What If You Are Hpv Positive And Have A Cone Biopsy To Remove Moderate To Severe Dysplasia, But Then You Get?

the HPV again? I’m unclear on exactly what happens? I know the cone doesnt remove the hpv, just the bad cells, but can you get another cone biopsy? what if you get the dysplasia again

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4 Responses to “What If You Are Hpv Positive And Have A Cone Biopsy To Remove Moderate To Severe Dysplasia, But Then You Get?”

  1. Lily L Says:

    They can come back, but mostly they do not!!!! Occasionally they will return once, then you have a second cone biopsy, and that’s it. How many cone biopsies you can have depends a lot on your cervix and how much tissue was removed. (I find it disturbing that gynos rarely discuss with their patients how conservative or agressive they want to be. It should be YOUR choice, not the doctors!) However, it is RARE for this to be a continuing problem. It is extremely rare for more than 2 cone biopsies to be needed.
    If you are one of those few unlucky women with continual problems, you get to have a hysterectomy. And then you may still have problems because HPV can start attacking your vagina. I’m not saying this to scare you because it’s rare, but I feel like it’s a dirty little secret of gynecology. They don’t like to give you the full rundown of bad possibilities. I guarantee you that if it was MEN having pieces of their reproductive systems removed because of HPV, all us women would be getting tested for it. But since it’s us women, men can go around in happy HPV ignorance because there is no avaible test for them.
    Back to the good news: did you know that most women test HPV negative after surgery? There is this theory going around that the surgery causes injury to your cervix, which causes an immune response and helps to fight off the HPV. You should get tested for HPV to see if it’s still around.
    As for infection with a new HPV strain, have you received or thought about Gardasil?
    Lastly, you should know that an HPV cure is is the works right now!! It boosts you immune system to specifically target HPV. I hear they are having success! Hopefully it will be availble to all of us soon!
    Good luck.

  2. tarnishe Says:

    I have known of a couple of gals to have two cold knife cones…I am not sure how many a woman could have. The biopsy is reviewed so it would depend on how much of an area the cone removed. Many times this procedure will remove the abnormal or diseased cervical cells.
    The cervix can regenerate after a cone but it is not the same size before. Are the cervical cell changes squamous cells or glandular cell changes (Tall cells, called glandular cells (or columnar cells) toward the top of the endocervical canal (above the cervix). They make mucus, which helps guard the entrance to the uterus).
    If the virus is to persist and progress then at some point your doctor would recommend a hysterectomy.
    After this procedure do the little life style changes that could help your body fight the virus…a healthy diet…at least 5 servings of fruits and veggies a day, get good sleep…cells heal in stage four sleep and sleep helps to reduce stress…limit alcohol, limit salts and read meats…exercise and use condoms…condoms can help the virus regress…and condoms can give your cervix more time to heal…adding a multivitamin couldn’t hurt.
    Understanding cervical cell changes:http://www.cancer.gov/cancertopics/under…
    Cold knife cone biopsy
    A cold knife cone biopsy is a procedure to get a sample of abnormal tissue from the cervix for further examination.
    How the Test is Performed
    This is a surgical procedure. It is done in the hospital while you are either sedated through an IV or general anesthesia. The purpose of this procedure is to diagnose and treat precancerous changes in the cervix.
    A small cone-shaped sample of tissue is removed from the cervix and examined under a microscope for any signs of cancer. This biopsy may also be the treatment if the doctor removes all of the diseased tissue.
    How to Prepare for the Test
    As with any procedure that is done under anesthesia, you will probably need to fast for 6 – 8 hours. You must sign an informed consent form. The procedure is done on the same day (outpatient) and a hospital stay is usually not needed.
    How the Test Will Feel
    After the procedure, you may have some cramping or discomfort for a week or so. For about 4 – 6 weeks avoid:
    • Douching
    • Sexual intercourse
    • Using tampons
    For 2 – 3 weeks after the procedure, you may have discharge that is:
    • Bloody
    • Heavy
    • Yellow-colored
    Why the Test is Performed
    This test is only done if the health care provider knows or suspects that you have abnormal cells in the cervix.
    It may be done if a biopsy of the cervix shows that you may have precancerous cells in the area or cervical cancer. A cold knife biopsy may also be done if a cervical biopsy cannot find the cause of an abnormal Pap smear.
    Normal Results
    There are no precancerous or cancerous cells in the cervix.
    What Abnormal Results Mean
    Most often, abnormal results mean that there is an area of precancerous or cancerous cells.
    Risks
    • Bleeding
    • Incompetent cervix (which may lead to premature delivery)
    • Infection
    • Scarring of the cervix (which may cause painful menstrual periods, make it more difficult for doctors to read an abnormal Pap smear, and make it harder to become pregnant)
    Alternative Names
    Cone biopsy; Biopsy – cone; Cervical conization

  3. J B Says:

    This cycle can continue over and over. That is why you need to be keeping your GYN visits as often as your doctor advises so that they can continue to do necessary procedures and monitor the progress of these bad cells which, if left untreated, can eventually become cancerous. Keep working with your doctor on this.

  4. Steve S Says:

    Continue to get them treated. I have been through this myself and it sucks but it is what needs to be done to treat you.

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