Mild to Moderate Dysplasia - LEEP

Hi, I'm 22 and had abnormal PAP smear results a few months ago. I was diagnosed with Mild Dysplasia (CIN I). My doctor sent me to get a colposcopy a month later, and the results were that I had Mild to Moderate Dysplasia, and my OBGYN recommended that I have the LEEP procedure done.

I'm worried that this is a hasty decision. I know that the LEEP procedure would basically help remove the affected areas, although of course, there is a chance it could come back. But my first doctor told me that mild dysplasia usually clears itself up if you're young and healthy, and your immune system does its work. Although, I'm also concerned if left untreated, this could progress into more severe dysplasia.

Can anybody recommend what I do in this situation? I'm so scared to have a LEEP done unneccessarily in case there are complications like infection or even complications during pregnancy later.

 I would be sure to research Mild Dysplasia (CIN I) thouroughly as well as a more indepth consult with your gynecologist before deciding to refuse treatment.  I had a LEEP  done on 12/15 and am still recovering since I have not got much rest between Christmas and my almost 3 year old. I chose to go ahead ( i have CIN III) because the success rate of the LEEP is very faforable at 90% ( http://www.cmdrc.com/YoungWomansHealthCare/  )

However, if left untreated there is always the looming thought  that the dysplasia could worsen and/or progress quickly.

As far as future pergnancy there risks of incompetent cervix.

Take care

I'm sorry I came into this late, so I don't know what you chose to do. I'll ask you some questions and then post some links for you.

1. Did you see the lab report?

2. Did your doctor explain not only the grade of dysplasia you had, but where it was located, how extensive it was, how many cervical qudrants were involved, if it was in the endocervical canal, and if it was in the endocervical glands? That would have determined your treatment options, right there.

3. Did your doctor give you a thorough discussion of the risks and benefits of all your surgical options - cryosurgery, laser, LEEP, and cold knife cone biopsy - before recommendation? This is a requirement.

If you answer "no" to even one question, please get a different doctor, immediately, for your follow-up care. Your body is too valuable, and you deserve only a doctor who cares enough and is ethical enough to want you to be educated enough to make an informed decision.

Because you weren't sure if you should wait or go ahead with surgery, I'll give you a link about HPV and the progression and regression rates, so that you'll have the information for later.

http://www.merckmedicus.com/pp/us/hcp/diseasemodules/hpvd/na

Per the ASCCP, CIN II has a 40% chance of clearing itself up, a 40% chance of no change, and a 20% chance of progressing to CIN III. I tried maneuvering through their website, but some of the links seems to have been removed. Perhaps they're doing and overhaul of the site.

This is one interesting study by Oregon State about surgical options. I always save copies in case they "mysteriously" disappear.

http://www.oregon.gov/DHS/ph/bcc/diag/modalities.pdf

Here is their main site for women's health issues.

http://www.oregon.gov/DHS/ph/bcc/diag/paptbs3.shtml

Here is what the ACOG has to say, as how to manage CIN II has become more and more controversial. There are also several links within the text for further reading. (I saved copies of this, too, since LEEP has become a very sensitive issue for patients and doctors alike.)

http://www.ihs.gov/medicalprograms/mch/m/documents/hrhpv4100

If you already had the surgery, I definitely hope things went well for you. If you decided to wait, I hope you have been able to educate yourself. There are also links for boosting your immune system to clear it up. If you want those, I can post them. I just don't want to overload you with too much reading material, right now.

Herenow - I would be very interested in ANY more info you have - especially regarding boosting your immune system. I just recently had an abnormal pap smear - my doctor (this was my first time seeing her) recommended I get a colop. She just had her nurse call me to say it was moderate dysplasia and that I need to schedule a LEEP - she failed to give me ANY information regarding my treatment options and I am furious - especially since a LEEP is becoming a very controversial procedure. Anyway - so I'm trying to learn all I can and I'd appreciate any info you have.