Doctor insights on:
Follow Up After Mild Dysplasia Colposcopy
Pap said hgsl, colposcopy said mild dysplasia, take remicade and prednisone, immune system is compromised so what's the chance of worsening dysplasia?
I have had a colposcopy and a leep for cervical dysplasia and my follow up pap shows another low grade lesion. I have HPV. Im 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
I recently had a colposcopy for low grade dysplasia. A week or so later I am cramping and bleeding a lot of bright red blood. Whats wrong?
Recheck: It could be your period, an irregular menstrual cycle, breakthrough bleeding from your birth control pills or some bleeding left over from the colposcopy. If you are concerned then schedule a follow up visit with your doctor or simply monitor the bleeding for a few days to see if it resolves. ...Read more
Cervical dysplasia: You will have repeat colposcopies in your 2nd and 3rd trimesters to make sure the dysplasia has not gotten worse. You can even deliver vaginally with severe dysplasia. ...Read more
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
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?
Blocks DNA: 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
Can HPV cause erratic menstrual cycles? I had a lsil (hpv positive) pap in january. My colposcopy was negative for dysplasia & benign. I take the same birth control for a few years now.
My period has previously been pretty regular & would never spot be
It : It is unlikely that it is related to hpv. It may be that you need a different preparation of birth control pills to control your bleeding. It would be worthwhile to discuss this with your prescriber. You may need different pills with a different formulation. Be sure your pap smear is up to date while you are there. ...Read more
Is intestinal metaplasia with mild dysplasia curable? If yes, how? What medication to be followed?
Yes: I am not sure if your metaplasia is in the esophagus or stomach. If you have barrett's esophagus with mild dysplasia, it can be managed with radiofrequency ablation, which is very effective. If it involves the stomach, there is no specific treatment, except maybe to eradicate h. Pylori or avoid offending environmental agents. Medications for both may include a proton pump inhibitor. ...Read more
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