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I did pap smear then cone biopsy. Results tested positive for human papillomavirus but says cells are normal. My gynae advised that I do hesterectomy since I am 46 years old. I am married. Is this the only option or the best one.

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replied May 3rd, 2011
Cancers Answer A22564
Hello and welcome to e health forum.

If the HPV infection has caused abnormal cell changes that could lead to cervical cancer, there are four main treatment options:

1. Watch and wait. Sometimes the cell changes -- called cervical dysplasia, precancerous cell changes, or cervical intraepithelial neoplasia -- will heal on their own.

2. Cryotherapy. This involves freezing the abnormal cells with liquid nitrogen.

3. Conization. This procedure, also known as a cone biopsy, removes the abnormal areas.

4. LEEP or Loop Electrosurgical Excision Procedure. The abnormal cells are removed with a painless electrical current.

The goal is to remove all the abnormal cells and thus remove most or all of the cells with HPV.

In your case, since there are no Abnormal cellular changes in the cervix, and you have also undergone cone biopsy, the need for further treatment might not be needed.

But your doctor, might have advised the surgery, keeping in mind that you might have completed your family, so that your risk can be totally be eliminated and also prevent the chances of iron deficiency anemia (due to monthly bleeding).

You might seek, clarification from your doctor in case, you do have persisting doubts.

I hope this helps.

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