WOMENS-HEALTH Messages for September, 1997: Re: Dysplasia

Re: Dysplasia

From: Amanda (anonymous@obgyn.net)
Mon, 15 Sep 1997 18:04:09 -0500 (CDT)

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In reply to: Kelly: "Re: Dysplasia"

JENNIFER, While I am not a physician I am certainly a woman who has walked in your shoes. Just last year when I was 25 I was diagned with severe cervical dysplasia. The LEEP procedure was performed but I continued to have abnormal pap smears (the last one showed mild dysplasia). I am now 5 1/2 months pregnant! I am certainly concerned about the abnormal pap smears but with information about my history my obstretrician has watched my cervix carefully and performed pap smears every two months. Cervical cancer is preventable and treatment but only if diagnosed and managed at the earliest possible time. Don't put off treatment and certainly don't be wary of the LEEP particularly when it comes to fertility-just educate yoursefl.

At Sun, 14 Sep 1997, Kelly wrote: >
>At Sun, 14 Sep 1997, Jennifer wrote:
>>
>>I have recently undergone a colposcopy w/ biopsies and the results came
>>back with high grade dysplasia. My doctor feels a LEEP cone procedure
>>is necessary and wants me to have it within one month. I'm 25 years old
>>and terrified this may affect my ability to have children. I have been
>>reassured the chances of this are small, but I still have reservations.
>>I know the LEEP is suppose to be more effective, I just wonder if
>>cryosurgery is an alternative? I certainly don't want to end up with
>>cervical cancer, but how fast can high grade dysplasia turn into CIS? Or
>>could I already have it?
>
>Jennifer
>
>I don't recommend cryosurgery with high grade dysplasia. One of the
>things I like about LEEP is the ability to treat as well as to get a
>bigger speciment to send to the lab -- it's kind of a "double check".
>The risk of cervical stenosis (the cervix scarring closed) or cervical
>incompetence (the cervix being weakened so it doesn't stay close during
>a pregnacny) are low, but not zero.
>
>High grade dysplasia can progress; how rapid it progresses is probably
>due to what caused it in the first place as well as how an individual's
>immune system is.
>
>Talk to your own doctor about your concerns. She/he has more
>information about you and should be able to address your concerns.
>
>--
>Kelly Shanahan, MD, FACOG
>S. Lake Tahoe, CA
>
>note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination.
>

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In reply to: Kelly: "Re: Dysplasia"

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