About 6 weeks ago my 18 year old daughter was diagnosed with genital HVS 1 she had a positive culture/biopsy and a positive type spec. igg blood test too.
Two weeks ago she got her results back from her pap test it shows LSIL, however, her HPV DNA came back negative. Is LSIL always caused by the HPV? When she had her pap test done, she did have an outbreak of genital HVS 1 could that be the cause of LSIL? Her GYN does not seem to think so she said it's always caused by the HPV in her age group and it must be the non high risk HPV that she has. She takes the YAZ birth control pills.
The GYN recommended a colposcopy and we made an appointment for that. Any input would be appreciated..

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hi

Hi dansker,

Thanks for posting. LSIL is a Pap test reading that indicates cell changes that often turn out to be mild or moderate in nature and, especially in women your daughter's age, will often resolve on their own.

It is not a specific diagnosis of HPV but, here again, especially in younger women most often turns out to be HPV-related. LSIL can indeed be caused by low-risk HPV types; HSV would not be a common cause of LSIL Pap results.

HPV in younger women is usually cleared naturally by the immune system and is, fortunately, seldom dangerous. The important thing is for her to go back for follow up exams. Women under age 20 with LSIL Paps often return for follow-up Paps in 12 months, but sometimes health care providers like to be cautious and refer to colposcopy. Ask her provider if you have questions about this.

I hope this helps. Let us know if you have anything else to discuss.

Best,
Fredo

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ASHA Moderator