Hello.

Thanks for writing to DoctorSpring.com with your health concern.

You should realize that there is a whole spectrum of  ' abnormal ' as far as Pap smears are concerned.

Without really knowing the specific report, it would be precocious on my part to comment.

- Can you please upload the report ?

Short of the report, here is what I can tell you -

1. If the doctor said it can wait, it can. It must be a low grade abnormal pap.

2. With an abnormal pap and positive HPV, yes, colposcopy is the next recommended step.

3. Do not freak out, if it had been something as bad as cancer, she would not have said it could wait.

4. Please mention your age .

5. Post coital bleeding is a common symptom that corelates with an abnormal pap, it could indicate a low grade lesion on the cervix, infection in the cervix etc.

6. The bleeding after sex is very less likely to be blood accumulated from the missed periods - the abnormal Pap points towards a specific reason for that problem.

7. Hormonal changes CANNOT lead to false positive for HPV.

8. Yes, HPV can affect the oral cavity and the anal area too.

All said and done, worrying wont help.

There IS no cause for worry until and unless you know the specifics of the report and have a colposcopy.

Please have protected sex, considering the positive report for HPV.

All the best.

Please feel free to discuss further.

Hello.
The low grade abnormal Pap too can cause bleeding after intercourse.
To be tested for these two STDs, 6 weeks of exposure is enough.
I do not think there could be a false negative here.
You need an internal exam - per vaginum and per speculum, and also a pelvic ultrasound scan.
That would show any fibroid, polyp etc that could be causing the post coital bleeding. Take care.