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Re: GYNECOLOGIC: Mild to Moderate Dysplasia and LEEP
From: Allie (anonymous@obgyn.net)
Sun, 30 Nov 2008 16:43:57 -0600 (CST)
Thank you for that...I think it's a good idea that I find another
doctor. What she told me was that because it was not just Mild
Dysplasia, but Mild to Moderate (already having gotten to moderate),
LEEP was recommended. I might just find another doctor for a second
opinion before I decide on what to do. Her field is obstetrics and
gynecology, but I might look into setting up an appointment with someone
who specializes in gynecology/oncology.
I just feel like me being only 22, going directly for a LEEP procedure a
week after my colposcopy results come in, sounds a bit quick to act.
At Sun, 30 Nov 2008, CLS wrote:
>
>Allie, did your doctor take any biopsies and do an ECC during the
>colposcopy to validate that you do have mild to moderate dysplasia? In
>addition, have you
>
>1. Looked at the lab report?
>
>2. Gotten a full discussion of not only what you have, but where it's
>located, how extensive it is, how many cervical quadrants are involved,
>if it's in the endocervical canal, and if there is any glandular
>involvement? (She could draw a picture if that would help.)
>
>3. Did she give you a detailed discussion of the risks and benefits of
>all your treatment options - cryosurgery, laser, LEEP, and cold knife
>cone bipsy - before recommending one? This is a requirement.
>
>If you answer "no" to any of those questions, please get a different
>doctor. That you are asking on a forum about complications to LEEP (and
>there are risks with any of the surgery options) puts up a red flag
>about your doctor. You may want to get a different one, period.
>
>In the meantime, to help you understand HPV-caused dysplasia, here is a
>link.
>
>http://www.merckmedicus.com/pp/us/hcp/diseasemodules/hpvd/natural-history.jsp
>
>The internet and the library (especially a medical library) have a host
>of information for you. But regardless of whether you choose
>traditional surgery, alternative medicine, a combination of both, or set
>up Plan A and Plan B, please just make sure you are fully educated so
>that your decision is informed.
>
>At Sat, 29 Nov 2008, Allie wrote:
>>
>>Hi, I'm 22 and I had my first abnormal PAP smear results in September,
>>my first colposcopy a few weeks ago. The results from my first abnormal
>>PAP said that I had Mild Dysplasia (CIN I), but a colposcopy was
>>recommended to look into this further, although I was told this usually
>>clears up by itself. After my colposcopy, I went to my OBGYN for the
>>follow-up to discuss my results. She told me I had mild to moderate
>>dysplasia, and recommended the LEEP procedure.
>>
>>I'm a bit concerned if going for the LEEP right away is going about this
>>too hastily. I know this can cause some cervical scarring and possible
>>complications during pregnancy. I'm young/do not smoke/live a healthy
>>lifestyle. I am wondering if it would be OK not to go through with the
>>LEEP right now and see if this clears up by itself? Or is the LEEP
>>definitely needed for a MILD TO MODERATE DYSPLASIA diagnosis? I'm really
>>unsure about what I should do at this point--I don't want an unnecessary
>>procedure, and at the same time I don't want the dysplasia to progress
>>to something more severe.
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