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Re: GYNECOLOGIC: Moderate Cervical Dysplasia during Pregnancy

From: CLS (anonymous@obgyn.net)
Sat, 9 Aug 2008 12:22:51 -0500 (CDT)

Hi Erinella,

What did your doctor tell you when you were told the lab results of your biopsy? I think you do need to address this, but before you do anything,

1. Look at the lab report.

2. Get a thorough discussion of what you have, where it's located, how extensive it is, how many quadrants are involved, if it's in the endocervical canal, and if there is any glandular involved, especially endocervical glandular involvement.

3. Get a thorough discussion of the risks and benefits of all your treatment options - cryosurgery, laser, LEEP, and cold knife cone biopsy - before a recommendation is made. What you have will depend on what would be best for your condition.

If your doctor does not do all of the above, get another doctor, immediately. I'm very serious about this.

I am going to make one comment. Never trust a doctor who tells you the most inexpensive treatment option is your only choice. (Insurance companies like LEEP, so it's often pushed on women. It has its uses, but it's really just another option with risks and benefits, as they all are.) The doctor's recommendation may prove correct, but you need to know that, as you may qualify for any of the options or a different option may be more appropriate. It just depends on what you have. But you need to be educated about your condition and your options before you make a decision, and you need a doctor who cares enough and is ethical enough to want you to be educated enough to make an informed decision. It will also get you actively involved in addressing your health. That way the doctor is deciding with you rather than just doing something to you.

I hope everything turns out well for you!

At Sat, 9 Aug 2008, William F. von Almen, II, MD, FACOG wrote: >
>Erinella
>
>Current recommendations for moderate dysplasia, a high grade lesion are
>primarily geared toward removal via conization. I would suggest you do
>this before you conceive...Dr. von Almen
>
>At Fri, 8 Aug 2008, Erinella wrote:
>>
>>Hello, I just heard today the cervical biopsy I had done 3 weeks ago
>>came back with moderate dysplasia. Because this is likely caused by
>>HPV, will my body take care of it on it's own? I am trying to conceive,
>>and my main question is, is there blood in the epithelium of my cervix,
>>and if so, then my immune system will fight the virus, especially since
>>during pregnancy, the cervix becomes more vascular?
>>
>>Thank you for expertise
>
>--
> 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, they will receive no response.
>
>William F. von Almen, II, MD, FACOG
>Private Practice
>New Orleans, La.
>

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