History of pelvic pain, postcoital spotting, high risk HPV positive, severe dysplasia. Done pap test. What do I expect?
Patient: Im a 30 y/o with a recent 6 month history of pelvic pain and postcoital spotting. i followed up with my current OB/GYN in March, pap revealed ASCUS with high risk HPV positive, colpo later the next week showing moderate dysplasia; CIN 2, LEEP procedure preformed May 6th; of the 4 specs removed, all revealed severe dysplasia CIN 3 with dysplasia present in all 4 margins incuding endocervical margins. My Dr is recommending repeat pap in 6 months. I have diagnosed polycyctic ovaries, which have also become a bother again, 2 beautiful children (plans for no more-thus my husband's vasectomy 4 yrs ago) and a maternal grandmother who's deceased post Stage 4 cervical cancer. Is this a reasonable wait or should I seek a second opinion? Thank You!!! Doctor: Hi,  I can understand your concern. Nothing to worry right now.  CIN does not mean invasive carcinoma. There is a dilemma regarding management at this stage of disease. Preferred mode is follow up after 6 months with repeat pap smear. More radical approach like hysterectomy may be required but no universal consensus. So you may better opt for 6 monthly follow up approach . This is an accepted way to follow up.