Moderate squamous dysplasia Cin 2-Need a second opnion

I am 23 years old. I had my first abnormal pap in Jan 2007. The results were LSIL. I had a colpo in June and the results came back-Moderate squamous dysplasia (CIN2), arising in the background of extensive LSIL. The nurse practitioner said I needed a LEEP procedure. I'm apprehensive about having this procedure done because of the possible problems it can cause during pregnancy later down the road. Is it really necessary to do the LEEP immediately or can I just monitor it closely for the next couple months. Thanks in advance for your help.

[Keith Downing, MD]

Hello,

The natural history of high-grade cervical intraepithelial neoplasia (CIN 2, CIN 3) has been established. For CIN 2 lesions, 43 to 58 percent will regress if left untreated, while 22 percent progress to CIN 3 and 5 percent progress to invasive cancer.

Observation with continued colposcopy is usually an option reserved for adolescents. In that case,  one would undergo colposcopy and cytology at six-month intervals for one year with biopsy-confirmed CIN 2, provided colposcopy is satisfactory, endocervical curettage is negative, and the possibility of occult disease is acknowledged by the patient.

Talk to your doctor more about the risks/benefits and make sure you feel like you are making an informed choice.

Best regards,

Dr. Downing

[TTracy83]

Also, if it would help with your answer, the colpo biopsies were at 2, 10 and 6 o'clock. And under the examination section she had circled White epithelium and mosaic.
And In the endocervical curettage there was no dysplasia or viral change identified.