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Vaginal cuff dysplasia Vaginal cuff dysplasia

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Unread 12-20-2005, 09:07 PM
Vaginal cuff dysplasia

Hi Sisters,

I have had two paps following my hyst and both show dysplasia in the vaginal cuff. My doc doesn't seem concerned and I am trying not to be either but does anyone else have a similar situation?
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Unread 12-20-2005, 09:27 PM
Vaginal cuff dysplasia

Hi Votelady,

I've had the same problem. Did your doctor tell you what grade of dysplasia you have? Usually with mild dsyplasia, the doctors take a wait-and-see attitude and require repeat Paps every few months. Higher grades usually require more agressive treatment.

My experience is in my journal, if you want to read it.

Good luck and s,

Unread 12-20-2005, 09:33 PM
Vaginal cuff dysplasia

Has your doc done a colposcopy and/or biopsy? Since you have had more than one abnormal PAP since your hysterectomy and you have the history of cervical dysplasia, I would think that it's important for this to be investigated further. You might also like to request an HPV test done from that area to see if that's involved somehow.

There are various treatments available for vaginal dysplasia. Laser surgery, surgical resection, topical chemo are all possibilities depending on the severity, location, and extent of involvement. I would ask for additional testing and if this doctor doesn't care to do it, then I would ask for a referral to see a specialist such as a gynecologic oncologist. They are the experts when it comes to female cancers and precancers and they are highly trained in the current treatment techniques and surgical procedures.

I have had vaginal dysplasia. Mine was treated by surgically removing it. I still have occasional abnormal PAP's, but all of my colposcopies have shown nothing. So I just keep on going back. If anything materializes, I want it taken care of right away!

Keep us updated on your situation!

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Unread 12-20-2005, 10:05 PM
Vaginal cuff dysplasia

I don't know whether it is mild or severe dysplasia but I do know I have HPV. I will question my doctor further. He seems to have laid back attitude but he had assured me the hyst would take care of my health problems so now I'm not sure whether he is telling me the whole story or covering his back.
Unread 12-20-2005, 10:07 PM
Vaginal cuff dysplasia

Thanks for the support Lisa & Jeanine.

Unread 12-20-2005, 11:03 PM
Vaginal cuff dysplasia

Votelady, it wouldn't hurt to get a second opinion from a gyn/oncologist, especially if it's moderate or severe dysplasia.


Unread 12-21-2005, 05:19 AM
Vaginal cuff dysplasia

I had a TVH 6 weeks ago for severe cervical dysplasia. I went to my gyn today for my last post op for another year. I asked her if I had HPV, she said she didnt know, but most likely I did.

She also told me it was rare to have the dysplasia come back since mine was centered in the small area inside my cervix. Now that my cervix was gone, i would be ok, but I still need paps.

Is a year too long to wait?

This concerns me...thanks ladies
Unread 12-21-2005, 05:26 AM
Vaginal cuff dysplasia

cara, my paps will be scheduled every 3 months until i get 2 clear then every 6 months until i am clear for 2 years. after that it will go back to 1 a year. i will go back as many times as it takes to stick around and continue to make all my families lives miserable. lol just kidding. good luck and god bless

Unread 12-21-2005, 07:23 AM
Vaginal cuff dysplasia

My recent pap of the vaginal cuff showed high levels of dysplasia; I've since had biopsies and colposcopy. Gyn/Onc told me results indicate action required, I'll be meeting with him on Jan. 5 for the follow-up plan. (laser, ablation, etc). Most likely from hpv which I've had on and off for years. I agree the biopsies are no fun, and I've noticed I'm much more tender in the area (speculum is uncomfortable) now that I no longer have estrogen 'feeding' the tissues. I will get this taken care of and move on.
Unread 12-22-2005, 05:49 PM
Vaginal cuff dysplasia


My follow-up PAP's were also scheduled every 3 months for the first 2 years. The plan was then that if I had 2 years of normal PAP's that I could drop to every 6 months. Unfortunately, I've yet to have 2 years of normal PAP's so I'm still on the every 3-4 month PAP plan. Keep in mind that it's not common to have ongoing problems like I am having, but it does happen.

I hope your TVH is all that is needed to rid you of this forever!


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