Aa
hpv & colposcopy
hello i had a pap and it came back abnormal so they did a biopsy and this came back as gray and white cells with sqamous does this mean i have cancer cells there because both doctors in myopinion were *** holes and seemed they did not want me as a patient after i tested + for hpv he even said this is what happens when we sleep with alot of people when we are young . I wanted to tell him to go **** his self but i was so nervous about my situation and concerned if i have cancer he said oh we are just going to watch the cells not remove my uterus because i am only 33 . anyone have a suggestion ?
Wow - I respsonded to this post last night and I don't know what happened to it. I remember being all angry over your doctor's response and somehow my reply wound up in cyberspace somewhere.... :( Anyhow - here I go again. (this gets me a little hot under the collar)
First of all I would suggest that you obtain a copy of your medical records and secondly to ask for a referral to another doctor. The one you are seeing is an idiot and is undermining all of the efforts put forth by those of us trying to bring about awareness for cervical cancer and HPV. He only fuels the stigma and he needs to get a grip - we don't need people like him treating women, as a doctor he should be keeping up with research.
HPV is extremely common, 80% of people will have an active infection by they time they are 50 - it is more common to have it than to not have it. He clearly is in denial that he himself in all likelihood has a strain or strains of the virus. Any women that he treats for dysplasia will at some point in their life have had an active strain of high risk HPV because HPV is the causitive factor for 99.8% of ALL cervical cancers and dysplasia. It only takes 1 person to contract HPV. You do not need to be promiscuous or have needed to start having sex at an early age. Condoms are only 70% effective. You could have only ever had 1 partner in your entire life and still have contracted HPV. Whenever you have sex with someone you are truly opening yourself up to your partner's (and your partner's partner's, etc) sexual history. Tell him to go read up, get up to date on the facts. It is narrow minded, judgemental, uneducated fools like him that add to the stigma so many of us are trying to break down. Sorry - that just makes me incredibly angry.
Did he tell you what the colposcopy/biosy results were? My guess is that you likely have mild (CIN1) dyplasia because a wait and watch is quite a common practice for mild dysplasia. 90% of women will be able to rid themselves of the CIN1 within 6-12 months, expescially if they are able to clear an active HPV infection.
Dysplasia (sometimes referred to as pre-cancerous cells) has different levels and the important thing to remember is that it is NOT cancer. CIN1 (mild dyplasia), CIN2 (moderate dysplasia), CIN3 (severe dyplasia), CIS (carcinoma in situ) and AIS (adenocarcinoma in situe - affects the glandular cells) are all considered to be precancerous because they are contained within the lining of the cervix. Cervical cancer is invasive, it is when these abnormal cells have spread beyong the lining of the cervix and invade the nearby tissue. Treatment takes on a whole new ball game when it is cervical cancer.
CIN1, like I mentioned is usually treated by watch and wait the fewer surgeries done to the cervix the less the probablity of complications or future pregnancy issues. (some doctors will treat persistant CIN1 with cyrotherapy or laser)
CIN2, CIN3, CIS and AIS are usually treated with LEEP or cone biopsy, LEEPS are less invasive than the cone biopsy. Any doctor that suggests a hysterectomy for any of these conditions - seek a second opinion! Hysterectomy is major surgery and it affects more than just the ability to bare children. Hysterectomy, LEEP, cone biopsy, etc. will not prevent any future occurences. HPV can cause dysplasia/cancer of the vulva and vagina as well so it is important that you keep up with regular smears for life. Recurrences are always a possibility.
In the meantime, I encourage you to do what you can to clear the active HPV infection and push it into dormancy. Get a copy of your medical records so you know exactly what you are dealing with and ask for a referral to a new doctor. This guy should not be treating any women with cervical dysplasia! Was he a general gyn or a gyn-oncologist?
I also recommend anothe forum for you to check out as well. It is sponsored by the National Cervical Cancer and HPV Coalition. Many of the members attend the conferences regularly and have run the spectrum of mild dysplasia to invasive cervical, vaginal, vulvar and anal cancer. There is a lot of eperience, support and up to date research. I highly recommend it.
http://www.inspire.com/groups/national-cervical-cancer-coalition/
Best wishes to you!
First of all I would suggest that you obtain a copy of your medical records and secondly to ask for a referral to another doctor. The one you are seeing is an idiot and is undermining all of the efforts put forth by those of us trying to bring about awareness for cervical cancer and HPV. He only fuels the stigma and he needs to get a grip - we don't need people like him treating women, as a doctor he should be keeping up with research.
HPV is extremely common, 80% of people will have an active infection by they time they are 50 - it is more common to have it than to not have it. He clearly is in denial that he himself in all likelihood has a strain or strains of the virus. Any women that he treats for dysplasia will at some point in their life have had an active strain of high risk HPV because HPV is the causitive factor for 99.8% of ALL cervical cancers and dysplasia. It only takes 1 person to contract HPV. You do not need to be promiscuous or have needed to start having sex at an early age. Condoms are only 70% effective. You could have only ever had 1 partner in your entire life and still have contracted HPV. Whenever you have sex with someone you are truly opening yourself up to your partner's (and your partner's partner's, etc) sexual history. Tell him to go read up, get up to date on the facts. It is narrow minded, judgemental, uneducated fools like him that add to the stigma so many of us are trying to break down. Sorry - that just makes me incredibly angry.
Did he tell you what the colposcopy/biosy results were? My guess is that you likely have mild (CIN1) dyplasia because a wait and watch is quite a common practice for mild dysplasia. 90% of women will be able to rid themselves of the CIN1 within 6-12 months, expescially if they are able to clear an active HPV infection.
Dysplasia (sometimes referred to as pre-cancerous cells) has different levels and the important thing to remember is that it is NOT cancer. CIN1 (mild dyplasia), CIN2 (moderate dysplasia), CIN3 (severe dyplasia), CIS (carcinoma in situ) and AIS (adenocarcinoma in situe - affects the glandular cells) are all considered to be precancerous because they are contained within the lining of the cervix. Cervical cancer is invasive, it is when these abnormal cells have spread beyong the lining of the cervix and invade the nearby tissue. Treatment takes on a whole new ball game when it is cervical cancer.
CIN1, like I mentioned is usually treated by watch and wait the fewer surgeries done to the cervix the less the probablity of complications or future pregnancy issues. (some doctors will treat persistant CIN1 with cyrotherapy or laser)
CIN2, CIN3, CIS and AIS are usually treated with LEEP or cone biopsy, LEEPS are less invasive than the cone biopsy. Any doctor that suggests a hysterectomy for any of these conditions - seek a second opinion! Hysterectomy is major surgery and it affects more than just the ability to bare children. Hysterectomy, LEEP, cone biopsy, etc. will not prevent any future occurences. HPV can cause dysplasia/cancer of the vulva and vagina as well so it is important that you keep up with regular smears for life. Recurrences are always a possibility.
In the meantime, I encourage you to do what you can to clear the active HPV infection and push it into dormancy. Get a copy of your medical records so you know exactly what you are dealing with and ask for a referral to a new doctor. This guy should not be treating any women with cervical dysplasia! Was he a general gyn or a gyn-oncologist?
I also recommend anothe forum for you to check out as well. It is sponsored by the National Cervical Cancer and HPV Coalition. Many of the members attend the conferences regularly and have run the spectrum of mild dysplasia to invasive cervical, vaginal, vulvar and anal cancer. There is a lot of eperience, support and up to date research. I highly recommend it.
http://www.inspire.com/groups/national-cervical-cancer-coalition/
Best wishes to you!
I'm sorry I can't answer your question, but I wanted to sympathize with you about the doctor thing. I have been in a monagamous relationship my whole life, (still with my first!) and apparently contracted a very weak strain of HPV (however I have many doubts because my PAP was done incorrectly MULTIPLE times, and other details that don't match up with my research). My first doctors were very unsympathetic, very judgemental and quick to point out the blame on me. SWITCH AS SOON AS YOU CAN! Try out many doctors, it makes a HUGE difference. This is your health. HPV is a very underground virus- there is hardly any talk of it from educators and hardly any information on it. There is still so much to know, and it truly ***** when the people we put our trust, health and money in are doing a poor job by reaching out to their patients in a negative way. Such a huge percentage of people have a strain of HPV because it's so unknown! Best of luck, best of health and SWITCH DOCS!
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