I have mild displasia. Had the colposcopy and the biopsy after a "low" reading on a pap and the answer was mild displasia. Some of it is a bit high up. My doctor's initial suggestion was a cold cone biopsy, but when I asked about LEEP he said - sure, we can do it that way. He said it without any hesitation and when I pressed him further by asking if he was comfortable with that he replied that he was very comfortable with it. He said that sometimes a LEEP does not give clear margins and you end up having to have two procedures, but said that is somewhat rare. I am much more comfortable with the LEEP - really did not want to face outpatient surgery and anesthesia as I have been through a lot this year physically and wasn't ready to handle that. I do wonder why the cold cone was his first choice.

So, my questions are - does this sound acceptable and did I make the right choice? From what I have read, cold cone biopsy is pretty much only used today in severe cases and most doctors use the LEEP first. I am very respectful of authority figures, so I feel a bit uncertain having questioned my doctor, who I do like very much. My husband says however that had the doctor felt there was a problem with my preferring LEEP that he would have said so and discouraged it.

I know I am a bit over the top with all of this, but it has been a long three weeks of waiting for results and I can't seem to calm myself. This followed on the heals of other medical issues the past eight months - none overly serious, but certainly enough to wear me down physically and emotionally. Guess I am just looking for some reassurance and sanity at a time that is in short supply for myself.

Thanks so much,

glowing4

I think that is an acceptable and wise choice. You have mild dysplasia so I wouldn't think a cone would be necessary. You would be better off (in my opinion anyway) to try the LEEP first and seeing if that takes care of it.

I had both the LEEP and the cone for my severe dysplasia. I believe the did the cone higher up in the canal just to be sure he got it all.

If you are uncomfortable with this decision don't hesitate to get a second (or even third) opinion. It's your body and your health and you should be at the very least comfortable with the choices you are making.

Thank you happymom, your kind and most thoughtful words meant a lot to me. I am menopausal so I think therein lies part of his first suggestion as the cervix does turn inward. However, he biopsied all of that and it all came back as mild. I feel much better about trying the LEEP first and going from there if it doesn't take care of it. Always those bothersome doubts though about making the right choices! Thanks again.

glowing4