YOUNG-WOMEN Messages for March, 2002: Re: Cervical Dysplasia...still?

Re: Cervical Dysplasia...still?

From: William McIntosh, MD (anonymous@obgyn.net)
Wed, 13 Mar 2002 09:34:35 -0600 (CST)

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At Tue, 12 Mar 2002, Sarah wrote: >
>I have been going to a gynecologist since I was 17 (I'm 24 now)and had
>normal Pap smears until November 2000. At that point it was said to be
>abnormal and I was sent in for a colposcopy in December. The results
>came back with Mild and some Moderate Dysplasia. A LEEP was performed
>in February and the next two Paps still came back abnormal. A colp and
>LEEP were performed again in the fall of 2001. Only mild dysplasia, but
>still in the same spots. Two more Paps and the same thing again! I just
>went in for a colposcopy again, for the third time, and I actually
>started crying at the end. The doctor doesn't seem to really have any
>answers or ever offer any alternatives. The only other interesting
>information I gleaned from her was that she did a DNA evaluation to see
>if I was prone for cervical cancer and it came back negative. She
>seemed pleased by this news, but what does it really mean to me? Do I
>just keep going through the same process? The cells seem to keep coming
>back and I feel like I should be doing something to help! I don't
>smoke--I exercise fairly frequently, I'm not overweight--I'm at the
>point where I'm seriously considering buying this stuff called

I would bet on scam, not treatment. I know how frustrated you must be, as I have patients just like you in my own practice. The good news is that as time goes on, your body will probably become better at controlling the virus that causes this problem, HPV. The virus is there for good for all practical purposes, and at the moment, it appears to be quite active. The natural course is for your body to get better at controlling it. In the meantime, all you and your doctor can do is keep a close eye on things, and make sure that nothing gets out of hand. I tend to become more conservative after a LEEP or two myself, and am very reluctant to do a third.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

Next message: William McIntosh, MD: "Re: Staph Infection"
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In reply to: Sarah: "Cervical Dysplasia...still?"
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