Unexpected Results on a D and C: CIN on a D and C Path Report

A reader asked several great questions regarding the findings of CIN, in her case I/II or mild to moderate dysplasia, on the pathology report of a D and C and then NovaSure done. NovaSure endometrial ablations are to treat heavy menstrual cycle bleeding which is the result of the shedding of the endometrium, or the lining of the uterus. CIN stands for Cervical Intraepithelial Neoplasia. This is a term for precancerous changes of the cervix itself. It is not likely the cause of any heavy menstrual bleeding. It is not likely the cause of any actual symptoms at all (spotting and discharge are sometimes associated, but not often). It is the result of an HPV infection, and it can lead to cancer. The chance that a woman will have cervical cancer after a CIN I diagnosis is probably about 1/100...after a more high grade diagnosis ...CIN II or CIN III....more like 10/100. Other tests are useful, like an HPV 16/18 test, or the actual pap smear. But bottom line, CIN cannot come from the lining of the uterus, it comes from the cervix. So if it was an unexpected result from your D and C, then you need to have your gyno investigate further. Some gynos may choose to have a colposcopy done for you right away (look with the microscope). Just ignoring unexpected findings may not be the best strategy for all, perhaps a gab with another gyno. And for those of you readers just reading who didn't just have an unexpected test: HPV is literally becoming a preventable disease. Vaccinate your girls and your boys and maybe we won't ever have to have this part of THE GAB again!


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