<s>[INST] Hello. Im 28 years old and Ive never been pregnant an Im in good shape. They have told me that I have Low grade Cervical hypertrophy. I also had some infection that was treated with antibiotics.  They didnt recommend any specific treatment, they just recommended HPV vaccination and pap smear tests every 6 months. Is that enough or do I have to do anything else? [/INST] Hi, Low grade cervical dyskaryosis is a finding seen in approximately 10% of PAP smears in women in reproductive age group. Once, it is detected we advise the patient to do an HPV-DNA test, if this comes positive we advise the patient to undergo a procedure called Colonoscopy (Detailed examination of cervix and vagina under a telescope like instrument), it is a painless procedure, and it helps detect if there is any chance of disease on the cervix. If the HPV-DNA is negative, we advise follow up after 3 years not 6 months, for a PAP smear, as patients with negative HPV-DNA are low risk for cervical disease.HPV vaccination is not advisable in women who are already sexually active, and it's usually given in girls aged 12-15 years. I would not recommend the same to you. Hope this helps. Regards. </s>