Hi, I am new to the site and had a few questions regarding my HPV. I was diagnosed with HPV about 2 years ago (I am 23 now) when my doctor told me I had HGSL. I then had a colp. and my doctor told me to use the "watch and wait" method. 6 months later I had another pap and it came back ASCUS. They told me at that time it was probably getting better. I just recently had another pap and it too came back ASCUS. I am not sure if I should have another colp or not, but I am assuming the HGSL is gone. I know ASCUS is undetermined, but I have heard there is no real cancer threat in this reading. Can someone help? I am so confused about all of this! I am also scared, maybe it is something worse and it just didn't turn up? Why would she tell me it was getting better?
Thanks!
Christina
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Confused!
3 replies
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- By Eimaj
- Posted January 3, 2009 at 9:43 pm
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Hello,
I had an ASCUS pap in July of 2007 and was told to watch and wait. I had another pap in September of 2008 and it showed Atypical glandular cells, had a colposcopy and biopsy and then was told I had stage 1b1 Adeno cervical cancer.
I can't tell you what to do, but I wish I had not watched and waited after my ASCUS pap.
- By flowershoplady
- Posted January 4, 2009 at 12:14 am
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hi, christina. 'usually' an ascus pap test result would be better than an hgsil result, but it's not definitely better, especially if you still have a positive hpv test. did the doctor do an hpv test? if you're testing positive for hpv each time, even with an ascus, with an hpv infection that's been active for two years, then it seems like a colposcopy would be the best best. i'm not a doctor, but if you take a look at the guidelines/standards recommended by the american college of ob/gyns, then i think your situation calls for an exam via colposcopy. here's the website where you can look at the guidelines: http://www.asccp.org/consensus/cytological.shtml
meanwhile, i woudl encourage you to do whatever you can to help clear the hpv infection (no smoking, eating cruciferous vegetables or taking DIM supplements, getting plenty of sleep, reducing stress, using condoms, avoiding vaginal infection/inflammation)
let us know how you're doing!
- By indigo9
- Posted January 5, 2009 at 6:48 pm
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I agree with what Eimaj said. I had an ASCUS pap that I didn't have treatment for, and I wasn't too worried because I'm young (22 at the time) and generally pretty healthy. My next pap, just a year later, came back as HGSIL. The colposcopy immediately after that showed CIN III and adenocarcinoma in situ, which actually turned out to be invasive.
I don't mean to scare you, as this is definitely not a common scenario. In your position, I'd probably opt for the colposcopy for peace of mind. It's true that those gyn exams are no fun, but I think it's a lot better to know than to wonder!
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