High-grade Dysplasia Experiences

Updated on April 06, 2010
C.B. asks from Des Moines, IA
4 answers

About 7 years ago I had a pap come back abnormal. I had a colposcopy and biopsy done and everything turned out alright. No farther procedures were required, and I've had normal paps ever since. I was not told at the time what grade of dysplasia I had. A few weeks ago I my yearly pap done and this time it came back as high-grade squamous intraepithelial lesion (HSIL) encompassing: moderate dysplasia/HPV (CIN II). I've gone online to do some research and discovered that I have 7 of the 8 risk factors for dysplasia. The only one that I don't have is a compromised immune system. Needless to say, I'm very worried! I go back in 2 weeks for another colposcopy, and biopsy if necessary.

My question is: how many other moms have had this pap result, and how did things work out in the end? Were farther procedures needed? If so, what were they? Should I be stressing about cervical cancer, or am I getting ahead of myself? One of my friends told me that having sex the night before a pap can cause a false positive for dysplasia. Is that true? Thank you in advance for sharing your experiences!

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A.W.

answers from Savannah on

Ugh - I am right there with you. I actually JUST posted my own question because I'm going in to have my first colposcopy done today and I'm scared.

A good friend of mine who has high risk HPV (same as me) has had many colposcopies and LEEP procedures done, and she comforted me in saying that cervical dysplasia is really common, and that cervical cancer doesn't just show up out of no where. The slight change in cells comes first, then a bit of dysplasia, then moderate, then dysplasia that is more noticeable.... and then severe dysplasia, and THEN comes the possibility of cancerous cells or growths. She said it takes a very long time for cancer like that to develop, and if you've been going every year, chances are you just have a strain of higher risk HPV that cause dysplasia to move a little more rapidly (thats why its high risk) and thats why you saw such a fast change.

But you're doing the right thing already - you've had your regular Paps, its been noticed, and now you're doing something about it. ITs not like you waited 10 years to go in. Try to keep calm... I'm doing the same.

I'm just afraid because I'm 29 weeks pregnant and I dont want them to do a biopsy or LEEP procedure while I'm pregnant. I have large babies and I'm small, so I'm worried about preterm labor.

Best of luck to you, and remember - it doesn't just appear out of no where! They will schedule you for a few procedures to treat the CIN II.

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C.W.

answers from Washington DC on

yep sex before pap can screw with results. skip at least 2 days before.

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S.W.

answers from Minneapolis on

I have low-grade HPV which is being monitored, my sister had high-grade and several procedures, and my step-daughter (25) has had on-going issues with HPV for almost five years. These issues cause much stress and worry, and medical procedures and expense! HPV is causing issues for a high percentage of our population. Almost all people will have it at some point in their lives.

There is now a tested vaccine that will prevent most, but not all, of these issues for our daughters! Here is more info: http://www.cdc.gov/std/hpv/STDFact-HPV-vaccine-young-wome...

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A.M.

answers from Minneapolis on

In 2001, I had an abnormal pap that was moderate to severe dysplasia. I had a colposcopy and ended up having to have a Leep procedure which is kinda like a pap, but they are getting rid of certain cells. I had slight cramping that day, but no other side effects. I had to have paps every three months for a year after that. I had a few abnormal paps after that but nothing serious and now all of my paps are normal and I am back to once/year.

You are getting ahead of yourself as far as cervical cancer goes, but I understand. I was thinking those things as well. A common cause of this is HPV, which many woman have and don't know. If you haven't been tested for this before, have your doctor test you. There is nothing you can do if you have it, but at least you know.

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