https://paperdollyburnd.livejournal.com/ ([identity profile] paperdollyburnd.livejournal.com) wrote in [community profile] vaginapagina2011-02-13 09:06 pm

(no subject)

More opinions needed!

For those who missed it or don't remember, I had one of the recent Cervical Dysplasia posts. I am no longer stressing out about the possibility of HPV and neither is my partner. However, I do want to get more information about the condition and keep an eye on it.

The gynecologist wanted me to schedule a Colposcopy for as soon as I was off my period. I scheduled the appointment and she decided not to show up that day, so I was told to reschedule it after my next period. I am not particularly fond of this gynecologist. Her receptionists were pretty unprofessional, talking about other patients in the hallway outside of my door where I could hear them. She, herself, had some outdated and biased information. Her entire office set up and protocols were pretty awkward, which I would explain but it sounds pretty nit-picky. In short, I really do not look forward to going back to seeing this woman. The WONDERFUL OB that I had (when I lived in another state) did not make me feel this way at all. So, I know its not just being a gyno-phobe. This lady is just not a good match for me.

WWVPD? My initial thought was to get the colposcopy over with before I go looking for another gyno. In part because she already knows about the findings on the initial exam and also due to insurance. However, I've already waited a month for this appointment. Don't some women wait three months and go back for a regular pap to see if there is any evidence of dysplasia before moving towards something more invasive? Would it be okay to look for another gyno to do a follow-up pap? Or is it better to just do the colposcopy?

[identity profile] realt-stea.livejournal.com 2011-02-14 03:14 am (UTC)(link)
personally, i would find another GYN before having a colpo. i would not let someone i didn't trust or who seemed unprofessional do a procedure like that to me. call around, tell them your situation, and see what they can do for you.
archangelbeth: An egyptian-inspired eye, centered between feathered wings. (Eye in the Pyrawings)

[personal profile] archangelbeth 2011-02-14 03:29 am (UTC)(link)
I would talk to the insurance, probably, just in case, and explain some of your issues -- especially the outdated information -- and find another gyno. Good luck!

[identity profile] somniumdraconae.livejournal.com 2011-02-14 05:59 pm (UTC)(link)
Yup - This!

[identity profile] misspaigeb.livejournal.com 2011-02-14 04:19 am (UTC)(link)
I would probably find another gyno and just repeat the entire process... pap and then if the new gyno thinks a colpo is necessary, go for it.

[identity profile] thedorkygirl.livejournal.com 2011-02-14 04:35 am (UTC)(link)
I had my pap done by my GP and went back to my normal gyno for the colposcopy. a) my doctor's office couldn't do it b) I'd been going to my gyno since I was 15, and I felt very comfortable with her. So I don't think switching will be an issue, fwiw

[identity profile] atalanta0jess.livejournal.com 2011-02-14 05:34 am (UTC)(link)
Whether or not it is a good idea to wait on the colpo depends partially on what the results of your pap were. Do you know what they were? (E.g. ASCUS, LSIL, or HSIL?)

[identity profile] marionravenwood.livejournal.com 2011-02-15 10:40 am (UTC)(link)
Yeah, I agree with [livejournal.com profile] atalanta0jess: you need the actual classification of abnormality and would add that it doesn't sound like you've actually been tested for HPV. I would have the sample from the pap test backtested for HPV (no need for another exam or anything for that). If your results were ASCUS and the HPV test is negative, then I wouldn't even worry about it: it's a false positive, just do another pap test on your normal schedule. If your results were ASCUS and the HPV test is positive, I wouldn't go straight to colposcopy: I think it's perfectly fine to wait six months or a year and then do another pap test. (I would not go back after only three months. That might not be enough time.)

Looking at your profile it looks like you are only 23. In a lot of countries they don't even START cervical cancer screening until age 25 or 30, because young people are at low risk for actual cancer but high risk of transient abnormalities that invite a lot of followup procedures even though they would never have progressed to actual cancer. Unless you have a more severe grade of abnormal (HSIL), I think it's fine to take the time to find a provider you like.

[identity profile] atalanta0jess.livejournal.com 2011-02-15 07:51 pm (UTC)(link)
This, exactly. Unless it's HSIL, a re-pap is totally appropriate.

That said, your insurance will likely cover a second opinion, so you could take the results of your pap to a new doctor and see what they think about it.

[identity profile] kuradi8.livejournal.com 2011-02-14 03:15 pm (UTC)(link)
I agree with the others who said to start fresh with someone else.

I also agree that you should contact your insurance company to tell them -- to make sure that you are covered for starting over.

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