I would love to get some information from a health professional to help me understand what is happening to me and what steps to take next.
I'm 60 yrs old, and i've been married to the same man for 40 years, and had no other sexual partners, however I've was diagnosed with HPV about 6 yrs ago after two abnormal pap screenings. Ultimately a LEEP was performed and I had three normal paps afterwards, so was back to doing annual exams. Last month my ob/gyn performed a pap and HPV screening, the pap came back normal but the HPV came back positive for a high/intermediate HPV.
A side note here, I have had to return to my Dr. more than once, for repeat Paps because my cervix is closed up and they could not get an adequate swab. So, although my pap comes back negative, how can that be reliable when apparently they are not able to get enough cells to test?
Last week my Dr. performed a colposcopy and biopsy of vaginal tissue. Again, the cervix was closed so she could not get a biopsy from the cervix. She said the cervix looked normal and felt normal. The biopsies from the vagina came back with "mild dysplasia", "lichenoid Chronic Inflammation", "negative for invasive neoplasm".
I am scheduled to go back to the Dr. next week to have some cream applied to the spots in vagina (the nurse said it will burn, but I don't know what exactly will be used). Then I'm going to return in 3 months for another colposcopy.
My main question is this: since I haven't had a swab or biopsy of the cervix in several years, how likely is it that I have pre-cancerous (or worse) lesions growing there? Should I entertain having a complete hysterectomy as my child bearing days are over? I'm really scared I'm going to get invasive cancer and want to be very aggressive with my treatment.
I have a wonderful, female, ob/gyn, but sometimes I feel she is trying to be overly optimistic. I would appreciate another opinion.
Thank you Jane. Your response definitely gave me much information. When I have my next appointment with my GYN, I will also pump her for more information and what I can expect in the coming months/years.
This is all very unsettling to me, and there are no absolute answers. I'll just have to go down this road and see where I come out. I do feel that my GYN is very competent and I have alot of confidence in her to give me the right treatment.