my biopsy came back that i had CIN3,due for another smear in 3 months help?

Question

in april i had a smear that came back abnormal, i was sent to the hospital for a biopsy where i also had a colposcopy and the area was treated with cold cogulation.the results came back i had CIN3 caused by HPV.that was in june and i am due for a check up in december. if i had HPV surely my partner will have it, so wont my next smear come back abnormal again? what are the chances of the CIN3 returning? and also i was left with a bad infection after the biopsy can these factors reduce my chances of becoming pregnant?
thank you

Answer 1

Hi

Once CIN3 is treated the chances are very slim of it returning.In regards to becomin g pregnant there are many factors that influence pregnancy. If you are in doubt check with your gp or fertility specialist.

Unless you have had a hysterectomy or possibly a cone biopsy, you will be able to go home from hospital on the day that you are treated.

Although most women feel fine after LLETZ, cone biopsy, laser therapy, cryotherapy or cold coagulation, some women feel slightly unwell for a few hours. It is a good idea to arrange to have the day off work, in case you need to go home and rest. Also, many women find it helpful to bring a friend or relative to support them and drive them home.

If your treatment was done under local anaesthetic you may have some period-type pains for the rest of the day, when the anaesthetic wears off. After these treatments you should expect to have some bleeding or discharge for a few days. This usually settles in two weeks but may last for up to 4–6 weeks. The bleeding should not be heavier than a light period and should get steadily lighter.

You should contact your GP or the clinic where you had your treatment if:

the bleeding starts to get heavier
the discharge starts to smell (which can mean that you have an infection)
or you have any other concerns.
Your doctor or nurse will probably advise you not to have sex for at least 3–4 weeks after your treatment to allow the cervix to heal properly. Treatments for CIN will not have any effect on your ability to enjoy sex once the cervix has healed. You may be advised not to use tampons for a few weeks. You should feel completely back to normal in about six weeks at the very most.

Research has shown that the treatments for CIN are very successful and do not usually need to be repeated. Women who have had successful treatment for an abnormal smear or LBC test are very unlikely to have a recurrence of the problem.
Follow-up after treatment
After any treatment for CIN you will need to be monitored for a time to check that the treatment has been successful.

If you had CIN 2 or 3, or cervical glandular intraepithelial neoplasia, you will have cervical screening tests 6 months and 12 months after treatment. You will then have a cervical screening test every year for 9 years.

If you had treatment for CIN 1, screening is done 6 months, 12 months and 24 months after treatment. If all these tests show that the CIN has gone, you will go back to the normal screening schedule – every 3–5 years, depending on your age.

Even if you have had a hysterectomy you will still need to have regular check-ups as above, with smears taken from the top of the vagina (known as a vaginal vault smear). Your GP or gynaecologist can organise vault smears for you – they are not done as part of the screening programme.

In 5–10% of women, the abnormal cells come back. If this happens, you will be invited for another colposcopy and further treatment if necessary. Usually you can have more laser treatment or a loop excision, or you may need a cone biopsy.

If the abnormal cells come back more than once, you may be advised to have a hysterectomy, to prevent you from developing cancer of the cervix. It is also sometimes possible to remove just the neck of the womb in an operation known as trachelectomy. Trachelectomy is an experimental procedure carried out for young women who want to continue to have the possibility of becoming pregnant. You would need to discuss all your options with your doctor.

Regards

Dr Gary martin

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Answer 3

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Answer 4

i don't think it will come but why not ask your Dr about you wanting kids etc that is why he is there for good luck