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Cancer: Cervical & Ovarian Message Board

Cancer: Cervical & Ovarian Board Index

Hi evert!

I'm sorry to hear of your dysplasia stresses, but you've come to the right place for advice! First of all, I want to stress that this is a very, very common scenario for women. A lot of my girlfriends have HPV and have had dysplasia so unfortunately a lot of us are dealing with this now.

And a lot of us are young and want to one day have children, so I understand your fears and worries.

The most important thing is to *be informed.* Read, read, read! Research everything you can about dysplasia. *Another* very very important tip? Get a second, even third, opinion before you opt for any type of procedure.

Depending in your biopsy outcome (whether it's mild (CIN I), moderate (CIN II), or severe (CIN III)), the doctors will advise certain methods.

Typically for mild dysplasia, no treatment is done because usually the body fights off the infection. With moderate to severe dysplasia, usually a LEEP or laser is done to remove the bad cells. However, sometimes it's not cut-and-dry like that. For example, I have between mild and moderate dysplasia, and different doctors have advised me to do different things. One gyno (my best friend's mom) told me to NOT do a LEEP yet. Another doctor suggested I get a LEEP done. It's all very subjective in the milder/moderate stages of dysplasia.

So in your case, since you don't know exactly what type of dysplasia you have, it'd be best to hold off on TTC. I know that's difficult to hear, but it's best to treat this problem first before you get pregnant.

Typically dysplasia takes up to 10 years to turn into cancer, if it even turns into cancer at all. So you see, even if you were pregnant now, you could wait til after your baby was born to treat the dysplasia.

You can also search the boards here and you will find that many women who have had LEEPs, have successfully had babies afterwards.

I have also read that laser ablation is just as successful as a LEEP but causes the least amount of complications for fertility. Bear in mind, though, that fertility complications of a LEEP only occur in a very small percentage of women (less than 5% of women treated, I believe). The complications would be cervical incompetence (which means your cervix would be too weak to hold the baby in) and cervical stenosis (caused be scar tissue from the LEEP covering the cervical canal). With cervical incompetence, the doctor can but in a stitch (cerclage) to make sure you don't deliver pre-term and with cervical stenosis, your doctor would be able to monitor that as well.

So even in the worst-case scenarios with LEEPs that only occur in a small percentage of women who had LEEPs done, there are solutions and you can have a baby. Of course, with any surgery (especially in that delicate area of our bodies), there are complications so you must be aware of everything. *Definitely* tell your doctor you're wanting babies in the near future and that conserving your fertility is of the utmost importance to you.

But definitely see a couple of doctors, do your homework on dysplasia, LEEPs, and laser, and *take your time* before you decide on doing any procedure.

Best of luck and let us know how the biopsy results turn out! :) Don't worry, I'm sure you'll have a healthy baby in the near future!
I think we also have to remember that other ladies are reading these posts seeking information. While I know you both unfortunately had dysplasia that progressed quickly, it still typically takes dysplasia years to turn into cancer. I'm not saying wait around and pretend it's not serious, but I don't think it's something that needs immediate attention (like day of diagnosis, perform a LEEP).

I say this because after talking to two friends, I realize that their doctors were much too hasty! And they are upset now that they went ahead with a cryo before doing their research and making a more informed decision. One friend went in to get her biopsy results, which was mild dysplasia, and the doctor told her to get a cryo THAT VERY DAY. Well she did, because she was scared out of her wits and hadn't heard anything about dysplasia, cancer, etc and those very words scared her enough to get the treatment that day without giving some time to consider her options. And as we all know, mild dysplasia is not usually treated-- when she found this out, she was upset she had to go unnecessarily go through a very costly and very uncomfortable procedure.

So while you ladies developed dysplasia very quickly, dysplasia is typically very slow to progress. It's taken me over 2.5 years to get to CIN I/II after two years of having 2 benign biopsies. I wish I had known 2 years ago that I had HPV (doctors never mentioned the word to me til last year) so I could've helped my body suppress it with diet, naturopathic doctors, supplements, etc. Anyway my basic point is that we need to stress that the majority of women with dysplasia develop it slowly and in most mild cases, they will regress. It is very important that women keep on top of their health with check-ups, etc., but rushing into a procedure like my friends did can be sometimes unnecessary. I'm not sure why doctors overtreat with LEEPs or you think this has something to do with those procedures being pretty quick and easy AND they're making a profit? Hmm...

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