I'm 26 years old. In November 2010 I had an abnormal PAP Smear (LSIL). I had never had an abnormal before. In January 2011 I had a colposcopy that showed CIN 1. I had another PAP January 2012 which again was LSIL. I had a colpo March 2012 which showed CIN 2-3. My doctor said we are just going to keep repeating PAPs for 2 years, starting from the January 2012 PAP. I don't understand why she would not opt for treatment. According to the guidelines we follow at my office (I work in a general practice office as an RN) observation for CIN 2-3 in my age group is "unacceptable." Should I get a second opinion? My doctor's reasoning for not treating now was that she doesn't want it to affect my ability to have "healthy babies come into this world" later on. I understand LEEP has risks but isn't cervical cancer a much bigger risk? Please help.
CIN is the potentially premalignant transformation and abnormal growth (dysplasia) of squamous cells on the surface of the cervix. LSIL corresponds to CIN 1 and this corresponds to infection with HPV, and typically will be cleared by immune response in a year or so, though can take several years to clear.
But if it is CIN2-3 then you need treatment. You should take a second opinion from a gyneoncologist as if it is LSIL then we can leave it as such.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.