5 doctors weighed in:

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
Dr. Frederick Friedman
Obstetrics & Gynecology
2 doctors agree

In brief: 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.

In brief: 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.
Dr. Frederick Friedman
Dr. Frederick Friedman
Thank
Dr. Sewa Legha
Internal Medicine - Oncology
1 doctor agrees

In brief: 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.

In brief: 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. Sewa Legha
Dr. Sewa Legha
Thank
1 comment
Dr. L. Collins
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.
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