Abnormal pap & ovarian cysts

[KDZack]

Starting a month ago I began having multiple female problems. After a night of fun w/ my husband, I woke up with severe burning in my vagina.  I was initially diagnosed with a uti, and then w/ bv, and then w/ strep b.  After 3 weeks of antibiotics, I still was having problems and went back in.  I had a pap done and it came back abnormal w/ advanced levels of squamos cells (advanced dysplasia).  Currently, I am scheduled to go back in for a colcoscopy.  Meanwhile I had a transvaginal ultrasound and they found a 1.5cm cyst on my right ovarie & multiple subcentimeter cysts on my left.  The only reason I have results of the ultrasound is because I went back in a few days ago for white discharge (supposedly yeast), and while I was there the nurse gave me a copy of the ultrasound results.  

Anyhow, does anyone have any information about my ultrasound?  Do you have any idea what kind of cysts I have or if the dysplasia and cysts are somehow connected?   Any information would be helpful while I wait to get back in with my doctor.  

[MarieMichele]

I do not know the answer to that. Dysplasia means pre-cancerous cell changes. Cervical cancer is slow to develop and you get time to avoid it by having dysplasia cells removed. Dysplasia can be mild, moderate or advanced. Advanced requires faster attention than mild or moderate. They will test whatever is removed and you won't know for certain until that pathology is done. Actually, it is possible to remove enough cells via the colcoscopy for a biopsy, but why bother with this step if they already think it is advanced, I wonder. They should instead be scheduling you to have all that dysplasia removed, not just examined again (granted, colcoscopy is a closer look than a pap test, but it is still not a curing step. I do not know what treatment your doctor would use. It can often be an outpatient procedure using either heat or lasers or cryo to burn or freeze the cells off-- or perhaps a cone biopsy which is both test and treatment at the same time. A cone-shaped section of the cervix is removed and tested, which can remove all the dysplasia in the process. Did anyone discuss these options with you yet? I am also surprised that your last pap was normal. It is possible they missed early dysplasia back then. Not all pap tests are done well, unfortunately.  Just get this taken care of quickly while they can still catch it before it gets worse. The cysts are a lesser problem at this point.

[KDZack]

Thank you for your comment.  The nurse did mention something a/b PCOS b/c of the multiple cysts.  I guess that is something they might look into especially since I haven't been able to get pregnant.  I am curious how the dysplasia became so advanced.  I had a pap 11 months ago & it was normal.  I do have other symptoms that will not go away, such a burning that comes and goes, and constant discharge that is normally clear but that soaks my underwear.  I am very nervous but I am trying to remain calm until I go back in.

What is the chance that the dysplasia has already caused cancer?  

[MarieMichele]

The cervical dysplasia and the ovarian cysts are separate conditions and most likely no connection between them.  The cysts sound small and the multiple ones make me wonder if you have PCOS (polycystic ovarian syndrome).  The dysplasia is more serious and needs treatment before it develops into cervical cancer.  Dysplasia itself is not cancer, but being advanced, you do not want to delay treatment, either.