got asked after school best. We ports you had some concerns about HPV . And the idea you know all the different strains. And I think her main question and maybe you can help me answer this is that if you if she tested. Negative not on the pap smear but on the actual test for HPV . Does that mean that she is. Is that it's never gonna come back that it's that it's gonna or what does that mean. It's a very commonly asked question Laura and one that -- a lot of anxiety for a lot of patients. On HPV as she -- sexually transmitted disease so common that 50% of adolescents who engage in sexual activity have been exposed to it to me. Dad does not necessarily mean that you'll come up on the pap smear screening but the new way of performing any pap test which is a test for. Screening for cervical cancer didn't by using their liquid mediums and -- A preparation automatically will identify the presence of an HPV . Associated associated changes. If a person in. Has. Been recently affected arm. And it'll show up it often. In an immune competent host meaning and healthy person with a healthy immune system -- Can actually disappear. Dad doesn't mean that the virus it disappears it's much like any other viral infection once infected there is a presence of that virus is. His magic does then I gave Susan this information because I was saying that I didn't think it was like herpes like where it's basically bear for ever and can. And can have a break out at any time yeah that your same at HPV is basically is -- basically the air but not necessarily in clinically relevant or detectable amounts. So could she get re infected

at what was previously felt was that the natural history of positive HPV HPV exposure. To a bit tight. And development of cancer. Did. -- the latent period during that period between get exposure and possible.

claimants sells anti hey Eric is that is that part of all HPV packed into what risk does not have to be in the -- as a man He. A consequence of just have and a host of other inflammatory conditions not on not HVV but the beauty of liquid. Pap test is that. We do test for HB -- if you haven't ask us and your HPV test is negative it definitely should be managed conservatively. You can hear the doctor Laura Berman show every week day on Oprah

accident a week. But we do now. That data anal intercourse. Ian HPV especially and then -- -- of men. Is is is increasing. On in that concerns. And it seems to be increase saying

listener but they had to go not to for the break. Can HPV affect a women a woman's menstrual cycle and lead to lots of bleeding you know the answer to that. The answer as

is significantly greater so I'm thinking that this -- you know has HPV but if she has HPV . She. May be more likely to have chlamydia. As you mentioned -- gonorrhea. Have urgent Arab whenever general testing recommendations that you