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Doctor insights on: Abnormal Paps After Leep Cryosurgery

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Dr. John cuong Doan
163 doctors shared insights

Loop Electrosurgical Excision Procedure (Definition)

This is a procedure done to remove a part of the cervix that is abnormal. Pts have leeps once they have had an abnormal pap smear and further evaluation warranted a leep to remove tissue off the cervix. This is both a diagnostic and therapeutic procedure. Its cuts the bad part out and it helps heal whatever other tissue is affected by ...Read more


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Can recieving cryotherapy or a Leep procedure due to an abnormal pap cause infertility?

Can recieving cryotherapy or a Leep procedure due to an abnormal pap cause infertility?

Orherway: The point of the procedures is to try to protect you from other potential issues. So you can preserve fertility ...Read more

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At what point should you seek a specialist after 3 pap results in dysplasia, mild-moderate then severe. Cryotherapy and leep procedure. now pap sever ?

At what point should you seek a specialist after 3 pap results in dysplasia, mild-moderate then severe. Cryotherapy and leep procedure. now pap sever ?

Another Leep: I understand that you have a diagnosis of severe dysplasia following a cervical Cone. This implies that they did not get all of the HPV severe dysplasia cells and you should return for another Leep. This may seem aggressive but this will ensure that all of the dysplastic sales are excised and that your new margin should be negative. In less you have dysplasia of the vagina or vulva as well. ...Read more

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I got abnormal pap test immediately following leep procedure. Did the procedure cause the problem?

I got abnormal pap test immediately following leep procedure. Did the procedure cause the problem?

No: No, but the dysplasia may not have totally resolved after the leep. It is very important that you follow up as recommended by your physician to determine if additional excisional procedures are needed to prevent the dysplasia from progressing to cervical cancer. ...Read more

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What are some more extensive evaluations and followup procedures to expect after multiple abnormal paps, cone biopsies and a leep procedure. ?

What are some more extensive evaluations and followup procedures to expect after multiple abnormal paps, cone biopsies and a leep procedure. ?

You named them: The procedures used to evaluate for pre-cancer cells of cervix are: paps, hpv dna probe, cervical biopsy, leep and cold knife conization of cervix. Typically a doctor will remove affected tissue of a cin 3 biopsy until the margins are clear of abnormal cells. At 29, docs should be conservative and try to remove as little tissue as possible, so not to ^ ur risk cervical incompet and preterm birth. ...Read more

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If had leep& the next pap is abnormal does that mean doc didn't remove all precancerous cells?If the next 2paps are abnormal should have 2nd leep done

Depends: The repeat paps are to determine if there are abnormal cells. It is possible that not all the abnormal cells were removed with the leep, but it is more likely that the problem has recurred - that is why you must have continued follow-up. The recurrence risk for moderate and severe dysplasia is as high as 50%. ...Read more

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Can getting a leep procedure stop you from having abnormal paps?

Can getting a leep procedure stop you from having abnormal paps?

Usually.: If you continue with the same life style (# of sexual partners, infections in the vagina) you could get the same problem. Follow up exams and pap smears are a must! ...Read more

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I've had an abnormal pap last year and a leep... And now another abnormal pap with high risk hpv, what can I expect?

I've had an abnormal pap last year and a leep... And now another abnormal pap with high risk hpv,  what can I expect?

Continued vigilance: Please follow your doctor's advice about regular check ups and any treatment recommendations. God forbid, the abnormality persists or get worse, you may need to consider a hysterectomy. ...Read more

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For the last few months i have felt a BB size bump om the cervix. I have had a abnormal pap and a LEEP about 7 years ago. ?

For the last few months i have felt a BB size bump om the cervix.  I  have had a abnormal pap and a LEEP about 7 years ago. ?

Bump on. Cervix: See your ob/gyn in the near future. He or she can take a good look at what you are feeling and remove it if needed. Good luck and feel better! ...Read more

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I am 22..Abnormal paps and it came back lsil. Had a colposcopy & biopsy which came back hsil. Do I have to get leep?How many choose not to & are fine

I am 22..Abnormal paps and it came back lsil. Had a colposcopy & biopsy which came back hsil. Do I have to get leep?How many choose not to & are fine

Don't have to..BUT: Hsil becomes cervical cancer in one out of five women. You could choose not to do anything but it would seem to be a very poor choice. We would all hate to see you perish from cervical cancer. ...Read more

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My pap test my pap test was abnormal, i did a biopsy last monday I have to go back on the 26th of this month. The doctor said base on the reults i might have to do a procedure call leep. My problem now is im having a discharge and it smells is their a ove

My pap test my pap test was abnormal, i did a biopsy last monday I have to go back on the 26th of this month. The doctor said base on the reults i might have to do a procedure call leep. My problem now is im having a discharge and it smells is their a ove

No simple answer: Leep is one type of treatment that may be appropriate depending on the exact pap result, your hpv status, your age, and the biopsy results. The treatment can also vary somewhat with your doctor's personal preferences. Check out guidelines from the asccp (there is even an app) to get a better idea of what your options are. ...Read more

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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?

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?

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. ...Read more

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Can I have normal pap smear after leep procedure?

Yes, very likely: You should not be surprised as it is expected to be normal unless the leep did not remove the previous abnormality completely. ...Read more

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How often should one get a pap test done after a leep procedure?

How often should one get a pap test done after a leep procedure?

3 moth then every--: We will consider that the leep was for cis/cin2/3 with negative margin. This suggests that you have predisposition for higher grade lesion (due to hr hpv). So you will need close follow up defined by your doctor. Usually first pap iafter 3 months and then every 6 months may be ok till consistently negative to be converted to regular pattern. ...Read more

Dr. Stephen Scionti
388 doctors shared insights

Cryotherapy (Definition)

Cervix cryosurgery is a surgical treatment to freeze and destroy abnormal ...Read more