Cervical Dysplasia?
I got pregnant last year in May and ALL the paps were fine until I switched from a midwife to an ob at about 7 months. I had a pap done and it came back notnormal/notabnormal so he said wait until my 6 week which would be about 4 months after the pap. So at my 6 week I got the results back that it was abnormal and he wanted a colposcopy done. I went for the colposcopy and the results said I need a leep procedure due to mild dysplasia in one area and moderate in another. What I find weird is upon ivestigating dysplasia I seem to find other treatment options available to me which he NEVER mentioned and also that it is NOT a rapid growing thing so how can I go from notnormal/notabnormal to full blown moderate dysplasia in 5 months & was wondering why that could be? Secondly was wondering if anyone who has this diagnosis ever changed their diet to fruits and veggies with supplements of Vitamin A, B, C, and folic acid has been retested with the dysplasia not present. THANKS in ADVANCE!
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October 17th, 2010 - 11:42
LEEP is the current standard of care for progressing moderate dysplasia. There have been other treatments in the past including cryotherapy that worked well, and there are new therapies being developed every day that have yet to be proven but may one day replace LEEP.
Cervical dysplasia has nothing to do with your diet. It also has nothing to do with your midwife or your OB/Gyn, although I agree with you that the risks/benefits/alternatives to LEEP seem to have been poorly communicated to you by your doc.
Cervical dysplasia is caused by human papilloma virus infection (HPV). In most people it takes years from initial infection to cause dysplasia, but from that point there’s no definite timeline for progression to cervical cancer. Can be quick or slow or not at all.
October 17th, 2010 - 11:42
The cause of cervical dysplasia is HPV (viral) infection. It can be pre-cancerous condition.
Previously cervical dysplasia was graded as — Mild, moderate and severe.
Usually in mild dysplasia doctors watch the patient without giving any treatment. They may regress completely or they may become higher grade (moderate to severe).
Severe dysplasia is almost carcinoma in situ (non-invasive cancer) and can lead to invasive cancer.
You do not have severe dysplasia. You have mild to moderate.
These days dysplasia is classified into two grades :
1. Low grade which is mild dysplasia.
2. High grade, which is moderate and severe dysplasia.
There are many types of HPV strain. Some of them (HPV 6, 8 etc) only cause low grade dysplasia and do not cause cancer. Other strains (HPV 16, 18 etc) can cause cervical cancer.
Your doctor should order for HPV typing to see the strains of virus, especially in your case, because you don’t have severe dysplasia. Sometimes moderate is a grey zone when we are not sure it is a mild or severe. Good luck.