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Dysplasia and LEEP procedure

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I am 23 years old and started having routine paps at the age of 16. I had my first abnormal pap results this year in November and after a colp they found mild/moderate dysplasia. I had a LEEP done one month later and that biopsy showed severe dysplasia. Is it really possible that I went from normal to severe in less than a year? At my follow up the doctor said she "got it all." I don't know what to make of this. I am extremely worried that it will return and MUCH more worried about the idea of a hysterectomy before I have children. Also, I had one normal period following my LEEP and now - I am supposed to have started my second cycle since LEEP but I'm almost a week late. Is this normal?
Thanks.
Kim


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replied January 11th, 2010
Sexual Health - Women Answer A9054
Hello,

Welcome to the ehealthforum and I am really glad to help you out.

The LEEP procedure that you have gotten done is for diagnostic( for checking cervical dysplasia or to check for abnormal cells) and therapeutic (to remove any tissue that may be found to be cancerous or pre-cancerous) purposes. It is associated with certain side effects like bleeding and pain after the procedure but sudden stoppage of periods is not one of its side effects.

This delaying of periods can be due to many reasons like pregnancy, stress and anxiety, malnutrition, depression, overexercising, sudden weight loss or gain (obesity), thyroid disorders and a hormonal imbalance due to polycystic ovarian syndrome(PCOS). I would suggest that you get these causes evaluated by your gynecologist. Also, you have to repeat Pap smears every 3 to 4 months (or every 4 to 6 months) for about 2 years.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For an exact diagnosis, you are advised to consult your doctor. I sincerely hope that helps. Take care.




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replied November 1st, 2012
Hi,
My pap one year ago came back LSIL/CIN I. My pap from a few weeks ago came back ASC-H and the biopsy revealed HSIL/CIN II. My gynecologist wants to do the cryotherapy...I've been reading where most women in this situation have the LEEP. Especially since the lesions could be in the cervical canal. So I'm not sure my doctor is suggestion the best route. Or maybe because I am young (22 years old) and want children she's trying to keep my cervix as normal as possible? She's a great gynecologist but I'm not sure if I should get another opinion...any comments??
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