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.
1 A positive result for high-risk type HPV-16 or HPV-18 should be followed up with colposcopy. 2  A positive result for the other 12 high-risk HPV types, such as HPV-31 and HPV-45, should be followed up with a Pap smear.  A positive Pap smear would be followed up with colposcopy.