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Re: -occuring cervical dysplasia

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sun, 25 Jun 2000 19:44:31 -0500 (CDT)


At Sun, 25 Jun 2000, jln wrote: >
>In a few weeks, I am going to have another colposcopy (as I have been
>battling cervical dysplasia for a year and 1/2 now). Not only am I fed
>up with the routine pap smears every 3 months, followed by an abnormal
>result, then the colposcopy, then the cyrosurgery...), but I'm irritated
>with trying to find out "why" am I having this problem. I am 29 years
>old and in good shape, and although there are a few women in the family
>that have gone through this with success (i.e normal pap smears), I am
>worried. My last pap showed "possible HPV"-atleast that's what the lab
>wrote down as a possible problem. Of course upon reading this, I was in
>hysterics! I've done some research on HPV...how common it is among
>women, but don't quite understand that. My dysplasia is low-grade and
>has been, and I have had a normal pap smear between the cyrosurgery and
>the follow up pap. (I am thinking that this could be a good thing?)
>Because I am not getting the answers from my doctor (not much to say
>with an HMO!), I'm trying to find out the answers to my questions
>through research, and I am trying to change my habits through eating
>better and positive thinking!
>
>My question is...has there been any success through eating well,
>alternative medicine (i.e. accupuncture), and exercising? Will this
>dysplasia ever go away? I'm too young!
>
>--
>JLN
>

JLN

We all have patients that have recurrent dysplasia, and it is often a tough nut to crack. Even the best method is only about 95% curative on the first go. Lets talk about some things we do know.

First, dysplasia can be a sexually transmitted disease. Now, I am not assuming here, but if a male has any kind of HPV lesion, he may reinfect you after therapy. You may want to have him evaluated by a urologist knowledgeable in HPV. Better yet, use a condom.

Second, there are things you do that can influence HPV. One is smoking. It is known that something in smoke is felt to be a co-carcinogen to the cervix. The birth control pills are implicated also. They do not 'cause' dysplasia, but they keep the transformation zone exposed more so the risk is more. Also, keep your immune system up to par with extra vit. C and vit E.

Third, make sure your genitourinary tract is free of HPV. Make sure there are no external condylomas that could be seeding your upper tract (cervix).

Sorry this is so long winded, hope it helps.

--
William F. von Almen, II, MD, FACOG
Editorial Advisor-Pregnancy and Birth
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only. They are not meant to take the place of an examination by a qualified health care provider. They are not intended to be the start of a physician-patient relationship.




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