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chronic abnormal paps What is this ?

 
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Author
rivertime
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Joined: 27 Jun 2006
Posts: 4
PostPosted: Tue Jun 27, 2006 10:11 pm    Post subject: chronic abnormal paps Reply with quote
I've got a somewhat unusual situation that I wondered if anyone has experience with.....in Nov 2004 I had an abnormal PAP that was just atypical cells. I had a followup pap in Feb 2005 that came back HGSIL so a colposcopy was ordered. The biopsies came back "changes consistant with HPV effect". Since the Colpo didn't support the PAP findings, they did a LEEP that also showed no high grade dysplasia. I had a followup PAP in Nov 2005 which once again came back LSIL and I also tested positive for infection with high risk HPV. They did a second Colpo that came back with moderate dysplasia followed by a second LEEP that came back moderate dysplasia with clean margins. My endocervical tissue has always been normal. So now I have just completed my followup PAP smear which once again, has come back LSIL.

Each time I have the colpo/LEEP procedures, I am told "this should take care of it" and yet it doesn't. Three different doctors have been involved through this process. At this point I have one doctor telling me to have another colpo possibly followed by a cone biopsy (rather than a LEEP) and to hurry up and have any kids I plan on having so I can get a hysterectomy. Another doctor is telling me to just monitor the level of dysplasia by getting followup PAPs every 3-6 months. Pretty different treatment options! Has anyone else had this sort of ongoing dysplasia scenario and what do you suggest?
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