WOMENS-HEALTH Messages for April, 2000: Re: CIN III

Re: CIN III

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Fri, 28 Apr 2000 13:10:32 -0500 (CDT)

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In reply to: Rachael: "CIN III"

At Thu, 27 Apr 2000, Rachael wrote: >
>Hi,
>I'm a 28 yr old female and two days ago my dr.'s office called and told
>me that I had an abnormal PAP and it was CIN III or severe. They told
>me to schedule a colposcopy and LEEP procedure immediately. I have
>never had an abnormal PAP before or any type of "female" problem and
>because of other problems I have no insurance and had not had a PAP in
>about two years.
>My question is how likely is it that CIN III is all I have?

First go to the front page of OBGYN.net and in the search box enter "Pap AND Braun" without the quotes. then press search, youshould come up with a URL to an article by me on OBGYN.net entitled What a normal pap smear means. That answers some of the questions you have in greater detail than I will go into here. A Pap smear is a screening test. It is meant to pick out, hopefully, everybody who has any abnormality on the cervix and noe who have no abnormality. It doesn't do either of those. It misses a few who have an abnormality and picks up a fair number who don't. Since CIN progresses slowly to cancer, we don't have to worry about missing 1 or 2 because they will show up next year or the year after and still not be cancer. The real thing the Pathologist was saying is that I think when you send me a biopsy, it will probably show CIN III. CIN III is the last stage of CIN before cancer. It usually takes an AVERAGE of 10 years to make that change. So today or next week ot this month probably doesn't matter at all. Next year might.

How much can >a PAP tell you? I'm concerned because they told me I need the colposcopy
>and LEEP immediately.

The Colposcopy will determine the need or lack of need for a LEEP. If a patient has CIN III or CIN II or CIN I in a confined area on the cervix and there is no evidence of involvement of the endocervical canal, many would treat that with cryocautery which is cheaper and easier thatn LEEP.

Could the PAP have been a misdiagnosis? Also, >I've smoked for 10 yrs and I'm quitting today, even though it's probably
>too late.

Never too late.

I am very, very scared. What are the odds that I'll be okay? About 99.999%

>Also, they said I probably have HPV.

That is what causes CIN.

I've been with the same person for >the last two years, am I going to make him sick? Is he at risk because
>of me?

You both probably had it before you met. 85% of adult Americans have HPV.

RDB

-- R.Daniel Braun, MD FACOG FOG

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private emails cannot be entertained due to time constraints, consequently no private emails will receive a response.

**Thank you for your understanding ;-)

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In reply to: Rachael: "CIN III"

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