Re: Abnormal 'normal' paps after surgery
From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sat, 5 Aug 2000 21:50:02 -0500 (CDT)
No, this isn't the "norm". With recurrent ASCUS, even with "favor
reactive process", it would be well within recent guidlines to undergo a
repeat colposcopy, especially with a previous moderate/severe dysplasia.
Another option (either alone or in conjunction with the colpo ) would be
a HPV determination. There are low risk and high risk sub-types and
this may assist in management.
HSM
At Fri, 4 Aug 2000, CMM wrote:
>
>I had LEEP surgery in 1998 to remove moderate/severe dysplasia. Since
>that time, I've had 6 paps all indicating "ASCUS favoring reactive
>cellular changes." I was just informed by doc and nurses that is
>probably now my "normal" reading since the surgery...like a new
>baseline. Is this normal for women who have undergone LEEP? Should I
>insist on more testing/treatment?
--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York
**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 ;-)
Please be aware that all e-mail on this forum is archived and can be viewed at
http://forums.obgyn.net/womens-health,
http://forums.obgyn.net/pregnancy-birth or
http://forums.obgyn.net/young-women
and is accessible to anybody on the
internet including internet search engines. This should be taken into
consideration before sending postings of a personal or confidential nature.
![[ Women's Health Forum ]](http://www.obgyn.net/images_women/wh-forum.gif)