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KLM1975
02-02-2006, 11:59
does anyone know much about HPV/CIN1 and pregnancy??
i had a PAP smear come back and say that i had HPV CIN1 and then had a colposcopy. My gyno said it was only very mild and would probably return to normal but suggested we do another PAP in 6 months....i have since fallen pregnant. called the gyno and she seems to think it's fine.....wondering if anyone has had this experience?

WeThree
02-02-2006, 12:08
yup sure have :)
i was found to have CIN 3 and then a week later discovered that I was pregnant, my gyno was unable to perform the laser surgery because of my pregnancy so he did regular checks on it throughout to make sure it did not progress. He told me that for some reason in alot of woman pregnancy actually seems to 'cure' it, although that did not happen with me, and a couple of months after bubs was born I had laser treatment to remove it, and my last pap smear showed nothing abnormal, yay!!! i just have ot have 6mth pap smears instead of 12mth ones.
Hope this helps :)

Chickadee
02-02-2006, 12:39
I'm one of the lucky ones to get a recurrence, apparently only 10% recur. I had CINIII treated by laser in 1991 and it came back and was treated again in 2002. I've since had my daughter, she was conceived not long after my 6 month check up after the 2nd treatment. There is no problem with pregnancy and a history of CIN. My worry was that I'd have problems with an incompetent cervix after two laser treatments but it was fine.

I just pulled out the medical records for my first episode to check. It was diagnosed as mild-moderate dysplasia (which would be CINI-II) in Feb90 and wasn't checked again for 6 months. Next check was 6 months on (so a year after the intial detection) which showed severe dysplasia (CINIII) with treatment a month afterwards. I guess they were hoping the initial mild case would disappear on it's own, but no luck. So I'd tend to agree that in some women it does just disappear on it's own and a long monitoring period for mild cases isn't unusual. So long as you're being checked through your pregnancy you should be fine. I don't think they will take biopsies during pregnancy but just visually monitor.

Erin, you're still getting 6 month checks? I only had to do that for the first year and am now on 12 months. The standard in Australia for most woman was 2 years I thought?

WeThree
02-02-2006, 12:56
hey martha, i only recently had my first 6mth check, (well about 3-4 mths ago, lol) with another one to go, then i believe i can go to 12 mth checks :)

like martha said, in milder cases (CIN I) treatment is often not necessary, and it will often go away on its own, because mine was more severe though, it had to be monitored throughout my pregnancy. talk to your gyno in full about it, im sure he will do whatever he can to put your mind at ease. :)

KLM1975
02-02-2006, 13:23
thankyou ladies for your replies. although it's not nice at all, it is great to hear that i'm not alone in my worries. will just be sure to tell my Ob at my first visit (which is monday....oooh, nervous!!).
take care ladies...signing off for a while as i'm feeling a bit sickly.....hmm, damn morning sickness!!

Ky
06-02-2006, 09:28
Hi

I too had a "bad smear" and was pregnant ... I had my first smear the day I confirmed that I was pg with my dd and found out about the abnormality about a week later. I was referred to the colposcopy clinic at the hospital where they did a biopsy and I then went back every couple of months to be checked. When my dd was 6 months old, I had most of my cervix removed in a lletz loop diathermy procedure which was uncomfortable, but not too bad and have been having regular smears since. Initially, every 6 months and now every 12 months until my next one and then back to 24 months - yay!

I had no problems in my pg related to this, even with having had a biopsy etc while pregnant. After the lletz procedure, I have since sucessfully carried a baby to 36 weeks (who turned 3 yesterday!) who was absolutely huge (13lb 2oz) and my cervix didn't even show signs of failing!

It is pretty nerve wracking/annoying/frustrating etc, but don't let it get to you ... they have really effective treatments that are not really too invasive (no worse dignity wise than a prolonged smear test, and a bit more comfortable!) and you will be monitored pretty closely.

Bubs will be safe and you will be treated and back to normal asap after bubs arrives ...

Take care!