This is my first time posting, I am so confused and I hope someone can help me understand.... In November, my pap came back abnormal. At that time I was 5 weeks pregnant, so the doctor just did a colposcopy to check out my cervix. She said I would probably need the LEEP done, but that it would have to wait until after I had the baby. Sadly, I miscarried a couple weeks later, so I went back for another colposcopy and biopsy at the beginning of January. The biopsy came back as high grade dysplasia. We scheduled the LEEP. From the end of November until the present time, I quit smoking, cold turkey, first because of the pregnancy and later because I knew that smoking makes dysplasia worse.
This past Monday, I had the LEEP. This morning, the doctor called me with the lab reoprts, saying that all the tissue came back normal. In essence, I didn't need the LEEP as somehow the high grade dysplasia went away on it's own from the time of the biopsy last month to now. She said this was rare but credited my quitting smoking and generally taking better care of myself these last few months as being what made the difference.
Has anyone ever heard of this? I am so relieved and she said just to breathe a big sigh of relief as everything looks normal. I will still go in 6 months for another pap, but this seems like good news. After all I have been through with the miscarriage and this dysplasia issue, I am afraid to get my hopes up. Could the pregnancy hormones/miscarriage have anything to do with this sudden shift from high grade dysplasia to healthy cells??? Thanks in advance to anyone who can share/help me understand...
Yes, I have heard of high grade dysplasia going away before, it can and does happen. It is hard to say what contributed to it going away - your body decided it wanted to fight it off, and did so successfully - which is great news Just be sure to keep your follow up appointments, hopefully you will have normal paps from now on!
Hi - your story sounds similar to mine, I don't know that I can help, because I left my post-LEEP check today and was still a bit confused, but there is strengh in knowing you're not alone. I had an abnormal pap in May 2005 and the report came back as 'can't rule out high grade cells' and so had a colposcopy/biopsy in June. The tissue came back normal. I had a second abnormal pap in Nov. 2005, this one came back as high grade cells, so I had a coloposcopy / biopsy in Dec. again, the tissue was normal. Following a lot of discussion with my ob/gyn I elected to have the LEEP; his main concern was that the abnormal cells were further up and out of reach of the biopsy. I agreed with his logic and to be truthful, I was hoping this would be the case and that the LEEP would get it all. So I had the LEEP done on January 4th. The pathology came back as completely normal.
Like you, I've made many life changes since the abnormal pap in November, I take a multi vitamin with high folic acid every day and am following measures to boost my immune system; eating organic foods when possible, taking extra vitamin C and diet / exercise changes.
My Doc has a few theories to explain the normal tissue. The first is that the abnormal tissue was in the cauterized area of the cervix, so it was destroyed and not picked up by pathology. A second thought is that the pap was overread and low grade cells, which clear up on their own frequently, were branded high grade. A third, is that the cells were high grade and my improved lifestyle helped them to regress; unusual, but not impossible. My personal favorite is that both paps were over-read and were in normal limits.
I'm scheduled for a repeat pap and HPV test in June. I want to know which strands I have and if they are not the high risk ones, I'll know I have breathing room. I've also decided that if it's abnormal I'd like to see a gyn-oncologist.
Good luck to you and everyone else out there with this issue.