from total cost?
    Total Revenue = Number of Units Sold X Cost Per Unit You can use the total revenue equation to calculate revenue for both products and services. To make it easy to remember, just think “quantity times price.” more
    How do you calculate total revenue and total expenses?
    Below is a simple way of calculating total expenses from revenue, owner's equity, and income:
    1. Net income = End equity - Beginning equity (from the balance sheet)
    2. Total Expenses = Net Revenue - Net Income.
    more
    What is the difference between total revenue and total expenses when total revenue is greater?
    The difference between total revenue and total expenses when total revenue is greater is called net income. more
    What are total fixed cost total variable cost and total cost of a firm How are they related?
    The sum of total fixed cost and total variable cost is called the total cost. 1) TFC curve remains constant throughout all the levels of output as fixed factor is constant in short run. 2) TVC rises as the output is increased by employing more and more of labour units. more
    How do you find total profit from total revenue and total cost?
    Finding profit is simple using this formula: Total Revenue - Total Expenses = Profit. more
    Do you still need to see a gynecologist after a total hysterectomy?
    Yes, you should continue to see your ob-gyn after you have a hysterectomy. Depending on the reason for your hysterectomy, you still may need pelvic exams and cervical cancer screening. Cervical cancer screening includes Pap tests, testing for human papillomavirus (HPV), or both. more
    Is total debt the same as total liabilities?
    The main difference between liability and debt is that liabilities encompass all of one's financial obligations, while debt is only those obligations associated with outstanding loans. more

    Source: www.inspire.com

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