How accurate are HPV tests?

The absolute accuracy varied by clinical setting. In the context of screening, HPV testing on self-samples detected, on average, 76% (95% CI 69-82) of CIN2 or worse and 84% (72-92) of CIN3 or worse. The pooled absolute specificity to exclude CIN2 or worse was 86% (83-89) and 87% (84-90) to exclude CIN3 or worse.
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How common is a false negative HPV test?

With HPV tests, the false negative rate is only 5%. Here's how HPV testing would work. Up until around age 30 (experts differ slightly as to the appropriate age), women would be screened using Pap tests.
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How accurate is Pap smear for HPV?

The sensitivity of the Pap smear was 100% (95% CI, 86.68 to 100) and specificity was 94.68% (95% CI, 88.15 to 97.71). The sensitivity of high-risk type HPV test was 68.97% (95% CI, 50.77 to 82.72) and specificity was 54.92% (95% CI, 46.07 to 63.46). Nine cases were negative for HPV (9/30, 30%).
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Can HPV test false?

Risks. As with any screening test, an HPV test carries the risk of false-positive or false-negative results.
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Can you test positive for HPV and not have it?

With HPV it can be very difficult to pinpoint when you were exposed, because it's possible that the virus was in your system for a long time before it was detected. People often never know they have caught it or passed it on. “HPV could've been there for years before it shows up, if it ever does,” says Ramondetta.
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HPV test vs. Pap smear: Mayo Clinic Radio



How often are HPV tests false positive?

It's up to 30 percent of people [who] are falsely positive." These false positive cases can lead to unnecessary, higher risk follow-up procedures, like biopsies.
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Can HPV come back after negative test?

An HPV test will come back as a positive test result or a negative test result: Negative HPV test result: High-risk HPV was not found. You should have the test again in 5 years. You may need to come back sooner if you had abnormal results in the past.
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How do I know HPV is gone?

Most strains of HPV go away permanently without treatment. Because of this, it isn't uncommon to contract and clear the virus completely without ever knowing that you had it. HPV doesn't always cause symptoms, so the only way to be sure of your status is through regular testing. HPV screening for men isn't available.
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Do I need a colposcopy if I have HPV?

If you test positive for HPV 16/18, you will need to have a colposcopy. If you test positive for HPV (but did not have genotyping performed or had genotyping and tested negative for 16/18), you will likely have a colposcopy.
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Can you clear HPV after 30?

There is no cure for HPV, but 70% to 90% of infections are cleared by the immune system and become undetectable. HPV peaks in young women around age of sexual debut and declines in the late 20s and 30s. But women's risk for HPV is not over yet: There is sometimes a second peak around the age of menopause.
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Can HPV be missed on a Pap smear?

In fact, many women with HPV will never have an abnormal pap smear. That being said, routine screening with your provider is the only way to follow any changes to the cervix that could lead to cervical cancer.
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What does it mean if your Pap is normal but HPV is positive?

A positive HPV test means you do have an HPV type that may be linked to cervical cancer. This does not mean you have cervical cancer now. But it could be a warning. The specific HPV type may be identified to determine the next step.
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How often should I get a Pap smear if I have HPV?

every 5 years with high-risk HPV testing alone. every 5 years with Pap and high-risk HPV cotesting. every 3 years with a Pap test alone.
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What is the most accurate test for HPV?

The Pap test looks for cell changes on the cervix that could progress to cervical cancer. The HPV test looks for HPV, the virus that can cause those cell changes.
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What happens if you have HPV for 3 years?

If you still have HPV after 3 years, you may need to have a colposcopy. You'll be asked to have a colposcopy. Information: HPV is a common virus and most people will get it at some point.
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How painful is a colposcopy biopsy?

A colposcopy is nearly pain-free. You might feel pressure when the speculum goes in. It might also sting or burn a little when they wash your cervix with the vinegar-like solution. If you get a biopsy, you might have some discomfort.
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Should I tell my partner I have HPV?

Unlike other STIs, there is no treatment for HPV, so it is not necessary to disclose HPV to current or previous sexual partners. However, a woman may still chose to do so, so it is important to understand information needs and concerns around disclosure.
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How can I clear HPV from my system?

Treatment
  1. Salicylic acid. Over-the-counter treatments that contain salicylic acid work by removing layers of a wart a little at a time. ...
  2. Imiquimod. This prescription cream might enhance your immune system's ability to fight HPV . ...
  3. Podofilox. ...
  4. Trichloroacetic acid.
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Can your body clear high-risk HPV?

Common high-risk HPV types include HPV 16 and 18. Infection with HPV is very common. In most people, the body is able to clear the infection on its own. But sometimes, the infection doesn't go away.
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Can HPV go away in 6 months?

90% of new HPV infections will clear up or become undetectable on their own within two years, and most of these infections will actually clear up in the first 6 months. Long-term infections of high-risk types of HPV, which have the potential to cause cancer, are estimated to occur in only 1% of those infected.
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Can you have HPV for life?

You can have HPV for many years without it causing problems. You can have it even if you have not been sexually active or had a new partner for many years.
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How long does it take to clear HPV?

For 90 percent of women with HPV, the condition will clear up on its own within two years. Only a small number of women who have one of the HPV strains that cause cervical cancer will ever actually develop the disease.
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Does HPV 6 and 11 go away?

HPV types 6 and 11, which are linked to genital warts, tend to grow for about 6 months, then stabilize. Sometimes, visible genital warts go away without treatment. If you need treatment, your doctor can prescribe a cream that you can use at home.
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What percentage of HPV tests come back positive?

Biopsy results can reveal a range of disease states, including normal, low-grade to high-grade precancer, and cancer. Overall, 46% of women in the study had a positive dual-stain test result and 51% had an abnormal Pap test result.
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Why don't they test for HPV under 30?

Most women and men under the age of 30 have been exposed to HPV. For most people, the virus will be suppressed by their immune system within a few years and won't turn into cancer. So we test women under 30 with the Pap test only to see if their cervix is undergoing unusual changes that could become cancer.
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