ok i finally went to meet my gyn, for my cin2, giving me only 2 choices, im a little stuck, my doc told me she is not going to remove just a small part of my cervix, it will be a big piece, and the chances of holding a baby is 50 50. i have hpv and she said the other option is i could wait to c if it goes away on its own, that i can come back every 3 months for a pap smear, and if it stay moderate then i would just keep going every 3 months, but if it does come back cin then they would do the leep. but my concerns and questions are, has any one with cin2 ever beat it on its own, or if i keep waiting can it get worse. i feel like i dont have much of anoption, she said these are the only options for me. and please dont say i should of asked my doc, i went there by myself and couldnt remember everything. should i do the leep now with a 50 50 chance to hold a baby, or should i c if i could beat it, but im scared it can get worse, any advice.
Answer
LEEP can have the complications of a preterm baby. Waiting to become pregnancy 37 weeks after the LEEP reduces the risk. Women that are closely monitors can have to receive a cerclage which puts a stitch or two to hold the baby. The risks of preterm births are not 50/50 after a cone or LEEP.
The risk of the virus progressing or regressing is about 50/50. In some the virus stays at the same level for months...even years before it progresses.
It is really difficult to remember all this is told us when we receive news such as this. With CIN2 the virus could return even after a LEEP...needing two LEEP would put you at a higher risk.
Read a bit more on LEEP's/Cones try to make an informed decision...on what is best for you.
I had two LEEP's done for vaginal cuff 2/3. Neither were to bad...rested the next day...was pretty much ok the next. My LEEP's were done under general anesthesia.
After the procedure I would wait about 6 weeks before you began having sex againâ¦.and I would recommend condoms. Condoms can give the cervix more healing time. The reduce the virtual load of the virus to your cervixâ¦.and it may take longer than 6 weeks before your body builds it immunity to your acquired HPV typesâ¦the procedure removes the abnormal cellsâ¦it doesnât remove the virusâ¦condoms help in the regression of the virus.
Health lifestyle choices, eating a balance diet, reducing stress, getting 8 hours sleep, limit alchemy all help in strengthening the immune system.
There is evidence that using condoms may decrease the viral exposure and speed the clearance of HPV related disease. The decreased viral load may allow the individual's own immune system a better chance of eliminating the virus.
http://www.asccp.org/hpv_history.shtml
LEEP and Preterm Births
Am Fam Physician. 2005
High-grade cervical abnormalities are common in young women who could become pregnant. Studies linking laser conization or loop electrosurgical excision procedure (LEEP) to an increased risk for preterm delivery have been inconclusive. Sadler and colleagues investigated the risk of preterm delivery subsequent to treatment of cervical neoplasia.
The retrospective cohort study included female patients of a large New Zealand hospital that offered centralized colposcopy and obstetric services. The authors assessed patients who, according to the hospital database, gave birth after at least 20 weeksâ gestation and had LEEP or laser procedures for cervical intraepithelial neoplasia (CIN) before becoming pregnant. The study also included a control group of women who visited the colposcopy clinic but did not receive treatment. The authors collected data on demographics, medical history, cervical cytology and histology, colposcopic findings, and obstetric history and complications. Assessment also included vertical height of excised tissue, treatment mode, and number of treatments. The data were adjusted to include risk factors for preterm delivery or premature rupture of membranes not related to CIN treatment.
The final analysis included 1,020 of the 9,226 women in the database. About 14 percent (n = 149) had preterm deliveries. Forty-one were caused by iatrogenic reasons, including induction; 41 occurred spontaneously; and 67 were caused by premature rupture of membranes (PROM) before 37 weeksâ gestation. Total preterm delivery rates for treated patients were 14.9 percent compared with 12.2 percent for untreated patients. PROM occurred in 8 percent of treated patients and in 3.5 percent of untreated patients. Spontaneous preterm labor occurred in 4 percent of treated patients and 3.5 percent of untreated patients. CIN treatment did not appear to increase risk for total preterm delivery or spontaneous preterm delivery after data were adjusted for outside risk factors. The adjusted relative risk increased for PROM following laser conization and LEEP treatments (2.7 and 1.9 percent, respectively), but not following laser ablation. The risk of PROM and preterm delivery increased as the height of tissue removed increased.
The authors conclude that there is an increased risk of PROM and preterm delivery, but not overall preterm deliveries following laser conization or LEEP.
http://www.aafp.org/afp/2005/0315/p1187.html
According to a Canadian study, women who had a LEEP were more likely to deliver preterm (7.9% vs 2.5%) and to deliver preterm after premature rupture of membranes (3.5% vs 0.9%). Deliveries earlier than 34 weeks were not increased in the LEEP group. The mean birth weight was 3,432 g in the LEEP group and 3,495 g in the comparison group. No significant increase of severe neonatal morbidity and mortality was present.
http://emedicine.medscape.com/article/270156-treatment
http://www.ncbi.nlm.nih.gov/pubmed/19701027
I wish you well.
LEEP can have the complications of a preterm baby. Waiting to become pregnancy 37 weeks after the LEEP reduces the risk. Women that are closely monitors can have to receive a cerclage which puts a stitch or two to hold the baby. The risks of preterm births are not 50/50 after a cone or LEEP.
The risk of the virus progressing or regressing is about 50/50. In some the virus stays at the same level for months...even years before it progresses.
It is really difficult to remember all this is told us when we receive news such as this. With CIN2 the virus could return even after a LEEP...needing two LEEP would put you at a higher risk.
Read a bit more on LEEP's/Cones try to make an informed decision...on what is best for you.
I had two LEEP's done for vaginal cuff 2/3. Neither were to bad...rested the next day...was pretty much ok the next. My LEEP's were done under general anesthesia.
After the procedure I would wait about 6 weeks before you began having sex againâ¦.and I would recommend condoms. Condoms can give the cervix more healing time. The reduce the virtual load of the virus to your cervixâ¦.and it may take longer than 6 weeks before your body builds it immunity to your acquired HPV typesâ¦the procedure removes the abnormal cellsâ¦it doesnât remove the virusâ¦condoms help in the regression of the virus.
Health lifestyle choices, eating a balance diet, reducing stress, getting 8 hours sleep, limit alchemy all help in strengthening the immune system.
There is evidence that using condoms may decrease the viral exposure and speed the clearance of HPV related disease. The decreased viral load may allow the individual's own immune system a better chance of eliminating the virus.
http://www.asccp.org/hpv_history.shtml
LEEP and Preterm Births
Am Fam Physician. 2005
High-grade cervical abnormalities are common in young women who could become pregnant. Studies linking laser conization or loop electrosurgical excision procedure (LEEP) to an increased risk for preterm delivery have been inconclusive. Sadler and colleagues investigated the risk of preterm delivery subsequent to treatment of cervical neoplasia.
The retrospective cohort study included female patients of a large New Zealand hospital that offered centralized colposcopy and obstetric services. The authors assessed patients who, according to the hospital database, gave birth after at least 20 weeksâ gestation and had LEEP or laser procedures for cervical intraepithelial neoplasia (CIN) before becoming pregnant. The study also included a control group of women who visited the colposcopy clinic but did not receive treatment. The authors collected data on demographics, medical history, cervical cytology and histology, colposcopic findings, and obstetric history and complications. Assessment also included vertical height of excised tissue, treatment mode, and number of treatments. The data were adjusted to include risk factors for preterm delivery or premature rupture of membranes not related to CIN treatment.
The final analysis included 1,020 of the 9,226 women in the database. About 14 percent (n = 149) had preterm deliveries. Forty-one were caused by iatrogenic reasons, including induction; 41 occurred spontaneously; and 67 were caused by premature rupture of membranes (PROM) before 37 weeksâ gestation. Total preterm delivery rates for treated patients were 14.9 percent compared with 12.2 percent for untreated patients. PROM occurred in 8 percent of treated patients and in 3.5 percent of untreated patients. Spontaneous preterm labor occurred in 4 percent of treated patients and 3.5 percent of untreated patients. CIN treatment did not appear to increase risk for total preterm delivery or spontaneous preterm delivery after data were adjusted for outside risk factors. The adjusted relative risk increased for PROM following laser conization and LEEP treatments (2.7 and 1.9 percent, respectively), but not following laser ablation. The risk of PROM and preterm delivery increased as the height of tissue removed increased.
The authors conclude that there is an increased risk of PROM and preterm delivery, but not overall preterm deliveries following laser conization or LEEP.
http://www.aafp.org/afp/2005/0315/p1187.html
According to a Canadian study, women who had a LEEP were more likely to deliver preterm (7.9% vs 2.5%) and to deliver preterm after premature rupture of membranes (3.5% vs 0.9%). Deliveries earlier than 34 weeks were not increased in the LEEP group. The mean birth weight was 3,432 g in the LEEP group and 3,495 g in the comparison group. No significant increase of severe neonatal morbidity and mortality was present.
http://emedicine.medscape.com/article/270156-treatment
http://www.ncbi.nlm.nih.gov/pubmed/19701027
I wish you well.
this summer were keeping bunnies in our barn up north and....?
were not there every single day, but pretty dang often, were also going to be raising baby phesents to relese onto the property when they are adult. But the bunnies were thinking of getting two from the omish people up there. they will be kept in cages with all the nasesities they need. i was woundering what breed of bunnie is best outdoors? i am in michigan
Answer
How often will you be there? If you aren't going to be there at least every 48 hours, then I wouldn't do it. Plus if the SPCA found out, you could be caught for abandoning them, even though technically you haven't. They will even frown upon not being there every day. Rabbits can go down hill very fast, and not seeing them everyday means you can't monitor them. Plus, you can't really just stock them up with food and hope for the best, they will become obese if you do that, because they will just keep eating fattening pellets all day. Well, if you are raising them for meat then that is fine.
It is the same with the baby pheasants, they really need to be monitored. All breeds of bunnies are kind of the same outdoors. A hardy breed might be the best though, stay away from very fluffy breeds (like angora), very fragile breeds (like Belgian Hare) and very small breeds (like Netherland Dwarves). I'd probably go for something like Mini Lops, Himalayans, New Zealands etc.
Good Luck!
How often will you be there? If you aren't going to be there at least every 48 hours, then I wouldn't do it. Plus if the SPCA found out, you could be caught for abandoning them, even though technically you haven't. They will even frown upon not being there every day. Rabbits can go down hill very fast, and not seeing them everyday means you can't monitor them. Plus, you can't really just stock them up with food and hope for the best, they will become obese if you do that, because they will just keep eating fattening pellets all day. Well, if you are raising them for meat then that is fine.
It is the same with the baby pheasants, they really need to be monitored. All breeds of bunnies are kind of the same outdoors. A hardy breed might be the best though, stay away from very fluffy breeds (like angora), very fragile breeds (like Belgian Hare) and very small breeds (like Netherland Dwarves). I'd probably go for something like Mini Lops, Himalayans, New Zealands etc.
Good Luck!
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