WOMENS-HEALTH Messages for January, 2000: Re: peated abnormal paps. Help needed!

Re: peated abnormal paps. Help needed!

From: anonymous@obgyn.net
Wed, 26 Jan 2000 11:07:03 -0600 (CST)

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In reply to: Michelle: "Repeated abnormal paps. Help needed!"

At Wed, 26 Jan 2000, Michelle wrote: >
>I had an abnormal pap with mild displaysia a year ago. My dr performed
>a colposcopy and the biopsy came back negative. He took another pap and
>it came back the same. I went through another colposcopy and the
>following pap came back with improvements. I had my annual exam in
>December and that pap came back with mild displaysia once again. They
>want to do another colposcopy, but I am a little frustrated. This would
>be the third colposcopy in a year! Besides the fact that we are trying
>to get pregnant (we have male factor infertility), I am getting tired of
>this! After the 2nd colp, my dr said that I might have to have a LEEP,
>which I would rather not have. My sister in law said that I should have
>cryosurgery instead of a LEEP, if it came down to it. Well, what I want
>to know is, how many of these colposcopies do I have to go through
>before my dr decides on another course of action? I trust my dr entirely
>but I also feel he is dragging his feet a little. Does anyone have
>similar circumstances and can share their experiences?
>Thanks!
>
>--
>Michelle
>

I can certainly understand your frustration. Repeated proceedures can be very irritating. Still, I think that your doctor is on the right track, and I would be very hesitant to have anything done to your cervix, especially since you are trying to conceive. Mild dysplasia can linger for quite a while, possibly a year or more, never progressing, never regressing, but it still does not need treatment. Both LEEP and cyrosurgery have the potential for complications that can impact your fertility, and should be avoided if possible. If you were to have a one of these done, I would lean very heavily in favor of the LEEP. Many doctors like it, but I think that cyro is a mistake. There is no tissue to examine afterwards, and it scars the cervix so that future colposcopies are difficult if not impossible. There is always a temptation for a quick fix, but in this case, allowing nature to take its course under close observation may well be the best solution.

--
William D. McIntosh, MD, FACOG
Clarksville, TN

This is for educational purposes only, and is not intended to be replacement
or substitute for consultation and examination by an appropriate medical
professional.  Due to time constraints, private e-mails cannot be answered.

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In reply to: Michelle: "Repeated abnormal paps. Help needed!"

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