Re: GYNECOLOGIC: Moderate Cervical Dysplasia during Pregnancy
From: CLS (anonymous@obgyn.net)
Sun, 10 Aug 2008 15:37:19 -0500 (CDT)
Erinella,
I'm glad you're taking care of this, but did you actually see the lab
report, get that thorough discussion of what you have, and did your
doctor discuss all of your treatment options, first, before making a
recommendation? In addition, if you still choose LEEP, how experienced
is your doctor with this? LEEP is very easy to do, but not all doctors
are experienced enough to do it. My sole concern for you is that your
decision is made by coming from a position of complete education.
There are women who have successfully cleared up dysplasia through
alternative means; it would definitely boost your immune system so that
you can fight off the persistent infection. (There is a website forum
set up for this.) But regardless of whether a woman chooses traditional
surgery, alternative medicine, a combination of both, or sets up Plan A
and Plan B, my belief is it's critical for a woman to make an informed
decision.
Has your doctor discussed the risks of cervical stenosis or cervical
incompetence with you and what will be done, if that occurs? Has she
explained amount of your cervix she'll remove if you have LEEP?
At Sat, 9 Aug 2008, William F. von Almen, II, MD, FACOG wrote:
>
>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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