Naughty A:
I'm interested in your comment quoted below:
- do you go for a regular cervical PAPP smear ? ... well if you are having anal sex with your regular partner (ie. husband) even occasionally - you are supposed to have one there too -
Did your MD actually tell you this?
The Pap smear is designed to detect changes in the cells found at the so-called "squamocolumnar juction" of the cervix. Such a smear would be completely useless if done from a rectal or anal scraping, and I know of no doctor who would advocate such a test. You will *not* get precancerous/cancerous changes in the anal/rectal region from HPV exposure.
Now, if your MD claimed you can get genital warts in the anal/rectal region from unprotected anal sex, that's a different story ... and there *are* swabs/cultures that can be collected to check for that, although I think simple inspection usually gives things away!