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pap and colposcopy results

Hello.  I am 56 years old and menopausal.  I recently had an abnormal pap with LSIL and positive for high-risk HPV.  Then a colposcopy was performed with findings of squamous metaplasia and inflammation.  A doctor said to to have a cyrotherapy and another doctor said not to.  Please explain to me their reasonings.  Thank you.
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Avatar universal
Forgot to mention no smoking is a biggy when it come to HR-HPV and cervical dysplasia. While 99.8% of all cervical cancers are caused by HPV, smoking can double the risk of cervical cancer when you have it so if you do smoke - you might want to strongly consider quitting.  
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Most women are able to clear mild dysplasia (otherwise known as LSIL or CIN1) on their own without any medical intervention - especially if they are able to clear an active HPV infection. Some doctors will choose to treat it, cyrotherapy tends to be one of the less invasive methods of doing so, however every procedure/surgery to the cervix comes with it the possibility of complications so many doctors are now choosing a watch and wait method for mild dysplasia in hopes that the body can clear it on it's own. Typically, you would go in for another pap/hpv test in 6 months to see if your body was able to rid itself of the infection and dysplasia during that time, if not then they may perform another colposcopy and proceed with cyrotherapy or another surgery. Out of curiosity, do you know if an ecc (endocervical curettage) was performed during the colposcopy?
There are steps that can be taken to help clear an active HPV infection (push it into dormancy) all involve living a healthy lifestyle. Exercise, minimal stress, healthy eating with lots of cruciferous vegetables containing DIM (like brocolli, bok choy, kale, etc.) adequate rest, nothing irritating in the vagina (no tampons, douching, etc.) and using condoms until the infection has cleared. There is research that links viral load and the body's inability to clear an active infection.
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