At 26, I decided to get my first Pap smear after encouragement from some older friends who emphasized the importance of regular screenings, especially since I had been sexually active. Unfortunately, I had received little to no education about sexually transmitted diseases (STDs) or the importance of good sex practices. For years, I believed that “pulling-out” was an effective way to prevent pregnancy and was unaware of what HPV was, let alone the existence of an HPV vaccine.
I visited a public family clinic for the test. As I entered, I noticed a sign stating, “You need to be 26 to get the test done.” Although I should have left there and then, just seeing the sign, I stayed. After a week, I received a call regarding my test results. Everyone at the clinic (nurses, doctors, operators) mainly spoke in Cantonese and some broken English, which created a language barrier for me, an English speaker. This made me extremely nervous about getting the exam done and how often I would need to get it done and what a “good” result even was. When I got my test results a week later, they called me and said that my results were abnormal, revealing the presence of HPV and the potential risk of cancer and to come to the clinic to take my test results. The staff issued me a referral to see another physician, leaving me to choose a doctor without any guidance. Faced with this frightening news and vague instructions for a colposcopy—a biopsy of my cervical tissue—I felt overwhelmed and cried on my way home.
The following week, I went to a big hospital for the colposcopy. The doctor there spoke fluent English but failed to address my concerns in detail, simply assuring me that everything would be fine. While this reassurance was somewhat comforting, I needed more. I feel comforted by clarity, and the lack of a comprehensive explanation left me feeling unprepared. When my biopsy results showed that I had low grade lesions, I faced a scary reality: I would need to undergo tests every six months to see if the lesions on my cervix persisted. Despite my commitment to a healthy lifestyle—not drinking from alcohol for two years, not smoking, being vegetarian, and practicing yoga four times a week—I felt helpless and uncertain about my path forward.
A few months later, a friend recommended a doctor with excellent communication skills and patient-centered approach. When I visited this new doctor, I brought along my past medical reports, including the details of my HPV type. The doctor immediately informed me about the Gardasil vaccine, which could protect me from other HPV strains. This revelation brought me a sense of relief; I realized I could actively protect myself against additional strains and that the vaccine could potentially reduce the likelihood of precancerous cervical lesions and warts.
Although the Gardasil vaccine did not provide 100% protection against the specific HPV strain I already had, it made me feel better to know that I was taking steps to ensure I was protecting myself better. For the first time, I understood the immense value of having a compassionate doctor—one who took the time to explain options and make me feel safe and informed.
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