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Is a LEEP indicated in this case?
Should one have a LEEP if the pap result shows a mild dysplasia and hpv plus a following colposcopy result of LSIL?
Thank you Hollyv for your reply. Yes, you are right on all your assumptions; my colposcopy result was a CIN1. I am 35 and have a daughter age 3-1/2. This is my first abnormal pap, although I did take too much of a break from the previous one. Not gonna happen again!
Both the pap and colposcopy mentioned 'koilocytic cells' which my Dr says pretty much means hpv. I had several questions about the LEEP procedure (probably because I had been googling a lot ever since my results came back), mostly about its consecuences, since me and my husband still would like to try for another baby.
I am glad I did resolve these issues with my Dr, so I decided to take my chances and go with the procedure. He mentioned in his experience he had had a 30-35 yr old patient with a CIN2 (also something about carcinoma in situ) for whom they did the LEEP and she came out alright and was even able to go through with 2 full term pregnancies and had healthy babies. This gave me a lot of hope for myself. I assume for a CIN2 they probably get a larger 'piece' than for a CIN1.
I went in for my procedure yesterday and it went fine. Dr recommended some rest, so that's what I'm doing and I haven't had any discomfort so far. I still have to see about the results on the edges of the piece they took out, I am hopeful and praying it will come out with clean edges.
I suppose I am glad I went though with it; the dr mentioned about this watch and wait approach, he mentioned the LEEP was a more agressive approach but it would be better if we could get the abnormal cells out.
We'll just have to wait on the results and after that keep monitoring with regular paps and probably one colposcopy a year just to be on the safe side.
Thank you so much for writing!
Both the pap and colposcopy mentioned 'koilocytic cells' which my Dr says pretty much means hpv. I had several questions about the LEEP procedure (probably because I had been googling a lot ever since my results came back), mostly about its consecuences, since me and my husband still would like to try for another baby.
I am glad I did resolve these issues with my Dr, so I decided to take my chances and go with the procedure. He mentioned in his experience he had had a 30-35 yr old patient with a CIN2 (also something about carcinoma in situ) for whom they did the LEEP and she came out alright and was even able to go through with 2 full term pregnancies and had healthy babies. This gave me a lot of hope for myself. I assume for a CIN2 they probably get a larger 'piece' than for a CIN1.
I went in for my procedure yesterday and it went fine. Dr recommended some rest, so that's what I'm doing and I haven't had any discomfort so far. I still have to see about the results on the edges of the piece they took out, I am hopeful and praying it will come out with clean edges.
I suppose I am glad I went though with it; the dr mentioned about this watch and wait approach, he mentioned the LEEP was a more agressive approach but it would be better if we could get the abnormal cells out.
We'll just have to wait on the results and after that keep monitoring with regular paps and probably one colposcopy a year just to be on the safe side.
Thank you so much for writing!
I presume you meant your Pap was LSIL and your colpsocopy showed mild dysplasia and possibly HPV changes.
First question would be how old are you?
Have you had any children?
Was this your first abnormal Pap?
Dr.’s often think LSIL means HPV but sometimes that is not true, the ALTS study reported that 80% of LSIL was HPV so Dr.’s often think that LSIL means HPV.
LSIL means low grade squamous intraepithelial lesion and this usually goes away without any intervention or treatment. I repeat low grade. This is a common Pap result and very mildly abnormal.
If your colpsocopy showed mild dysplasia that usually means CIN 1, do you remember anyone telling you that. Do you have a copy of the colposcopy result? CIN 1 usually resolves on its own and a lot of CIN 2 does also. Most HPV resolves on its own in 6-18 months and often 4 menstrual cycles later.
If it were me I would take a watch and see approach. I would have a repeat Pap in 6 – 12 months. This is the conservative approach. I would not have a LEEP unless I had a higher grade of abnormal on my Pap.
Good Luck!
First question would be how old are you?
Have you had any children?
Was this your first abnormal Pap?
Dr.’s often think LSIL means HPV but sometimes that is not true, the ALTS study reported that 80% of LSIL was HPV so Dr.’s often think that LSIL means HPV.
LSIL means low grade squamous intraepithelial lesion and this usually goes away without any intervention or treatment. I repeat low grade. This is a common Pap result and very mildly abnormal.
If your colpsocopy showed mild dysplasia that usually means CIN 1, do you remember anyone telling you that. Do you have a copy of the colposcopy result? CIN 1 usually resolves on its own and a lot of CIN 2 does also. Most HPV resolves on its own in 6-18 months and often 4 menstrual cycles later.
If it were me I would take a watch and see approach. I would have a repeat Pap in 6 – 12 months. This is the conservative approach. I would not have a LEEP unless I had a higher grade of abnormal on my Pap.
Good Luck!
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