Hi, Thanks for all the information in these posts. I had my first abnormal pap about two months ago. I had a colposcopy shortly after that which showed CIN II-III, high grade dysplasia in the cervix and in the cervical canal. I had a LEEP two weeks ago and got the results today -- CIN II-III (no cancer) and the ecto-cervical results say "High Grade lesions extending to cauterized margins." The endo cervical results say "unable to evaluate margins."

I am not able to meet with my doctor until later this week. As you all might guess, I am nervous and wondered if anyone has any idea what type of treatment commonly follows results like these? If you think a second leep will be suggested, any ideas what impact this will have on my ability to carry a baby to term? (I am in my twenties, have no children, but hope to in the future).

thanks!

an additional question if anyone is able to help?

I remember that my doctor (who I just started seeing when this happened) said that LEEPs were something like 80% effective -- does the fact that the LEEP results did not have negative margins mean I need a new doctor? I guess I am asking whether the fact that the doctor didn't get it all means they are not good or experienced? Should I be looking for someone new??

any advice on this question or what the results of my leep mean would be really really appreciated!! As you can tell....i'm lost.

I'm sorry about everything that you are dealing with.

I don't know what treatment may follow yours, so I'm no help there. I had CIN III and I had the LEEP/cone biopsy and my margins were all clear. I have my first follow up in January to make sure nothing has come back.

My doctor told me that the more LEEPs you have the less likely you are to carry the baby to term. He told me that even one (depending on how much tissue they remove) can be a factor. I know they can sew up the cervix (sorry I don't know the medical lingo here) if you do become pregnant. I would discuss this more with your doctor because he/she would obviously be able to give you better advice given they know your history. My doctor and I discussed my not having any more children so he was able to be as aggressive as he felt he needed to be. This is also my second time dealing with this problem (the first time was CIN I that cleared on it's own with no treatment 6 years ago).

I don't see why you would need to see another doctor as long as you are comfortable. If you feel that someone could or should treat you better then by all means look around. But like your doctor said, they are not 100% effective.

Let us know how things go when you meet with your doctor.