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View Full Version : I need some info. on colposcopy's?


 

 

 
clint3521
04-21-2004, 02:06 PM
I was diagnosed with HPV and I had an abnormal pap, but not too abnormal. My OB/GYN did a biopsy and said everything was fine, but she still wants to do a colposcopy. What is this and how is it done? I've heard you can't have sex for 3 weeks following, is this true? I'm getting married in 2 1/2 weeks and don't want to do this yet. We're also going to try having a baby right away, can this be done if I'm pregnant? Any advise would be great!! Thanks!

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KimRick
04-21-2004, 03:00 PM
:wave: A colposcopy (sp?) is when they look at your cervix through a microscope; usually a biopsy is done at the same time. If a biopsy is performed, you most likely won't be able to have sex until whenever they tell you - 3wks? If you're pregnant, they might not do the biopsy but the colpo is harmless. They usually won't perform any strenuous activity towards you're cervix until after the baby's born. If you're not pregnant yet, it's best to wait to conceive until after you've been given the ok by your doctor. Abnormal cells won't hurt the baby, but when you're pg, your hormones are all out of whack and that may cause the abnormal cells to progress faster.

GOOD LUCK!!!

csoar2004
04-21-2004, 03:01 PM
Hi :)
Check out the colpo info at this site: http://www.nlm.nih.gov/medlineplus/ency/article/003913.htm
You need to discuss the procedure with your provider and ask her/him the same questions you asked us. ;)

__________________
203/146/146 on the Fat Flush Plan for life and perky to the max :D

clint3521
04-21-2004, 03:28 PM
They've already done a biopsy and look through the microscope, so why would they want to do this again. Is there another procedure they are maybe wanting to do and I just have the name wrong? I know it's not the LEEP. Maybe they are just wanting to look again. I know I need to ask these to her, I just have a hard time discussing them. I'm better at writing. Maybe I should write them down and take it to her. Thanks for you help.

KimRick
04-21-2004, 03:51 PM
I'm the same way - I'm MUCH better on paper than I am in person! If it makes you feel better, write the questions down on paper and hand them to your doctor (my mil does it all the time!). The results from your previous colpo/biopsy probably didn't come back right and maybe they want to look again. The best thing to do is talk/hand your doctor your list of questions and go from there. ;)

They've already done a biopsy and look through the microscope, so why would they want to do this again. Is there another procedure they are maybe wanting to do and I just have the name wrong? I know it's not the LEEP. Maybe they are just wanting to look again. I know I need to ask these to her, I just have a hard time discussing them. I'm better at writing. Maybe I should write them down and take it to her. Thanks for you help.

clint3521
04-21-2004, 04:05 PM
The nurse told me that every lab person examines it different, but it was ok. Not cancer. So maybe they just want another one for a different opinion. Is it usual to have two?

KimRick
04-21-2004, 04:44 PM
No, it's not unusual to have a second opinion. Better safe than sorry.

The nurse told me that every lab person examines it different, but it was ok. Not cancer. So maybe they just want another one for a different opinion. Is it usual to have two?

clint3521
04-21-2004, 04:49 PM
very true! Just curious, how do you know so much about this? Have you been through it all. It really stinks going through this and is very depressing at times. Glad to see there's many others out there besides me.

KimRick
04-21-2004, 05:05 PM
Well, I've been through the biopsies & I am currently waiting to have a LEEP to remove the abnormal cells (haven't been diagnosed w/ HPV - yet) and I am currently studying to become a nurse. I would like to do labor and delivery or NICU, after graduation, so I'm really researching pregnancy and HPV and what harmful effects, if any, it has on a newborn. I'm chock-full of info! :D

very true! Just curious, how do you know so much about this? Have you been through it all. It really stinks going through this and is very depressing at times. Glad to see there's many others out there besides me.

clint3521
04-21-2004, 05:38 PM
Can yours been transmitted sexually? How exactly do they classify it as HPV? If you have the bumps on the outside, then I'm sure they say that's what it is. But if it's only on the cervix, then how? Have you found many cases where it's passed to newborns and is it very harmful? Good luck to you and your studies. You seem like you'd make a great nurse.

KimRick
04-22-2004, 01:46 PM
:wave: HPV is an STD that is tranmsitted through skin-to-skin contact, therefore, condoms will not protect you. It's also possible to get infected without sexual contact because it is transmitted through skin-to-skin contact (if you have a wart on your scrotum, thigh, etc. and touch another person or yourself elsewhere, you can pass it along that way). This is where the condom issue comes into play. HPV is also known to "incubate" for YEARS without ever showing a sign or symptom if infection. I've read where couples that have been together, monogamously, for 12 years or more and are just now showing signs of infection. On the other hand, for some people, it shows up right away. It really depends on the person and how well their immune system can fight it. That's why taking vitamins, daily, can be beneficial.

There are, currently, about 100 different strains classified as "high risk" & "low risk". The high risk strains are not associated with actual warts, but will cause you to have cervical cellular abnormalities (dysplasia) identified through abnormal paps. If left untreated, it will progress to cervical cancer (depending on the person, that usually takes 7-10 years; it's a slow process). The low risk strains are not associated with any cancerous cervical cellular abnormalities, but will cause you to have actual warts. It is completely possible to be infected with multiple strains at one time, causing you to have actual warts and abnormal cells. It's also COMPLETELY possible to be infected with the low risk strains and have actual warts not present on the vagina itself but "hidden" in the cervix.

There are no tests available to confirm infection. A blood test will not confirm infection because the virus doesn't live in the blood, it lives in the skin & because of that, men are considered to be "carriers" of the high risk strains (those strains show no signs of infection on men). Without a visible wart, diagnosis is impossible for men. There is a test out for women called The HPV DNA Digene Test, which is normally done on women who have had abnormal paps. This test identifies which strains a woman has been infected with & is usually performed on biopsied tissue. About 80% of the sexually active population is infected and don't even know it and therefore, condom manufacturers are changing the labels on their condoms to warn the public that this disease does exist and condoms aren't guaranteed to protect you from it!

I have also read that 99.7% of all cervical abnormalities are caused by HPV (which doesn't make me happy), 20% of all oral cancers (due to high risk strains) are attributed to HPV, & penile cancer has been linked to HPV. I'm not sure how much of that info is accurate, but it's what I've read on various websites, although each one says something different! There ARE other factors which would cause you to have abnormal cells, such as lack of folic acid & other vitamins, just delivering a baby, etc. I, for example, had an abnormal pap 8 years ago (after I had my daughter; 6 wk post partum check up), they biopsied my tissue, tested it and it came back negative for HPV (I'm also EXTREMELY deficient in the vitamin department) - so it does happen!

As far as the research on HPV and pregnancy, I've found that HPV cannot be passed to a fetus in utero because the disease doesn't live in the blood - which is good news for women that are infected with high risk strains. Although a vaginal delivery for women that are infected with low risk strains isn't advisable because when actual warts are present, you pose a risk of passing them along to the newborn during delivery. Usually when actual warts are present, doctors will do a c-section. Other than that, I haven't found a problem with being pregnant and having HPV.

The good news is medical scientists are currently working on a vaccine for this disease, but I'm not sure if it's targeted towards protecting women that are not infected or killing the virus for women who are infected. I guess we'll just have to wait and see! :rolleyes:





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