A member asked:

Abnormal pap/hpv 16 in may 2013, colposcopy june 2013 cin1 (doctor said looked like cin2), repeat pap jan 2014 abnormal . colposcopy or leep next?

5 doctors weighed in across 2 answers
Dr. Sewa Legha answered

Specializes in Medical Oncology

Let your gynecologis: Let your gynecologist guide you. You could also benefit from a second opinion from another gynecologist. As long as you do not have cin-3, there is no rush to do any leep. These changes are slow to progress or regress. So as long as you are under close supervision of a good gynecologist, you should do fine.

Answered 6/22/2017


Dr. Frederick Friedman answered

Specializes in

There are options: While hpv 16 + 18 are associated with high risk for cervical cancer, most pts with these will never develop cancer. However careful f/u and evals are mandatory. If the repeat biopsy was high grade sil (cin2 or 3) then either leep or close f/u is acceptable; most gyns would opt for treatment (leep) in pts older than 30 with high grade lesions.

Answered 1/28/2014



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