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5Th Colposcopy & Possible Leep

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Subject: 5th colposcopy & possible LEEP
Date: 01/10/2008

Hi, everyone,

I'm going in for my 5th colposcopy (and one LEEP) in the past 5 years tomorrow. Somehow knowing the proceedure so well makes it harder, rather than easier. I'm particularly nervous this time, as my former OB/GYN retired, and I am being treated by someone I've never met before.

I am HPV positive. My last pap showed LSIL - but that was 6 months ago, and now I am spotting after intercourse. My concern is that they will find "something" that will require an immediate LEEP. Has anyone else gone in expecting a biopsy and having to have a LEEP on the spot?

Subject: RE: 5th colposcopy & possible LEEP
Date: 01/19/2008
Before doing a LEEP, the doctor needs to first discuss the type of dysplasia you have and the four methods for amputation -- cold-knife cone biopsy, cryosurgyer, laser, and LEEP. Then after discussing the pros and cons of each method, the doctor and you need to discuss together what would be best for your condition and your comfort level. Because LEEP is so cost effective for the profit of insurance corporations, doctors are encouraged to use it. However, it also has the highest rate of infection. As I keep saying, your body is not for profit. All four methods have the same success rate, so it is even more important to have this discussion with your doctor.
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