mild dysplasia and hysterectomy

[Kate88sparky]

I had pap issues in early 20s and negative apps up until last summer. I am now 45.  I had a Leep procedure last October. I have had a yearly pap for nearly 25 years with no issues. It has been 6 months since Leep and time for pap. It came back mild dysplasia in such a short period of time.would I b crazy to consider partial hysterectomy??
Whatever was going on with cells that led to my Leep last fall had done so in a years time, which to me seems like the cells quickly changed in that period of time. Any thoughts???

[ipurr2]

I agree with Old_before_my_time...I would avoid hysterectomy if at all possible...one of my biggest regrets is that surgery! It changed me in so many ways and not for the good...it has led me to many more surgeries and hormone troubles, thyroid troubles, adrenal troubles, sex troubles...the only good is the not having a period, but it weakens the structure of the pelvis so you may trade what your dealing with now for pelvic organ prolapse...so rather then pads for period you will need them for urine or bm leakage...they say  it's not a big deal...well, I have to disagree...look at the many women who regret it...now granted some are fine as with all surgery and you might luck out and be one without any issues...
You are most likely in the peri-menopause phase and this causes MANY changes so it's most likely that causing the issues...I would at minimum seek a second, third, fourth opinion if this is what your current dr. is suggesting...ask hard questions of her on the risks...if she says it's no big deal...run the other direction...this is a great money making surgery for dr.'s and they are so quick to yank our female organs...but they sure don't fill us in on the reality of change that comes with it...I deeply regret my hysterectomy...so be 99% sure you really want this...and research, research and research some more...good luck!

[old_before_my_time]

Hysterectomy is overkill since mild dysplasia oftentimes reverts to normal without any treatment. Plus, harmless conditions (minor infections, inflammation, bubble baths) can cause abnormal paps. Even low hormone levels when approaching menopause or in menopause can cause an abnormal pap. This link http://www.cancer.gov/cancertopics/understanding-cervical-changes/follow-up says "If you have ASC-US and are near or past menopause, your health care provider may prescribe estrogen cream. If the cell changes are caused by low hormone levels, applying estrogen cream will make them go away." There is some good info on some .gov sites about pap smears, HPV, and cervical cancer.

Did the colposcopy done before the LEEP show a worse case of dysplasia since a LEEP is not typically done for mild dysplasia?

And if you do want to treat this versus monitor to see if it resolves, cryosurgery, LEEP, or cone would preserve your uterus.

Since the uterus and uterine ligaments have lifelong, non-reproductive functions (anatomical, skeletal, sexual, hormonal), hysterectomy is associated with a number of long-term negative effects. So you would be left with a new set of problems although they may not appear immediately.

I had a hysterectomy and would avoid it if not absolutely necessary.