Brief Answer: Do not worry. Detailed Answer: Hello and welcome, I am Dr Madhuri and will be helping you in your query. I have seen the reports. They indicate an ASCUS lesion and HPV high risk positive. The risk of harboring a precancerous lesion in women with ASCUS and HPV positive after the age of 25 years ranges from 7-18%. Remember this is precancer and not cancer. The report says atypical cells and does not say cancer cells. So it indicates that there is an abnormality that is developing. The best approach now is a colposcopy and biopsy depending upon the findings of the coploscopy. As of now, there is no treatment of HPV. Most of the lesions remit by themselves. It may cause flares intermittently. The treatment is directed towards the manifestations of HPV rather than killling the virus. If there are warts they need to be treated by cautery or chemicals, if there are cervical abnormalities then they are to be treated depending upon the type of abnormality. So the treatment is for the abnormalities and not the HPV. Please do not worry about cancer as HPV takes years to form into cancer. It goes thorugh various precancerous stages like the ASCUS, AGUS, Cervical intraepithelial neoplasia I, II, III [ CIN III is a preinvasive cancer, meaning cancer confined to the cervical lining and has not spread beyond]. It takes years to progress through these stages. So as of now, do not worry about cancer. This is just stypical cells. If a associated lesion is found on colposcopy then treatment like cone biopsy or cautery will help in cure. Hope this satisfies your query. Thanks for using HCM. Feel free to ask any more questions that you may have. Dr Madhuri Bagde Consultant Obstetrician and Gynecologist The management protocol as per the American Society of colposcopy link is provided below and will help you understand things better : http://www.igcs.org/files/TreatmentResources/ASCCP/algorithms_cyto_07.pdf

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Brief Answer: Answer provided below. Detailed Answer: Hello and welcome, The bleeding after colposcopy lasts for about 48 hours and discharge may last for another 7 days till the biopsy site gets healed. It may take longer depending on how deep the biopsy was and condition of the tissue. The biopsy is justified despite a normal colposcopy as abnormal cells were seen on pap smear. Some cramping may occur and usually subsides after use of meftal spas tablets so ask your doctor for these. Another thing is to avoid sexual acitvity till the discharge completely subsides and then for a few days more to allow the healing process to complete. Otherwise sometimes bleeding may occur and again delays healing. Please do not worry as the colposcopy was normal. Feel free to ask any further queries. Take care and regards, Dr Madhuri

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Brief Answer: Chances of requiring a procedure are low. Detailed Answer: Hello XXXXXXX Yes XXXXXXX after the results of the biopsy the further management will be decided. The possibility that you will need it is low as the colposcopy was normal. But the final decision will come only after the biopsy result. So just wait for the biopsy report. Dr Madhuri

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