Some more common symptoms of hypothyroidism include the following: 1  Weight gain. 2  Fatigue. 3  Muscle weakness or stiffness. 4  Dry or cold skin. 5  Heavy or irregular menstrual periods. 6  Constipation. 7  Elevated blood cholesterol level.
If the pap is negative for these 2 types, then we simply repeat the pap and retest the high risk HPV in one year. If the pap is positive for the type 16 or 18, we take a closer look at the cervix with a procedure called a colposcopy. This scenario of a normal pap smear that is unexpectedly positive for high risk HPV seems to be the most confusing and upsetting to our patients.
According to the National Cancer Institute, women should get their first Pap test at age 21, and then once every three years until they turn 29. Women who are 30 to 65 years old should have both Pap and HPV tests performed every five years, or a Pap test alone every three years.