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STDs (Expert Forum)
mild dysplasia with high risk HPV and bleeding after intercourse
Answered by
University of Washington
Seattle - WA
This forum is for questions and support regarding STD issues such as: Chlamydia, Crabs (pubic lice scabies), Gonorrhea, Hepatitis (viral), Herpes, HPV, Molluscum Contagiosum, PID, Rectal Infections, Syphilis, Trichomoniasis, Warts, Yeast Infection.All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.
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mild dysplasia with high risk HPV and bleeding after intercourse
by CVSp, Dec 30, 2006 12:00AM
I've been recently diagnosed with high risk HPV and mild dysplasia.
Last year I was negative for both, so this is a new diagnosis. I am 48 and menapausal, so my cervical cells are not easily seen with the usual, in office proceedure. I am scheduled for a cone biopsy next week. I postponed this proceedure for about 6 weeks to get through the holidays. From what I read, it was not an urgent situation and my Dr. office never objected to the postponement. Anyway, recently I've notice vaginal bleeding after intercourse. It's not a lot and stops immediately. But I scared this early, mild dysplasia has advanced into cervical cancer. Is this likely so quickly? I am also starting to experience some burning in the vaginal area for a day or after sex. Can the infection also cause these symptoms? I guess I'm trying to keep a calm perspective about all this. It's hard to do!
Also, my boyfriend is aware of the virus, we have discussed it. Can we continue our sexual relationship after my treatment and healing? Should we use condoms, even though sometimes we break them? I wondering about reinfection after treatment. Is this a concern? Ending a loving relationship over this virus is devastating, please tell me that's not necessary. I need his support now more than ever.
Last year I was negative for both, so this is a new diagnosis. I am 48 and menapausal, so my cervical cells are not easily seen with the usual, in office proceedure. I am scheduled for a cone biopsy next week. I postponed this proceedure for about 6 weeks to get through the holidays. From what I read, it was not an urgent situation and my Dr. office never objected to the postponement. Anyway, recently I've notice vaginal bleeding after intercourse. It's not a lot and stops immediately. But I scared this early, mild dysplasia has advanced into cervical cancer. Is this likely so quickly? I am also starting to experience some burning in the vaginal area for a day or after sex. Can the infection also cause these symptoms? I guess I'm trying to keep a calm perspective about all this. It's hard to do!
Also, my boyfriend is aware of the virus, we have discussed it. Can we continue our sexual relationship after my treatment and healing? Should we use condoms, even though sometimes we break them? I wondering about reinfection after treatment. Is this a concern? Ending a loving relationship over this virus is devastating, please tell me that's not necessary. I need his support now more than ever.
Doctor's Answer
by H. Hunter Handsfield, M.D., Dec 31, 2006 12:00AM
, Dec 31, 2006 12:00AM
With apology, I cannot answer your first question for sure. Most cases of cervical dysplasia do not cause bleeding, but some may do so; I don't know how often. Your own provider will have a better answer. Chlamydia and other cervical infections certainly can cause bleeding triggered by sex, so if either you or your partner have had other partners in the past couple of years, and if routine STD testing hasn't been done, you should check with your provider about it.
Assuming you and your partner have been having sex in the weeks or months (or years) before your dysplasia was diagnosed, you can be certain he already has (or has had) the HPV infection causing your dysplasia. At this point, there is no reason whatsoever for you to use condoms. Your dysplasia does not require any change in your sexual practices.
Good for you for trying to keep your perspective. Aside from the inconvenience, this truly is a minor health problem. As long as you follow your provider's advice about treatment and follow-up, the likelihood of invasive cervical cancer is virtually zero. Within a few months it will fade into an insignificant event in your life. Don't make things worse by overreacting in terms of your sexual fulfillment!
Good luck-- HHH, MD
Assuming you and your partner have been having sex in the weeks or months (or years) before your dysplasia was diagnosed, you can be certain he already has (or has had) the HPV infection causing your dysplasia. At this point, there is no reason whatsoever for you to use condoms. Your dysplasia does not require any change in your sexual practices.
Good for you for trying to keep your perspective. Aside from the inconvenience, this truly is a minor health problem. As long as you follow your provider's advice about treatment and follow-up, the likelihood of invasive cervical cancer is virtually zero. Within a few months it will fade into an insignificant event in your life. Don't make things worse by overreacting in terms of your sexual fulfillment!
Good luck-- HHH, MD
HHH, MD
I have a past history of alcohol abuse. Been sober for 6 years now. No health problems thus far associated with it what so ever. I have a physical yearly and my Dr. confirms this for me. Do you know if this could increase my chance of cervical cancer?
I think you're probably overreacting. I know it sounds scary, but it's soooo common. This is really not a big deal--and really, nothing has changed. Do keep your followup appts and relax. In the meantime, you could try posting on the women's board, since lots of folks have had this experience. Or check out the HPV or GYN boards on WebMD. I haven't been there in a long time, but the mods and the regulars have always been extremely knowledgeable and I think you'll find their advice reassuring. And read through Dr. Handsfield's responses again. I think you will feel much better about everything :-)