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Questions about my test result

I'm a 24-year-old female. About a week ago, i got my Pap result: LSIL and HIGH RISK HPV detected. Then I was refered to a Gyneclogist had my Colposcopy done. Here's my result: HPV18(HR), as well as yeast infection
12 o'clock: CIN1, no transmision zone present, acute and chronic cervictis
6 o'clock: CIN1, no transformation zone, fragments of benign endocervical mucosa admixed with mucoid material
I want to ask the professionals that is this really serious? Do I need to do LEEP immediately or I can wait for another month?
I have really sick secretion with blood now. It just scares me. I think I also have some warts on the outside area. I'm using some gel on it but I really don't know what;s going on inside my cervix. Although many people post their stories here, but everybody have different situation. Can I get some evaulation on mine please?
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Avatar universal
Hi there, I'm not sure what HPV test you had that identified a strain but the digiene test (the only FDA approved HPV test) which is done during a pap can only detect whether there is an active HPV infection and if so, if the strain(s) are of high risk or low risk category. HPV 18 is one of the more highly oncogenic strains. Since you know you have HR-HPV it will be even more important to keep up with regular smears to monitor when the infection is active and to see if it is causing any dysplasia.
CIN1, fortunately, like mentioned above is a considered to be mild dysplasia. Most doctors will wait 6 months and do another colposcopy at that time to see if you body was able to clear the dysplasia on it's own. 90% of the time, most women with CIN1 can clear it without medical intervention. You will need to do what you can to clear the active HPV infection you have in order to give your body a better chance to do that. (keeping a healthing immune system is key, healthy eating with lots of cruciferous vegetables, exercise, low stress, no irritation in the vagina - like tampons, etc.)
Your biopsy at 12:00 also showed acute and chronic cervicitis. I suspect this is due to the active HPV infection, it is quite common to have this with dysplasia and active HPV. Your cervix is likely irritated from the virus which is causing the inflamation; once you clear the infection most likely the imflamation will also go down as well.
The 6:00 biopsy (also mild dysplasia) basically indicated that there was sampling of endocervical material in it that did not show any dysplasia - "fragments of benign endocervical mucosa admixed with mucoid material"
You also have a strain or strains of low risk HPV if you have genital warts. These can be taken care of at the doctors office and do not usually cause too much trouble other than cosmetic.
My advice is to do what you can to clear the HPV infection and keep on top of your follow ups. If the next follow up (likely in 6 months) still shows CIN1 you might be able to contine to monitor it to see if it will regress on it's own. If it progresses to CIN 2 you will likely be offered either a LEEP or cone biopsy to remove the dysplasia. For most women, this will rid all of the dysplasia but you will still need to contine with regular paps.
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Avatar universal
Hi.  I don't know all of your questions but can tell you that the thick secretion with blood is just a result of the colposcopy and not another new symptom.  Don't worry about that it will go away.  Also, I only see a single HPV identified.  Although it is one of the high risk ones, it is only one and not 4 or 5.  Good for you.  My limited understanding of CIN1 is that it is a low level of atypical cell.  It can get worse or not depending on how you handle it.  Follow your doctor's recommendations.  Cervical cancer grows slowly so this is something your doctor can help you stay ahead of and in fact what you have may never actually become cervical cancer.  Get a dental checkup, cleaning, and oral exam for lesions.  Most all dentists do an oral cancer exam as part of their regular checkups.  Every 6 months is a good idea both for the health of your teeth and gums and for cancer screening.  Oral cancer is not as easy to avert as cervical cancer.  Don't be paralyzed by fear but don't be complacent either.  
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