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hpv

pls anybody help me today I got my paps mere result came up that I have hpv virus got from my husband
the result I had abdnormal cells and the dr want to see me to make sure if I have a cancer or if it is precancerous
and he told me that I'm in the middle level can anyone tell me  what is middle level
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Avatar universal
I just got back from the doctor. I too had a abnormal pap smear.I have to have a procedure done so that can look at my cervix to look for spots. I too have hpv. It can cause cervical cancer but thats why we have to get regular pap smears so they can catch it while it is only pre cancer cells they can be burned off with a laser not painful at all i promise i had that done before a couple of years back. Dont freak out i am staying calm(trying too) write me back so we can talk. Is this your first abnormal pap?
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Avatar universal
Dear marlyn75,

I am sorry that you are going through this but please do not panic.  HPV virus sometimes causes precancerous / cancer of cervix, uterus but  your papsmear indicates that you have moderate dysplasia? do you have a copy of your result? If your doctor told you you have precancerous cells, then i am assuming you have CIN2 (moderate dysplasia) and NO you do not have cancer. Dysplasia is not cancer but if left untreated, it will progress to cancer.

Did your doctor make an appointment for you to go in for a colposcopy and biopsy? This is the next step after an abnormal papsmear and it is not painful at all. They will try to look at your cervix closely and will apply a purple color acetic acid using cotton swabs. Areas of the cervix which turn white after the application of acetic acid or have an abnormal vascular pattern are often considered for biopsy. If no lesions are visible, an iodine solution may be applied to the cervix to help highlight areas of abnormality. Following any biopsies, an endocervical curettage (ECC) is often done. The ECC utilizes a long straight curette to scrape the inside of the cervical canal. Like i said, this isnot painful but a little oncomfortable doing ECC and you will feel some pressure in that area. I have done that twice myself. The doctor will send the biopsies to the lab for evaluation as the papsmear is just a test and not a diagnoses. If the result comes back as CINI then you would not need any treatments but have to have a check up every 3 or 6 months for one year but if the pathology report comes back as CINII (moderate dysplasia) or CINIII (severe dysplasia) then you would need to have some type of treatment to remove those precancerous cells. Remember this is not cancer and the treatments are just a prevetitive action.

There are some treatment for precancerous cells (dysplasia- CINI-CINII-CINII) which i am going to explain.  Treatment of cervical dysplasia depends on the severity, the presence of HPV, risk factors, and patient's preference. For ASCUS and mild dysplasia (low-grade SIL/CIN I), the physician may perform HPV typing. If no virus or a low-risk strain is present, Pap smears may be repeated at 4- to 6-month intervals because ASCUS and mild dysplasia often resolve without intervention.

If a high-risk strain of HPV is present, colposcopy and biopsy may be indicated and treatment depends on the results of the procedures.

High-grade lesions require treatment. There are several methods available to remove the abnormal tissue, including electrocauterization, cryosurgery, laser vaporization, and surgery.

Electrocauterization
Loop electrosurgical excision procedure (LEEP) emits low-voltage, high-frequency radio waves through a thin loop of wire. Electrical current quickly and safely cuts away abnormal tissue. The procedure takes about 10 to 30 minutes and is performed in the doctor's office or as an outpatient in the hospital. LEEP allows the removed tissue to be examined by a pathologist to ensure that the lesion was completely removed and provide an accurate assessment.

Cryosurgery and cryocauterization
These are relatively safe and simple procedures. In cryosurgery, the physician uses a carbon dioxide-cooled probe (called a cryoprobe) to freeze and kill abnormal cells. The tissue then sloughs off. It is performed in the physician's office. In cryocautery, an electric probe is used to cauterize the abnormal cells. These procedures do not allow abnormal tissue to be saved for pathological examination.

Laser vaporization or ablation
This procedure is performed in the hospital under general or local anesthesia. A laser is used to destroy abnormal surface cells. As with cryosurgery, it is impossible to obtain a specimen for pathologic examination. This procedure may cause less cervical scarring than cryosurgery. Cervical scarring makes the cervix more difficult to visualize.

Cone biopsy
This therapy is used to diagnose and remove abnormal tissue. A cone-shaped tissue sample is surgically removed from the cervix under general or spinal anesthesia in an operating room. The specimen is sent to a pathologist for detailed microscopic examination. If dysplasia is found, no further therapy is needed, provided all of the affected cells were removed. If cancer is found, additional treatments are indicated. The cone biopsy is usually performed for high-grade dysplasia, dysplasia that recurs, and suspected cancer.

Hysterectomy which is not recomended for your diagnoses. Please do not worry yourself but try to get a copy of your results to help you understand it. You would need to make an appointment with your doctor for colposcopy if your papsmear result indicates CIN2 which is moderate dysplasia. i am surmising that your doctor was talking about you having moderate dysplasia if he said your pap shows precancerous middle. I have never heard them using this but i am assuming he was talking about a moderate dysplasia. This type of precancerous cells are highly treatable and you do not need to be scared if you treat them. You do not have cancer my dear so please do not stress yourself out, but you would need to be seen by your OBGYN for a colposcopy and a piopsy.

I will keep you in my thoughts and prayers and remember that you are not alone. Please feel free to write or ask questions if you ever needed my help.

God bless.
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