Abnormal Pap Reading from the inside vaginal walls.
Thank you very much for your professional opinion. You honesty and professionalism are to be commended. It is really sad all in the medical profession couldn't have this same integrity! Again, thank you.
The sexually acquired types of HPV can affect any genital, anal, and surrounding tissues. However, the high-risk (cancer-associated) types cause the vast majority of their problems on the cervix or, less commonly, the anus. Although vulvar and vaginal cancers also are related to the same HPV types, those diseases are very rare, far less common than cervical cancer and pre-cancerous problems.
1) Not having a cervix or uterus has no known effect on HPV disease at other anatomic sites. HPV does not spread in the body; it only causes problems at the places where infection starts.
2) "HPV effects" is redundant. The LGSIL and dysplasia themselves are the HPV effects.
3, 4) I am not a gynecologist, have never done a cervical or vaginal biopsy, and am not an expert and do not give advice on management of abnormal pap smears, dysplasia, etc. Your own provider is the best source of this information. But I believe the description of the biopsy is exactly right; it's not a big deal.
5) Even if you did nothing, the odds are strong you would never have a serious problem. I'm definitely not suggesting you blow this off; you must follow your provider's advice. But with proper treatment, you can be 100% confident nothing dangerous will come of your HPV infection.
6) You already have a pretty good set of questions for your provider. The main thing I don't understand is where the pap abnormalities are: vagina, vulva, anal area, or wherever. You should be clear on this, and also confirm with your ObG that s/he has managed cases like yours before; and if uncertain, ask for a second opinion. If the abnormality is external, like vulva or anus, you might want to consult with a dermatologist as well as your ObG.
I hope this helps. Best wishes-- HHH, MD