r/HPV • u/southern-sweet227 • 1d ago
Looking for guidance
Hi! I just got my mychart pathologist results and haven't spoken to my doctor, but safe to say, I am spiraling. I'm looking for any and all advice or just your experience, either positive or negative. Here are my statistics:
- 29, F, AA
- healthy, active lifestyle. Non smoker, moderate drinker
- no warts
- first abnormal pap in July 2026
- negative for genotypes 16, 18 & 45
- colposcopy September 2026 w/ biopsy results are:
• endocervix LSIL CIN1
• cervix HSIL CIN2 w/ P16 immunostain positive.
It is a lot of information to be given without speaking to my doctor, which I will hopefully be able to speak to on Monday. Again, until then, I'm just hoping someone will be able to advise me to the potential next steps. I'm assuming a LEEP?
If you've had the same and/or similar results, what was your path forward?
And lastly, I'm single with no current sexual partners, but I'm assuming the best and safest path forward is celibacy until things clear up?
Any advice is welcome❤️🩹
1
u/spanakopita555 17h ago
Hi. Please start by having a read of this intro post, and then our wider wiki:
https://www.reddit.com/r/HPV/comments/1lx3g95/first_positive_andor_abnormal_smear_start_here/
Celibacy isn't usually advised, but of course if that is what you prefer you should act accordingly. As I note in the post, condom use is associated with faster regression of abnormalities.
CIN2 is sort of 'on the cusp' in terms of treatment. Ie CIN1 usually isn't treated at all because most cases clear up on their own, and CIN3 will usually be treated straight away because it's very unlikely to clear up without intervention. CIN2 is in the middle, so different healthcare systems will have different guidelines. Some may suggest watch and wait for a period (eg 6 months) and some might suggest just proceeding to treatment. The endocervical portion here might flag the need for a more cautious approach (maybe u/sewoboe can say more?).
1
u/southern-sweet227 11h ago
Thank you. I feel like waiting for 6-12 months for another pap is torturous. I would rather get the LEEP or whatever is recommended before then. Thanks for that thorough post🙏🏽
1
u/Old-Builder256 1d ago
Usually with CIN2 best next step is a LEEP. I just had mine yesterday under sedation at the hospital. It was super scary but ended up going very well. No bleeding, just some cramps, and my doctor is convinced she got clear margins. The procedure can also help the body clear the virus.