WOMENS-HEALTH Messages for August, 2008: Re: GYNECOLOGIC: Moderate Cervical Dysplasia during Pregnancy

Re: GYNECOLOGIC: Moderate Cervical Dysplasia during Pregnancy

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sat, 9 Aug 2008 22:43:15 -0500 (CDT)

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Erinella

No, no vascularity in the epidermis. Your bodies immune system can do a good job of fighting the disease via other means than blood borne immune mediators, but when you have high grade disease, you have a greater burden of abnormal tissue as well as more aggresive virus. It sounds like about 30-40% of your cervix is involved with the dysplasia...Dr. von Almen

At Sat, 9 Aug 2008, Erinella wrote: >
>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, 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
>>>

-- 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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