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    Old 06-07-2007, 11:20 AM   #1
    purplepiegirl
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    hgsil

    I just received a call from my gyno and she said my pap came back with High grade squamous intraepithelial lesion. My question is does this automatically mean I have Hpv? Is this the only cause of hgsil? How scared should I be? I have lots of symptoms that have been going on for awhile.

     
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    Old 06-07-2007, 12:50 PM   #2
    Timber
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    Re: hgsil

    Well, yes, it basically does mean you have HPV. Almost all cervical dysplasias are caused by HPV. But so what? Almost all sexually active adults have been exposed to HPV. It's extremely common.

    You shouldn't really be scared at all, as long as you're going to keep up with your doctor appointments. Cervical dysplasias are essentially 100% treatable using very simple treatment methods. Early stages of dysplasia often go away on their own, but since you have HSIL, your doctor will want to treat it so that it doesn't progress to cancer.

    Your sypmtoms are probably unrelated to the HGSIL unless the symptoms are a sensitive cervix or bleeding after sex. There aren't really any major symptoms of dysplasia.

     
    Old 06-07-2007, 01:33 PM   #3
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    Re: hgsil

    NO!

    This does not mean you have HPV.

    I just went through the same thing. I had an abnormal pap which came back HGSIL/ll.
    I had 2 Colposcopys and a LEEP, all came back negative, and I did not have HPV, which one of the doctors kept insisting I had simply because she said that a high percentage of women with that DX has it!
    She actually told me that it would be a wasted test to test me for HPV because she was "sure" I had it.

    I do not have HPV, and all is well at this time.

    Insist that they actually give you a test for HPV so you will know one way or the other. I am not a person who likes guessing games. I have to know for certain what is going on. You may be in the percentage that does not have it!

    Good luck!

    Last edited by RouxWoman; 06-07-2007 at 01:37 PM.

     
    Old 06-07-2007, 07:49 PM   #4
    purplepiegirl
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    Re: hgsil

    To be honest I have no clue if I have been tested or not. If it is that common why arnt all sexually active women automatically tested with every pap?
    Its good to hear your tests were negetive RouxWoman

    actually my symptoms do include bleeding after sex, nausea and exhaustion. I am worried!

     
    Old 06-07-2007, 09:04 PM   #5
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    Re: hgsil

    Ask your doctor to test you. Almost all dysplasia (99% or something) is caused by HPV although, as RouxWoman points out, there are occasional exceptions. Or, RouxWoman's body may just have successfully eliminated the virus from her body by the time the test was performed.

     
    Old 06-07-2007, 11:27 PM   #6
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    Re: hgsil

    Like Timber said earlier, chances are you have a high-risk form of HPV that has caused these abnormal cellular changes on your cervix. Do get treated for that (with the LEEP, I imagine is what they'll suggest) and also get tested for the virus. There may be a slight chance that you don't have it (like RouxWoman), but percentage-wise you probably do. Don't let that concern you too much though-- I know it was quite a shock for me to hear of my testing positive for it last year, but after reading and researching all I could about it, around (if not more than) 80% of sexually active people will have had contracted some strain of HPV in their lifetimes. This is extremely common and I believe the reason we don't hear too much about it is because there's no test for men who have it-- therefore, millions of men are walking around out there who have HPV and do not know it and are merely carriers of the virus (unless they have a low-risk strain which in some instances they may exhibit warts). Don't let that fact scare you though-- it merely demonstrates how prolific this virus is. As you may have read in other posts, your dysplasia is highly treatable and with great success rates. But remember the LEEP or cryo does not *cure* HPV, it merely removes the abnormal cells so healthy ones grow in its place. This means that starting now, you should definitely boost up your immune system with supplements (search the board for older posts on this) and keep healthy and active so your body builds immunity to the virus in order to suppress it and keep it from causing dysplasia in the future. I hope this helps! Let us know how you get on-- wishing you the best!

     
    Old 06-10-2007, 11:22 AM   #7
    mrbonesmom
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    Re: hgsil

    My doctor said that HPV comes and goes and that it is possible to test negative for a while when you do have HPV, so really, it is the diagnosis of hgsil that tells you that you need to be super dillagent with paps and whatever else you need to do to get rid of those bad cells and keep them gone. The HPV is almost a given but even if you test negative it doesnt really mean anything because you still had/have those hgsil cells and you need to stay on top of that, so I guess taking the focus off what caused it, and looking to what you can do to get rid of it, is the way to go. Some of the reaserach I read about HPV also just says that there is a link. It isn't the same as saying if you have HPV you have these cells. I have CINIII and just had a LEEP. I also think it is a good idea to try to keep your immune system strong once you do get everything, so that you can help your body keep the cells away.

    Kim

     
    Old 06-10-2007, 07:14 PM   #8
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    Re: hgsil

    Thank you for your replies. Honestly I dont care about the hpv part of it but the gyno asked if I have it. Honestly Im more scared of my symptoms combined with the results of my pap.

     
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