
On the road, answering anonymous questions during my Ask The Girlfriend Gyno chats on my book tour for What’s Up Down There?, questions about HPV -- human papillomavirus -- keep arising. With up to 80% of women destined to contract HPV at some point in their lives (if they haven’t been vaccinated), it’s no wonder this is such a big issue.
Many of the questions about HPV revolve around HPV diagnosed only on a Pap smear, without any symptoms, warts, precancerous changes of the Pap smear, or cervical cancer.
Because the HPV test is relatively new, these issues are too. For many years, we didn’t have an easy way to screen for HPV. And even when we did, it was often only used for women who had atypical squamous cells (ASCUS) on a Pap smear. But now, more and more docs are testing routinely for HPV, leading to a whole lot of confusion, panic, and issues of negative self image. So it’s no wonder these questions keep coming up.
Read More...The Origins of Pain
I saw a patient today who inspired me- let’s call her Sally. She suffers from a host of medical conditions that threaten to rob you of your mojo- fibromyalgia, chronic fatigue syndrome, and chronic pelvic pain. When this young woman walked into my office, she looked like crap. Before looking at her chart, I thought she had cancer. Gaunt and pale, her skin hung on her skeleton like she was in the last grip of life. During the first half hour, she didn’t smile once. I felt the anxious tug we doctors feel when we see people like this, the one that says “I’m not going to be able to help this person,” which triggers insecurities and, often, judgments, in our own minds. It becomes about us, rather than being about them. We have a tendency to turn off because we don’t want to fail. But I vowed not to do this. Sitting in her presence, I was determined to be present for Sally and sit with whatever is true, rather than letting my own stuff get in the way.
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