my fiance had an abnormal pap a month ago and they immediatly set her up for a colposcopy, no further paps, during the colposcopy they found two white spots on her cervix and biopsied both of them, the only thing i know is they said she had lgsil, but that was after the pap, i didnt go with her to either appt. and she wont tell me anything except the doctor didnt tell her anything, which i think is a crock, and she has been really nervous and scared and quiet the last few days since the biopsy, can anyone clue me in to whats going on??? or what could be going on i know she hasnt got her results yet, it just really sucks seeing her scared like this because it makes me scared too, especially when i have no clue whats going on

The doctor may have told your gf what he thinks is going on based on what he saw during the colpo but wouldn't know for sure until the biopsy result comes back. So your gf may be worried about what the doc thinks it may be, or she may understandably just be worried anyway.

You said the PAP test came back as LGSIL? The biopsy will tell if that is indeed what she has. If so, it's mild and is typically monitored with a repeat PAP in 4-6 months. If it's moderate or advanced dysplasia, there are treatments to remove the bad cells. The important thing is that she stick to her follow ups and do all she can to stay healthy and boost her immune system.

~LCG

Hey Adam!

I think it's very sweet of you to come on this board in search of answers for your fiancee. I think with the more information you two garner with research and via this board, you will soon realize how common and treatable all of this is.

Since your fiancee has only had a low-grade pap result, there's no way of knowing exactly what's going on with her cervix. The biopsy results will explain everything, and as LCGirl said, depending on the type of dysplasia, the doctor will suggest a particular type of treatment plan.

All of us women on this board know what your fiancee is going through-- the worrying, the stress, the freaking out, etc. The best thing you can do is to support her and keep her calm and worry-free. If you stress out with her, it'll only aggravate the situation for her. You need to be her rock and source of comfort!

Try doing some searches online about HPV and dysplasia to understand a bit more about it. Do try and calm your girlfriend with these simple facts:

-HPV is the most common STD -- at least 80% of all sexually active people will get one or more strains in their lifetimes.

-Dysplasia (precancerous cellular changes) is a result of high-risk HPV. There are no other symptoms and you don't know you have it until it shows up on a pap smear result.

-All dysplasia is treatable. Even severe dysplasia is treated with LEEP or laser in which they remove the affected tissue on the cervix. Only a small percentage (1-2%) of women will have complications (scar tissue or incompetent cervix) on later childbearing -- but this is rare.

So you see, all of this is quite common and easily treated. Keep your fiancee calm and comforted and she will be just fine. Take care! :)

Adam,

I'm in the same boat as you--my gf and I are going through the same thing. When the doc does the Colposcopy, the biopsy samples will be much more accurate in tems of what level of dysplasia she has. The standard treatment protocols ae established by the ASCP (American Society Colposcolpy Pathology). You can read the most recent managment protocols and be prepared before-hand. I have researched the hell out of this and here is a summary:

Dysplasia is not a progressive condition; at least from Mild (CIN1). Despite what most people on this board have been led to believe, CIN 1 does not progress to CIN 2/3 (Even though you read that people believe this is what has occured, it's much more likely that the original biopsy missed a seperate CIN 2/3 lesion). Studies are finding that CIN1 (Mild dysplasia) has some unique properties in terms of its inability to advance. This is why they group CIN 2 with CIN 3--they are different than CIN 1 and they are truly pre-cancerous. Many reseachers contend CIN 1 is not actually precancerous. They almost always resolve on their own as the immune system kicks in. CIN 2/3 cells are more aggressive and require treatment to prevent progression. Be aware that many of these docs do practice "defensive medicine". They treat very aggressively whether or not its really necessary. I would wait to see what the biopsy shows from the colp. One more thing--PAPS, liquid-based or not, are sensitive but not specific. PAPS only give the lab a chance to see a few cells to look for dysplastic changes. It cannot determine whether or not the disease state is CIN 1, 2, or 3 or anything more specific (despite popular opinion). You must look at the full depth of the epithelium (skin over cervix) to see where the cells are located and what depth in order to determine CIN state. That's they do the biopsy. Even at that, the science of reading these slides and biopsy samples is subjective. One pathologist may call it "CIN1, Favor CIN 2", another may just call it CIN 2. To be sure, you should question the doc regarding the PAP result and how it compared to what the Doc sees during the colp (was the lesion large, mosaic, disctinct borders, etc) AND how the biopsy results compare. If there is any real discrepancy, it's probably best error on the side of caution. You also want to ask the doc if the lesion is fully visible and outside the cervical canal. If the lesion goes into the canal, it needs to be treated.

As for you, as her partner, (I'm in the same boat), everyone will tell you that you may have it but you have no visible signs: Bullcrap! Here's what I advise--soak you member in vinegar (5% acetic acid) for 1-2 minutes. It doesn't hurt. Then get a magnifying glass and look for small spots that have turned white. It does not take an MD or a "trained eye" to spot sub-clinical flat warts. If you see any, go see your urologist and ask his opinion. Even though this is a virus and it does not "ping-pong" (that is, once you and your partner have each others viruses, that's it. The virus remains within your skin) it is my belief that preventing future viral shedding into your woman can help her stave off future problems. This is yet to be proven scientifically. The other reason is that the HPV type that you have (any we may have more than one strain) may not be the same HPV that caused your woman's dysplasia--if you have sub-clinical type 6 which can cause warts, she may not have been to exposed to this yet so that's why I advocate getting yourslelf as clean as possible.

I'm in the same boat as you and I know how easy it is to worry and obssess about it--why I know so much about it. Whatever you, don't accept a Dr. recommendation at face value without getting all the facts. They want to prevent cancer--hell we all do, but they also like to make money. Any Dr recommending LEEP for CIN 1 (unless it's a recourant lesion) should be questioned. LEEP is over used and has many problems that most doctors downplay. If it's not truly necessary, don't do it. If she has CIN 1, get her on a folic acid supplement ASAP and force feed her veggies for 3 months. Also, I have found prayer to be very therapeutically beneficial. Don't under-estimate the power of prayer.

the results came in, good and bad,
the first biopsy came back in the clear,
the 2nd one came back with cin 2, and he said its progressed enough cryotherapy isnt an option, the doctor is sending her to another gyno to discuss it and set up a leep to be performed and theyre positive that will rid it completely. for some reason, neither one of us are near as stressed now, i think its cause were glad its not something more serious, it still sucks, but not near the level it could have. the way her doc was making it sound had us beleiving it was gonna be something life threatening and incurable.
(if you live in oklahoma never go to dr callory) he has a great way of scaring the living daylights out of everyone,
thank you guys for responding i ended up doing a lot of research after that and it helped a great deal,
much respect,
~Adam