So today I got some upsetting news from my doctor-- it turns out my biopsy results showed I have mild-moderate dysplasia (between CIN 1 and CIN 2). I was referred to see a specialist in July for either a repeat colpo/biopsy or a LEEP, depending on the doctor's recommendation.
I was wondering what treatment other women on this board were recommended with this biopsy result? I know CIN 1 is usually not surgically treated but CIN 2 and 3 are treated with LEEP or laser surgeries. However, since I'm between mild and moderate, what would the recommendation be? My primary care doctor told me that it depends entirely on the gynocologist and what procedures they prefer -- some being more aggressive or conservative than others.
While I do want this treated, I am a little hesitant to give the go-ahead to get a LEEP done, especially with the possible fertility risks it could pose (and I'm only 26 and want kids later). Does anyone have any suggestions or have been in similar situations? It seems to me that the treatment for CIN is entirely subjective and up to the particular doctor you are seeing. Any advice/comments would be greatly, greatly appreciated! My thoughts go out to everyone else out here on this board. Thanks for your support!
Hi LAgirl, when I had mild dysplasia I was asked to wait and have another smear 6 months later, when this smear turned out to be moderate dysplasia I had cyrotherapy, which eradicates the cells as opposed to taking a sample which is then sent to pathology.
I would imagine that since you have moderate dysplasia (if this is what shows up on your colposcopy) the doctor will decide on some sort of treatment, but like your primary care doctor said it is up to the individual doctor, they can have different opinions.
The other scenario is, that you have such a small area of moderate dysplasia that he will take the "watch and wait" option and just give you more regular smears for a while.
Whatever he does there is very little risk of your fertility being effected. This is more likely to happen if you have a cone biopsy caused by a large area of severe dysplasia, and even then they can take precautions when you finally do become pregnant so that your baby is born safe and well.
It would be a much lesser procedure for mild to moderate dysplasia so please try not to worry too much about this. I know it is easier said than done, but hundreds of thousands of women go through this every year. good luck with your colposcopy, but I know you'll be fine. xx
Thank you for your reply! You have no idea how much your kind words and advice means to me during this tough time. I know I will be fine, like all of us on here, but I think it's always so difficult to deal with the inital blow of the diagnosis-- it just takes some time to adjust and cope with the reality of the situation.
I will definitely wait to see what the gyno says-- in fact, I have made 2 appts with 2 different doctors to see what they suggest. I know that my university's insurance doesn't do the cyrosurgery any more and I'd like to find out why not. How was that procedure for you and how have your follow-up paps been? I'm curious to know about your case and how everything turned out for you after the procedure.
Are you taking any vitamin supplements boost your immunity and to suppress the HPV strain you have? I know a lot of women on here take multiple supplements, and I'm scheduled to see a nutritionist to really vamp up my immune system in the hopes of making the dysplasia regress...I hope!
Again, thank you for your well wishes, and I extend the same wishes to you. If you don't mind, please tell me how your follow ups have been? It's always so comforting to hear other women's success stories. Thank you and take care!
LA girl, while your news is upseting, is far from desperate. It's really something that will be taken care of, and far less serious than cancer (it's only the sign of anomalies, precancer cells that can be managed)
search this board for the herbal/multivitamin supplements if you would like to go for the natural/herbal treatmeant including IC3.
I will know the results of my Pap next week and definitely let you know if I'm a succes story in this one
In answer to your questions, the procedure wasn't that bad. To be honest I found the biopsies to be more painful. The area is numbed so it is more of an uncomfortable feeling as opposed to actual pain.
After my treatment in the september I had a 6 month follow up in march which came back normal and then this march I had my first yearly check up which also came back normal. I have to have another yearly smear next march and then if that comes back normal (fingers tightly crossed!) then I will go back to normal recall, which is 3 years (I live in Scotland). I'm not sure that I would want to leave it for 3 years right enough, I will probably still choose to have a yearly smear for peace of mind.
The only vitamins I take are a multivitamin and another folic acid vitamin. I have been taking these for about a year and a half now.