WOMENS-HEALTH Messages for November, 2008: Re: GYNECOLOGIC: Mild to Moderate Dysplasia and LEEP

Re: GYNECOLOGIC: Mild to Moderate Dysplasia and LEEP

From: CLS (anonymous@obgyn.net)
Sun, 30 Nov 2008 01:59:09 -0600 (CST)

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Reply: Allie: "Re: GYNECOLOGIC: Mild to Moderate Dysplasia and LEEP"

Allie, did your doctor take any biopsies and do an ECC during the colposcopy to validate that you do have mild to moderate dysplasia? In addition, have you

1. Looked at the lab report?

2. Gotten a full discussion of not only what you have, but where it's located, how extensive it is, how many cervical quadrants are involved, if it's in the endocervical canal, and if there is any glandular involvement? (She could draw a picture if that would help.)

3. Did she give you a detailed discussion of the risks and benefits of all your treatment options - cryosurgery, laser, LEEP, and cold knife cone bipsy - before recommending one? This is a requirement.

If you answer "no" to any of those questions, please get a different doctor. That you are asking on a forum about complications to LEEP (and there are risks with any of the surgery options) puts up a red flag about your doctor. You may want to get a different one, period.

In the meantime, to help you understand HPV-caused dysplasia, here is a link.

http://www.merckmedicus.com/pp/us/hcp/diseasemodules/hpvd/natural-history.jsp

The internet and the library (especially a medical library) have a host of information for you. But regardless of whether you choose traditional surgery, alternative medicine, a combination of both, or set up Plan A and Plan B, please just make sure you are fully educated so that your decision is informed.

At Sat, 29 Nov 2008, Allie wrote: >
>Hi, I'm 22 and I had my first abnormal PAP smear results in September,
>my first colposcopy a few weeks ago. The results from my first abnormal
>PAP said that I had Mild Dysplasia (CIN I), but a colposcopy was
>recommended to look into this further, although I was told this usually
>clears up by itself. After my colposcopy, I went to my OBGYN for the
>follow-up to discuss my results. She told me I had mild to moderate
>dysplasia, and recommended the LEEP procedure.
>
>I'm a bit concerned if going for the LEEP right away is going about this
>too hastily. I know this can cause some cervical scarring and possible
>complications during pregnancy. I'm young/do not smoke/live a healthy
>lifestyle. I am wondering if it would be OK not to go through with the
>LEEP right now and see if this clears up by itself? Or is the LEEP
>definitely needed for a MILD TO MODERATE DYSPLASIA diagnosis? I'm really
>unsure about what I should do at this point--I don't want an unnecessary
>procedure, and at the same time I don't want the dysplasia to progress
>to something more severe.

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