Questions about Pap results

I just recently got my results from a pap I had done. I had my last Pap a little over two years ago and was told by my doctor that I did not need another one for two years. I am now with a different doctor who almost flipped out when I explained to her that my previous doctor suggested this. Anyways, now I have gotten results back in which my doctor has explained to me may very well be cervical cancer. I asked her to test for HPV when she did my Pap but for some reason it was not done. It states in the results the following, "The HPV DNA reflex criteria were not met with this specimen result therefore, no HPV testing was performed."

I am under the assumption from my results that I do have some form of HPV. Anyways, I have searched the internet for a couple of hours and I find information on the results that I have but I am confused about one part. This is what is written:

Epithelial cell abnormality. Low-grade squamous intraepithelial lesion, Mild dysplasia is present. CELLS SUSPICIOUS FOR A HIGH GRADE LESION ARE ALSO PRESENT.

I am confused about the part in all caps above. What type of high grade lesion??? Would this be referring to the same thing as the low grade squamous intraepitelial lesion???

I am scheduled for a Colposcopy next week but of course I am eager to understand what is going on with my body. Any insight to the matter would be greatly appreciated. I would also love to know what someone else was diagnosed with that has the same pap results as me. I know everyone is unique but it would give me better understanding to the possibilities.

Thanks for reading ladies!

Please fire your doctor and get a new one, immediately. To say you may very well have cervical cancer before even doing a colposcopy was unconscionable on her part, especially with those PAP smear results, She knows the word cancer could frighten you so much, you would be easy to manipulate into a treatment that might not be appropriate for you. I am sorry she did that. My first ex-doctor did that to me, too, and she succeeded in causing me to panic into a hasty decision to agree to a surgery she preferred. In my own case she just wanted to make quick money rather than do what was best for me..

I will give you some links to help you understand all of this better, but before I do, be sure to

1. Look at your lab report, after the colposcopy/biopsy/ECC.

2. Get a thorough explanation of what you have, where it's located, how extensive it is, how many cervical quadrants are involved, if it's in the endocervical canal, and if it's in the endocervical glands. That will determine the best treatment option for you if you decide you need it.

3. If you decide to have surgery, get a full discussion of all of your treatment options - cryosurgery, leser, LEEP, and cold knife cone biopsy - before anything is recommended to you. This is a requirement that doctors are supposed to meet.

4. Insist on an HPV DNA test. Your insurance may not cover it, so the doctor may not have it, or your doctor can't offer it to you unless you ask for it, or you may have to go to a teaching hospital. You can also contact one of the better-known labs and find out which HPV DNA tests they do and then have the company send it to you. This may cost some money, but it's worth it in that it will give you more knowledge about what you are addressing.

I'll give you the links.

This shows the natural progression of HPV. I like it because it's so thorough.

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

This is older, but it's so concise, I like it.

http://www.mjbovo.com/Women/DysplasiaRx.htm

Here is one of the few doctors I know who wants his patients to be fully educated in order to make the best informed decisions possible.

http://www.gynalternatives.com/default.htm

This gives a good overview of dysplasia and the kinds of questions to ask.

http://www.cap.org/apps/docs/reference/myBiopsy/dysplasia.ht