Key points
- This result is common, and it does not mean you have cancer.
- Your risk is intermediate. A repeat HPV test is due in 12 months.
- If HPV has cleared by then, you return to screening every 5 years.
- If HPV is still present, you may have another test at 24 months, or a colposcopy.
- You can usually collect your own sample for the repeat test.
What this result means
There are more than a dozen types of HPV that can cause cancer. The types other than 16 and 18 carry a lower risk, and the body clears most of them within one to two years. Waiting 12 months gives your immune system time to do this. Because your cells were normal or low-grade, it is safe to wait.
Your follow-up tests
- NowHPV found (not 16/18)Cells normal or low-grade. Repeat HPV test in 12 months.
- 12 monthsRepeat HPV testHPV not found: back to 5-yearly screening. Still present: usually a second repeat test at 24 months.
- 24 monthsSecond repeat testHPV not found: back to 5-yearly screening. Still present: colposcopy.
- At any stageColposcopyIf HPV 16 or 18 is found, or the cells show high-grade or glandular changes.
If HPV is still present at 12 months
The laboratory checks your cells again. If they are normal or low-grade, you will usually have one more test 12 months later. A colposcopy is recommended at 12 months instead if any HPV is found and you:
- are aged 50 or over
- are Aboriginal and/or Torres Strait Islander, or
- were overdue for screening by two years or more when HPV was first found.
When the next step is different
- High-grade or glandular cells
- HPV (not 16/18) with possible or definite high-grade (pHSIL or HSIL) or glandular changes means referral for colposcopy, not a repeat test.
- Weakened immune system
- Any HPV found means referral for colposcopy straight away.
If you collected your own sample
A self-collected sample can be tested for HPV but not for cells. If HPV (not 16/18) is found, you will be asked to return so that a clinician can take a sample from your cervix for a cell test (LBC), ideally within about 6 weeks. If more than 9 months have passed before you can return, a repeat self-collected HPV test may be offered instead.
Common questions
Why not have a colposcopy now?
For this result, waiting 12 months is safe and gives HPV time to clear. Most people avoid an unnecessary procedure this way.
Can I do anything to help clear HPV?
There is no medicine for HPV. If you smoke, stopping helps your body clear it. Quitline: 13 78 48.
Will I get a reminder?
The National Cancer Screening Register usually sends a reminder. Please also note the date yourself, or ask your GP to recall you.
Does my partner need testing?
No. HPV is very common, and partners do not need testing or treatment.
Can I keep having sex?
Yes. Condoms lower the chance of passing on HPV, but do not prevent it completely.
I am pregnant. Does this change anything?
No. The same follow-up applies, and a repeat test can be done during pregnancy if it falls due.
Questions to ask your doctor
- Which type of HPV was found, and what did the cells show?
- When exactly is my repeat test due?
- Can I collect my own sample for the repeat test?
- Do any of the reasons for an earlier colposcopy apply to me?
When to seek help
Please do not wait for your repeat test if you have bleeding after sex, between periods or after menopause, or ongoing unusual discharge or pelvic pain. See your GP or contact the rooms.
Who to call
- Rooms
- 03 8400 6193 — appointments and non-urgent questions, business hours
- Urgent, after hours
- Dr James Aridas, 0459 706 061 — urgent gynaecology concerns, and pregnancy concerns before 20 weeks
- From 20 weeks pregnant
- The birth suite at your booked hospital: Epworth Freemasons 03 9483 3833 · Cabrini Malvern 03 9508 6000 · Jessie McPherson 03 9594 2776
- Emergency
- Call 000 or go to your nearest emergency department