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.
One of the following for women aged 21 to 24: 1  Repeat Pap test at 12-month intervals; if two consecutive negative tests, return to routine screening. 2  Reflex HPV test; if HPV-positive, repeat Pap in 12 months; if HPV-negative, return for Pap testing in 3 years.