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Precancerous Changes of the Cervix - Cervical Dysplasia


Treatment & Monitoring

What are the treatments for the condition?

Early dysplasia can usually be treated with one of the following:

  • cryotherapy, or freezing of the abnormal cells with liquid nitrogen
  • laser surgery, with a laser beam directed at the abnormal cells
  • loop electrocautery excision procedure, or LEEP, a procedure that uses a heated electrical loop to destroy abnormal cells
  • For more serious cases of cervical dysplasia, the abnormal tissue may be removed surgically. Options for surgical removal include the following:

  • cone biopsy, a procedure in which a portion of the center of the cervix is removed. This procedure is also used to diagnose the dysplasia. During the diagnostic cold cone biopsy, the abnormal tissue is often completely removed.
  • hysterectomy, or surgical removal of the uterus and cervix
  • What are the side effects of the treatments?

    During cryotherapy, women often feel cramping and pelvic discomfort. For about a month afterward, they have a great deal of watery vaginal discharge.

    Laser surgery or LEEP can cause the following:

  • foul-smelling vaginal discharge
  • cervicitis, or inflammation of the cervical tissue
  • bleeding
  • an allergic reaction to the local anesthesia used during the procedure
  • Possible side effects and complications of hysterectomy are as follows:

  • inability to control urination
  • sexual problems
  • psychological stress
  • swelling in the legs
  • bleeding that requires a blood transfusion
  • allergic reaction to anesthesia
  • What happens after treatment for the condition?

    A woman may be advised to refrain from using tampons, having sexual intercourse, or douching for a period of time following a procedure to treat cervical dysplasia.

    How is the condition monitored?

    Women who have been treated for dysplasia should be closely followed with pelvic exams and Pap smears. During the first year after any treatment, Pap smears should be done every 3 to 4 months. In the second year, the schedule is every 6 months. Any new or worsening symptoms should be reported to the healthcare provider.


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