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.
If both tests are negative, no pap smear or HPV testing is done for at least 3 years. Annual exams with a pelvic exam are still recommended for these patients, but no pap smear needs to be done. Some women for whom we test for HPV will have a normal pap smear, but have a positive high risk HPV result.