Hey there, I emailed you.
I had an abnormal pap, and they did a colposcopy and a cone biopsy. I have not had an abnormal pap since then, so that is good.
However, I dont' feel like I got enough information regarding different options for treatment, and am very angry about it (when I think about it). There are different types of biopsies, and the type I had often weakens the cervix. I *told* my practitioner at the time that I wanted more children, and he told me that it was no problem. I had major preterm labor with my next (and last) child. She is my last child because I never want to go through the preterm labor (at 24 weeks) again. So, in effect, this doc, because he presented me with no options, limited my family size because of my treatment.
Maybe I would have chosen to have the cone biopsy anyhow; I don't know. He did not discuss my results with me, did not present any treatment options, did not discuss anything. Just told me I had HPV, gave me a handout on HPV, and scheduled me for a cone biopsy.
A GREAT book, that I recommend all the time here, is called "The Abnormal Pap, what every woman should know." I cannot recommend this book enough. It speaks in very understandable terms, it is well organized, and it presents ALL your options. It discusses cervical cancer, different pap types, what the different results mean, and various treatment options. It even discusses how paps are processed, the credentials of the lab and cytologist; it is great. VERY informative.
I'm sorry your worried, and I don't want to add to your worries by you thinking you won't be able to have any more children. Most practitioners dont' do the cone-type of biopsy; they do little biopsies, where they take small pieces of tissue (instead of a major chunk of the cervix, like mine did). My biopsy came back negative, by the way. No cancer. That was my first and only abnormal pap, and I have not had one since (and I am very good about getting my pap every year...that has been 6+ years ago).
I am now a nurse in a women's clinic; only very very rarely does a biopsy come back positive for cervical cancer. VERY rarely. Removal of the lesions will often take care of the problem. And in many cases, *your body* will take care of it. That is why, with many results, the standard of care is to wait and recheck in 4-6 months; this gives your body a chance to heal.
Also, asking for a viral typing of the HPV is helpful. It is well known that there are about 6 viral subtypes of HPV that are associated with most of the cervical cancers. Other viral subtypes are not (there are over 100 viral subtypes of HPV). So, if you know you have one of the more aggressive subtypes, you can be more aggressive with your treatment. Likewise, if you know you have one of the less aggressive types, you can be less aggressive with the treatment.
Knowledge is power! Read the book, ask questions! And trust your body. Good nutrition, good health, and positive thinking are as important in healing your body as any treatment or biopsy.
Hugs to you for your worries! I'm sorry you had to go through this; I have been there and I know how scary it is. Now, working where I do, I see so many abnormal paps that I don't think I would even flinch if mine came back abnormal. The unknown is so scary! Knowing my options and what all the results mean makes all the difference, in my book.
Good luck; let us know how your results are.
And get that book!!!! I think it came out in 2000.