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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should Further Treatment Be Delayed?

I am a 5 2 35 yo female. I was diagnosed with PCOS when I was 17. I have had 1 pregnancy with 1 birth after clomid treatments. Have had first abnormal pap while pregnant with colpo showing CIN1. that was 11 years ago. I have been having 3-4, extremely painful, periods a month for approx. 1 1/2 years. Went to doc and had another abnormal pap with CIN1 after colpo and biopsy. Doc wants to wait 6 months before any further treatment because she feels it would be easier to treat any spread to the vagina if the cervix is still in tact. This doesn t seem right to me. Is it?
Mon, 2 May 2016
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Infertility Specialist,  's  Response
Hello there, thanks for writing in. CIN 1 refers to very mild changes in cervical cells that resolves on its own over time. The risk of CIN 1 progressing to higher grades is very low which means 6 months is reasonable to wait expecting spontaneous resolution.
However , there are two things that need to be discussed here.
1. If you wish to have children, you can get screened regularly at 6 monthly intervals until you finish family and opt for treatment later.
2. If you think you have completed your family, you can discuss with your doctor for its treatment as the cervical changes are long standing. It depends absolutely on your preference and is validated.
3. Your doctor may wish to treat you by laser, cryo, loop excision which will be discussed in detail before procedure.
4. There s nothing wrong to wait for 6 more months before treatment. But yes, it may be preferred to be treated.
Hope this helps. Good luck.
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Should Further Treatment Be Delayed?

Hello there, thanks for writing in. CIN 1 refers to very mild changes in cervical cells that resolves on its own over time. The risk of CIN 1 progressing to higher grades is very low which means 6 months is reasonable to wait expecting spontaneous resolution. However , there are two things that need to be discussed here. 1. If you wish to have children, you can get screened regularly at 6 monthly intervals until you finish family and opt for treatment later. 2. If you think you have completed your family, you can discuss with your doctor for its treatment as the cervical changes are long standing. It depends absolutely on your preference and is validated. 3. Your doctor may wish to treat you by laser, cryo, loop excision which will be discussed in detail before procedure. 4. There s nothing wrong to wait for 6 more months before treatment. But yes, it may be preferred to be treated. Hope this helps. Good luck.