|
Re: GYNECOLOGIC: Moderate Cervical Dysplasia during Pregnancy
From: Erinella (anonymous@obgyn.net)
Sat, 9 Aug 2008 22:24:25 -0500 (CDT)
I'm 30 years old, and of the two biopsies that were taken, one was mild
dysplasia, and the other was moderate. My doctor said it was up to me
how I'd like to proceed, either waiting a few months and coming back in
for another check, or to go ahead and have a LEEP. I'm fairly confident
I will proceed with the LEEP, get it all cleared up, and then proceed
with becoming pregnant after enough time has lapsed where I've
recovered. My concern with this is incompetent cervix, or the opposite,
a failure to dilate. I wish there was a way I could see what she sees
down there... to determine how much of an area we're talking about
here. She made a reference to a clock, and it occupying a space of from
2 o'clock, to about 6 o'clock, but only on the rim.
I am curious about my original question still, regarding if there is
there blood in the epithelium of my cervix, and if so, then my immune
system will fight the HPV, especially since during pregnancy, the cervix
becomes more vascular?
Thank you both for your answers, and I most certainly will do everything
on your suggested list, good stuff, thank you.
At Sat, 9 Aug 2008, CLS wrote:
>
>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
>>
|
|
![[ Women's Health Forum ]](http://www.obgyn.net/images_women/wh-forum.gif)