Gynecologist, Ph.D. Dmitry Lubnin answers questions from readers of the Home.
Gynecologist, Candidate of Medical Sciences Dmitry Lubnin answers questions from readers of the Home.
A human papillomavirus has been detected in my blood, while there are no external manifestations. Some doctors believe that it is necessary to treat, and prescribe a powerful therapy, since this virus can provoke cancer. Others assure that, while there are no external manifestations, treatment is not required. Where is the truth?
The papilloma virus infected more than 80% of people who live sexually. It is believed that in order to become infected, even one sexual intercourse is enough. Condom and spermicides do not protect against infection. The human papilloma virus cannot be cured, its manifestations in the form of condylomas can appear and disappear. Western medicine has not found evidence of the effectiveness of any antiviral and immunomodulating drugs against this virus. Therefore, it is not treated in the world, if necessary, only strongly interfering condylomas are removed. You need to undergo an annual examination by a gynecologist, including colposcopy and a cytological smear, then you will never miss the very initial changes that could lead to cervical cancer. In our country, many drugs are persistently prescribed against this virus, but temporary remission is inevitably replaced by an exacerbation.
I am 25 years old, have not given birth, have been taking hormonal contraceptives for several years. There are no side effects, all the tests are in order, but doctors say that it’s harmful to drink hormonal contraceptives for so long, and they advised to insert a spiral. Which is better in your opinion?
Take breaks in taking hormonal contraceptives should not be. This is an outdated view. In fact, interruptions can even negatively affect the functioning of the reproductive system - the cycle may go astray, side effects appear. That is why modern contraceptive schemes suggest a long reception without interruptions in menstruation - then their protective effect against many gynecological diseases is more pronounced, which cannot be said about the spiral, which, on the contrary, increases the risk of a number of gynecological problems.
I had a delay of two weeks, the test showed two strips, then the menstruation came. The doctor said that everything is fine. But was the test positive?
You most likely have had a complete miscarriage, but this situation is not always unambiguous. If the test shows a positive result and after some time passes menstruation (often meager), you should always exclude the possibility of an ectopic pregnancy and be sure to consult a doctor, since an ectopic pregnancy is a life-threatening condition. If your pregnancy test seemed dubious to you, you can always do a more accurate study - donate blood for HCG. Its result is always easier to interpret.
Other advice of a gynecologist read in the rubric "Women Health".