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Cancer: Cervical & Ovarian Message Board

Cancer: Cervical & Ovarian Board Index

I hope I can answer some of your questions. First, you do NOT have cervical cancer. Carcinoma in situ and CIS are the same thing and it is a PRE-cancerous condition (but one that does need to be taken care of). I also had CIS (and am the same age and don't have children). I went from a perfectly normal pap (and a total history of normal paps) to CIS in 11 months. It is widely dependent on the person on how long progression takes. Doctors do think that it takes an average of 10 years to go from CIS to invasive cancer. And some cases of CIS will never become cervical cancer (but of course some cases will so that is why you had a LEEP performed). Also, severe dysplasia encompasses CINIII and CIS because it is often very difficult to determine the difference between the two types of dysplasia.

As far as the STD talk, it is estimated that 80% of the sexually active population has HPV. Condoms do not always keep it from spreading so even if you are super careful, if you are having sex, you can get it. It is likely that you will pass it to future partners. The good news for them is men don't really have any symptoms (another reason so many people have HPV) if they are infected with a high risk strain. But they can pass it to other women they sleep with. You should always tell any partner that you are infected, but chances are very good that they already have at least one strain. Of course remember that you also can be infected with strains you don't currently have.

Your cervical abnormalities indicate a high risk strain but it is still possible you have a low risk strain. If you want to find out what strain you have there is a test but it is VERY EXPENSIVE. But your doctor can do a test at your next pap just to tell you for sure if you have a high risk strain (I had this done because I read somewhere that a positive HPV test after a LEEP was a very strong predictor of reoccurance - luckily mine was negative). I'm not sure that the HPV vaccines have passed FDA approval. I think they are expected to be on the market sometime in the next 5-10 years. I don't know that having a partner get one would be much use but if I ever have children, I'm getting them vaccinated at a young age.

The most important thing for you at this point is to make sure you go to all of your follow-up pap smears. You will always be at a higher risk for cervical and vaginal dysplasia. There is some evidence (although NONE of this is conclusive) that taking a daily vitamin and folic acid helps. There is also some evidence that hormonal birth control hurts (although this might just be because women on hormonal birth control tend to have more unprotected sex). Some early studies on mice have shown that indole-3 carbinol helps the regression of cervical lesions caused by HPV. There is also evidence that using a condom increases regression (even if you are with a single partner).

Anyway, when I was diagnosed first with a LGSIL pap and then a CINII colposcopy and then CIS after my LEEP, I did a ton of research on this topic so if you have any other questions, I'll try to help. You should know that my first pap after the LEEP came back completely normal (the second one is in Nov.).

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