Doctor insights on:
Cervical Dysplasia Colposcopy
In January of 2014 I underwent a LEEP procedure for cervical dysplasia and HPV. The margins were clear, and my 6th month followup pap was normal. However, at this 1 year followup my pap is abnormal again, requiring another colposcopy. I am only 26, and w
I have had a colposcopy and a leep for cervical dysplasia and my follow up pap shows another low grade lesion. I have HPV. I'm worried about fertility?
Good to be concerned: Studies have shown that patients who have had a LEEP procedure may have a higher incidence of cervical stenosis or premature delivery from cervical incompetence. However HPV alone will NOT prevent you from getting pregnant assuming there are no other factors like tubal occlusion or lack of ovulation. If the HPV progresses to overt cervical cancer then fertility options will be revisited. ...Read more
Abnorm pap and + HPV test then colposcopy and biopsy. Result low grade CIN 1 cervical dysplasia. Chemical peel done and flouroplex prescription vag. What is it?
The drug blocks synthesis of dna in rapidly dividing cells (pre-cancer cells). Did they put that cream on the cervix, though? I haven't heard of that management for cin 1. Most doctors will watch cin 1, according to guidelines of asccp: http://www. Asccp. Org/portals/9/docs/asccp%20updated%20guidelines%20%20-%203.21.13.Pdf
and then go to "figure 13". ...Read more
Precancerous cells: Dysplasia of the cervix are cells which are showing cellular changes consistent with pre-cancerous lesions. They are graded as low-grade (atypia or cin-1) or high-grade (cin 2, 3, or carcinoma in situ). Low grade cells can be followed while high grade lesions need to be identified (colposcopy) & removed (leep or cone biopsy). ...Read more
Yes: Cervical dysplasia, or precancer cells, often go away without treatment and the hpv virus that stimulated the cells to become abnormal can also disappear. If cervical dysplasia doesn't go away, it is treatable and curable by procedures like freezing, laser, or leep which can remove all evidence of abnormal cells along with the hpv virus. ...Read more
Cervical Dysplasia: Tests for Cervical Dysplasia include serveral - starting with the PAP test, which is cytology (cells) from the cervix. If this or the High Risk Human Papilloma Virus test is positive, colposcopy (microscopic exam) is done and biopies are taken (small tissue samples). This allows for detection of Uterine Cervical Dysplasia. Treatment is another topic entirely. ...Read more
Several methods: Cervical dysplasia can be treated by a cone biopsy or leep procedure (in which a small portion of the cervix is removed), or sometimes by laser or cryotherapy (freezing), both of which destroy the abnormal cells but do not remove the area for further examination. There is good evidence that the hpv vaccines can decrease the risk of developing dysplasia in the first place. ...Read more
No symptoms: There are no symptoms that go along with cervical dysplasia/abnormal pap smears leading to precancerous cells of the cervix. This is why having an annual pap smear done is so important. It allows early precancerous changes in the cervix to be diagnosed and treated. Hpv vaccination is recommended for all men and women between 9-26 years old to prevent this problem. ...Read more
Progression: Cervical dysplasia is a gradient with mild changes often reverting to normal spontaneously and more advanced changes possibly leading to cancer. The key is knowing where you lie on that spectrum and also whether HPV (most agree the primary cause) is present. This, along with other factors, will determine appropriate treatment. ...Read more
No, but need PAP smr: Cervical dysplasia is a risk factor for cervical cancer, but doesn't automatically guarantee cancer. You'll need regular PAP smears if cervical dysplasia is found - yearly surveillance. Make sure you inform your Gynecologist of any changes in your health. Some women don't want to be hassled with yearly visits, & choose to undergo a cone biopsy / cone resection (preserving fertility) or other surg ...Read more
Not always: You can have cervical dysplasia without warts. ...Read more
Cervical: Yes, by an uninitiated pathologist.Get a more detailed answer ›
Usually No: Most commonly the dysplasia will resolve on ts own, not, in fact, progress to cancer. The greater the level of dysplasia (graded i, ii, or iii) the more likely it will progress but even the most advanced dysplasia may not become cancer. Not smoking and taking Folic Acid regularly may help your body to eradicate the dysplasia naturally. But don't avoid seeing the doctor! ...Read more
Yes: Dysplasia is usually indicative of early cancer process. Cervical dysplasia is a premalignant squamous changes of the cervix. There are different terminology system now used in pap and biopsy. Generally, it includes low- and high grade dysplasia, representing low and high risk of progessing to cancer respectively. If you have dysplasia, you should see gyn oncologist for eval and managment. ...Read more
I have mild cervical dysplasia. What should I do to help my body fight it off along with the HPV?
Abnormal cells: This is complicated so stay with me. Hpv is a virus that can infect cells on the cervix. When hpv gets into the cell it can cause the cell to make abnormal proteins. This makes the cell look different under the microscope. If the infection progresses, the cells can become cancerous. This is rare but dysplasia should be addressed. It can go away on its own in some cases. Others need treatment. ...Read more
Usually HPV virus: Dysplasia is one of the early steps in mucosal transformation. The phenotypic structure of the mucosal cells begins to transform toward malignant phenotype and can be picked up on Pap. With newer monoclonals defining the immunogenic protein characterizing cervical Ca changes, normal mucosal cells can be shown to expression tumor protein even though the cells look normal, the ImmunoPap. ...Read more
HPV: The overwhelming majority of cervical dyplasia is caused by hpv (human papilloma virus). Hpv is a virus transmitted sexually. Most cases of hpv will resolve on their own but some cases will persist and lead to precancerous (dysplasia) changes in the cervix. Some cases of cervical dysplasia can progress to cervical cancer so proper follow up with your doctor is key. ...Read more
Usually none: A pap smear is the way most dysplasias are found. Typically there are no symptoms. If one gets regular pap smears starting at age 21 and every 2-3 years thereafter, dysplasia should be caught early. Occasionally you may present with bleeding at weird times or after intercourse or have a watery discharge. This is more worrisome if one has neglected pap test. ...Read more
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