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Salt Lake City, UT
A 34-year-old female 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?

2 doctor answers5 doctors weighed in
Dr. Sewa Legha
Medical Oncology 50 years experience
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.
Dr. L. Collins
A Verified Doctor commented
A US doctor answered Learn more
Colposcopy would be the next step. You age and smoking status makes a difference. The younger you are greater the chance of things fixing by itself. Smoking is a huge risk factor for progressing to cancer.
Jan 20, 2014
Dr. Frederick Friedman
Obstetrics and Gynecology 36 years experience
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.

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