Conversation: The conversation between human and AI assistant.
[|Human|] My daughter is 18 years old with abnormal periods and was diagnosed at the age of 16 with the HPV.  She has not been back for a follow up and has not had a period in a little over a year.  This week she began to have hot flashes, should she be concerned?  She cant get in to see the Dr till next month.
[|AI|]  Hello, Welcome to Chat Doctor, Genita warts are mainly caused by HPV type 6, 11, 16 and 18. While HPV type 16 and 18 are associated with an increased risk of cervical dysplasia and cervical cancer, type 6 and 11 HPV is not associated with an increased risk of cervical cancer. Pap test is the most useful test to determine viral type; it can be used to take samples for typing of viral DNA and if the samples do not reveal HPV 16 and 18, you may not be required to go for such an aggressive procedure. Since your earlier tests have not revealed either of HPV, type 16 or type 18, therefore there is no need for such an aggressive procedure immediately. Probably your doctor wants to be sure about the finding and to rule out even a remote possibility of the high risk HPV types by re-testing. Thank you.