Colp Results CIN 1, Dr wants Leep - Cancer: Cervical & Ovarian Message Board

kristina4752 · 08-26-2004, 01:51 PM

Hi.
About a month ago I had an abnormal pap that showed mild dysplasia with high risk hpv. I had a colpo done last week. My Dr's nurse called me and said that the doctor want's to do a LEEP. She wouldn't tell me much over the phone so I had her fax me the results.
They read :
Cervical Biopsy: Endo and Ectocervix with focal mild dysplasia, CIN 1 and Hpv effect.
Endocervical Curettage: Benign Endocervical glands, strips of squamous epithelium with reactive changes.

I am not scheduled to see my doctor until next week and trying to get more understanding of these results (particularly what "reactive changes" means) and why he wants to do a LEEP if it's only mild. I am only 19 and have read that they try to avoid doing a leep at such a young age. Any help would be great. Thanks!

kjane · 08-26-2004, 05:47 PM

I had CIN 3 and got leep. I am glad they caught yours at CIN 1. I don't know why your doctor wants to do leep but perhaps he just wants to make sure he gets the a bit of the surrounding cells to make sure it is completely gone. Since my CIN went to cancer stage 0 or carcinoma in situ I had a good bit of cervix removed along with cutting into lymph nodes to make sure it did not spread that far. now my cervix is a bit short. you will not have to deal with that issue. You were smart to get checked. take care.

MEL1980 · 08-27-2004, 01:31 PM

Hi! Your doctor wants to do a LEEP because your ECC (the opening of cervix called the OS) was positive for mild changes. Doctors perform leep for positive ECCs because they are a little more serious and are hard to see so they have to remove it w/o taking any chances. A lot of times it's a false positive b/c the doctor performing the ECC biopsy nicks another dysplastic area around the OS--this happened to me. I had CIN I but since my ECC was positive for CIN I they couldnt take any chances and I was told to have a LEEP. I had my LEEP and it went reallly great--the doctor removed everything w/ clear margins and told me my ECC came back negative, which meant a false positive! Ask your doctor about this and good luck!

DevilsLady · 09-04-2004, 10:41 PM

Kristina,

Why does whatever you read say not to get a LEEP at your age? Do they say you might miscarry and not be able to have kids? All a LEEP is is a cheese slicer type of tool (it's electric so you will be grounded - you may know this but I wasn't told anything so I was a little freaked out over all the stuff they were doing) that will "slice" off the bad parts.

And you do heal afterward. I had one doc try to tell me that I needed a hysterectomy after all the colpo's and the LEEP I had. She said I'd never be able to hold a baby in because my cervix was so scraped up. Luckily I didn't listen. I saw another doc just six months later for my annual. This doc couldn't tell that anything had been done on my cervix. It was a perfect, pink cervix.

So if having kids is the worry...well, don't. Your body will heal itself.

DL

kristina4752 · 09-07-2004, 08:05 PM

Thanks. I went ahead and got the LEEP done this past Friday. I had it done in the hospital and it was a breeze.