I went to the gyn about several problems that I had been having including severe cramps, periods every third week (heavy and painful), pain and bleeding during and after sex, and to have a pap smear.

The doc recommended having my paraguard iud removed, but my insurance (who covered it initially) now won't pay for the removal, which is about $250...Not in the budget right now!

Anyway, the gyn called yesterday and said that my pap came back with squamous cell changes and that I was positive for hpv. I have a colposcopy scheduled for the tues. After christmas since their office is closed next week (go figure!).

I am nervous because I had a minor episode in 1997 (ascus) and they did a colposcopy, but no further treatment, except 6 month paps. In 2000, I had ascus again in january. Another pap done in june indicated high-grade dysplasia which required another colposcopy and leep (it ended up being cis). I had two years of paps every 3-4 months that were normal. Then I got slack and hadn't had a pap in about 1 1/2 years. The doc called yesterday to say that it was abnormal again (as I said above).

I am concerned because these are obviously repeated problems. I worry that if ascus can turn to cis in 6 months, I have a real problem. I know I will have to wait on the results of the colposcopy before they decide on treatment, but I have a feeling that they will do something. I am 30 years old with lupus, ovarian cysts, and some other issues (especially depression, anxiety...This does not help that situation!). I have two children (ages 2 and almost . I do not want more children.

If anyone has had repeated problems, please let me know what your doc recommended. I am concerned that she may recommend hysterectomy or some other drastic measure (at least then I wouldn't have periods at all!). I just need some information or reassurance from someone who might have had or have knowledge about repeated dysplasia issues.

Thank you so much for your response! I will be anxious until I have the colposcopy results and some sort of treatment plan. Just wanting some idea of what to expect.