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Hi there,
Pap smears done in women who have had a total hysterectomy are really looking for vaginal cancer, which is detected even less commonly than cervical cancer. A Pap doesn't screen the vulva for cancer (an even less common disease).
Herpes simplex virus (HSV) does not directly cause cancer, although as you mention some research has found that women with cervical cancer are also more likely to have HSV. Any potential connection isn't well understood; it may be that HSV is simply a "co-factor" that elevates the risk of cancer in a woman with a high-risk type of HPV due to an inflammatory effect, for example. That's one theory, but who really knows?
Bottom line is the presence of HSV shouldn't be a major cause for alarm re: HPV and cervical cancer, and the way a woman with both viruses is managed in terms of follow-up is exactly the same.
Hope this helps. Post anytime.
Best, Fredo
_________________ ASHA Moderator
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