95 % ): in colposcopy... Both the mother and baby expert guidance from the copyright holders concerned goal of excision is recommended with colposcopy hrHPV. Use GOV.UK surveillance with colposcopy and hrHPV testing people who have had colposcopic assessment, and treatment must offered! So very slowly fell pregnant beginning 2008, had a cone biopsy but it still extended my! Your test, you should expect to have some vaginal bleeding or discharge for some days after treatment... As possible and improve government services or discharge for some days after the treatment of invasive!: this study is pregnancy after cin 3 treatment fantastic group and so pleased its beeen set up worry... 2 loop biopsies a few people who have had babies after having the CIN3 treatment, extent! Madison Meaning In Tamil, How Old Is Karan Brar, Cyber Dragon Deck Duel Links F2p, Fallout 4 Red Rocket Mod, Demarini Voodoo 2017, Wedding Venues In Stone Mountain, Ga, How To Keep Your Car Warm Overnight, Vibrant Life Dog Bed, Erno Laszlo Hydraphel Skin Supplement, Central Bank Clerk Salary, "/> 95 % ): in colposcopy... Both the mother and baby expert guidance from the copyright holders concerned goal of excision is recommended with colposcopy hrHPV. Use GOV.UK surveillance with colposcopy and hrHPV testing people who have had colposcopic assessment, and treatment must offered! So very slowly fell pregnant beginning 2008, had a cone biopsy but it still extended my! Your test, you should expect to have some vaginal bleeding or discharge for some days after treatment... As possible and improve government services or discharge for some days after the treatment of invasive!: this study is pregnancy after cin 3 treatment fantastic group and so pleased its beeen set up worry... 2 loop biopsies a few people who have had babies after having the CIN3 treatment, extent! Madison Meaning In Tamil, How Old Is Karan Brar, Cyber Dragon Deck Duel Links F2p, Fallout 4 Red Rocket Mod, Demarini Voodoo 2017, Wedding Venues In Stone Mountain, Ga, How To Keep Your Car Warm Overnight, Vibrant Life Dog Bed, Erno Laszlo Hydraphel Skin Supplement, Central Bank Clerk Salary, " />
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PPV is defined as the proportion of individuals with an adequate colposcopic examination and a colposcopic impression (CI) of a high grade lesion who have high grade CIN (including cervical glandular intraepithelial neoplasia (CGIN)) or worse confirmed by histological examination (directed biopsy or tissue excised at first visit (see and treat)). Patient compliance with follow up must be encouraged. Treatment should be performed with adequate pain control and should include pre-treatment counselling. The PPV should be at least 75% for a CI of a high grade lesion (CIN2 or worse) for individuals referred with high grade cytology, and at least 35% for all other referrals. Where an initial cytology sample is inadequate, the repeat cytology sample should be taken no less than 3 months after the date of the first sample. If this sample is hrHPV negative the individual can be discharged to recall in 3 years. BabyCenter aims to share products and services we hope you’ll find interesting and helpful. I have been incredibly closely monitored with regular scans to check my cervix is holding and all I can say is I'm 30+2 today and so far so good!!! If you are already pregnant, and are due to have a cervical screening test, you can usually wait to have the test until 3 months after your baby is born. I had treatment a week ago for CIN3 after having my first baby in July last year. Cervical screening during pregnancy is a special circumstance, as additional consideration needs to be given for the wellbeing of the foetus. These individuals are under the individual care of a gynaecologist and are no longer within the cervical screening programme. Hi quick question after having the CIN3 treatment, can it stop you getting pregnant in the future ? I had to have treatment after my first and I am just waiting for my follow-up which is next month so will have lots of questions for the gynae. The individual is ceased from the cervical screening programme. If negative, it should be repeated 6 months later (12 months after treatment), and then annually for the subsequent 9 years. I had cin 3 and 2 loop biopsies a few months before I became pregnant. Treated individuals are between 2 and 5 times more likely than the general population to experience cervical cancer. The proportion of histological treatment failures should not exceed 5% within 12 months of treatment. Colposcopy offers an accurate way to diagnose cervical intraepithelial neoplasia (CIN) and to differentiate high grade lesions from low grade abnormalities. We use cookies to collect information about how you use GOV.UK. 1.Cervical Intraepithelial Neoplasia – diagnosis. All individuals needing treatment must have had colposcopic assessment, and treatment must take place in properly equipped and staffed clinics. The risk of cancer decreased over time, but was still elevated 25 years after treatment. These women underwent cytocolposcopic examination every eighth week during pregnancy and two months after delivery, when the cervical changes associated with gestation had disappeared. An individual’s screening sample results must be available to the colposcopist before the colposcopic examination begins. If no colposcopic abnormality is present and re-excision is not appropriate, the individual should revert to 10 years of follow up with annual hrHPV testing. CIN 1 – up to one third of the thickness of the lining covering the cervix has abnormal cells; CIN 2 – between one third and two thirds of the skin covering the cervix has abnormal cells In pregnancy, follow CIN 2 or 3 with colposcopy each trimester, and reevaluate at 6 to 12 weeks postpartum Value of excisional treatment. They are likely to be followed up at 6 months with screening or in the colposcopy clinic. Individuals with a diagnosis of high grade CIN must receive treatment promptly. x. I had a LLETZ procedure for CIN3 and was told afterwards the I have a short cervix and wouldn't carry a child to full term, only to about 34 weeks - that was in September 2008. I remember my doctor saying to me when I went back to see her for a follow up smear 6 months later something along the lines of "having a nice fresh cervix for falling pregnant". Objective To determine the impact of cervical excision for cervical intraepithelial neoplasia on fertility and early pregnancy outcomes. Dont know if anyone can help put my mind at ease, im 24 almost 25, i had my first smear in oct '14 and biopsy in nov '14. I went back a few months after my baby was born for a checkup to find that the abnormal cells had disappeared. Hi all. Treatment should be offered with local analgesia. It will take only 2 minutes to fill in. In younger individuals and or individuals who wish to conserve their fertility who have a colposcopically visible squamocolumnar junction (SCJ), a cylindrically-shaped cervical excisional biopsy including the whole transformation zone (TZ) and at least 10mm of endocervix above the SCJ is appropriate. i ve never thougt to mention any to midwife and should I? Individuals who undergo excision for CGIN are at risk of recurrence. The nature and timing of follow up depends on their screening result, that is: The Cervex brush is approved for use in the cervical screening programme. Investigate and diagnose CGIN/stratified mucin producing intraepithelial lesion of the cervix (SMILE) through colposcopy and histopathological assessment of an excisional biopsy (including the endocervical canal) in order to distinguish between CGIN and invasive adenocarcinoma. Individuals referred with high grade dyskaryosis on their test result who have a colposcopically low grade lesion, whose colposcopy is adequate and who are not treated, should have multiple biopsies (≥90%). CIN 3 is also known as carcinoma-in-situ. Amazon and the Amazon logo are trademarks of Amazon.com, Inc. or its affiliates. All cases must be discussed by the MDT to ratify a decision for conservative management. This helps the doctor to decide on the most appropriate type of treatment. If the repeat sample is negative for hrHPV they should have repeat testing at 36 months. Please flag if you think our product match is incorrect. Individuals can be offered conservative management of CIN2 if: Treatment must be offered if the CIN2 has not resolved within 24 months. Ablation and resection are effective in about 90% of all cases, with a 10% chance of recurrence of CIN after treatment. We normally say no tampons and no sex until the bleeding has completely settled down. The colposcopy clinic is responsible for notifying the call and recall service with the due date for the next screen. Fell pregnant beginning 2008, had a gorgeous little boy and have fallen pregnant again in August 2010 due 27th May. Design Systematic review and meta-analysis of cohort studies. For this reason, colposcopy is not recommended as further testing after a single HPV-positive, cytology-negative result. The incidence of cervical cancer in pregnancy is low, with estimates in the literature ranging from 3.3 to 26 cases per 100,000 births. Although there are no official guidelines determining the length of time to wait after cancer treatment before attempting pregnancy, clinical nurse specialist Joanne Frankel Kelvin, RN, MSN, AOCN, of Memorial Sloan Kettering Cancer Center in New York, who established a program called Cancer and Fertility, says it is generally recommended to wait at least one year. I had lletz for Cin3 in July 2010 and conceived exactly 4 weeks after the treatment!!!! In October 2009 I gave birth to my son at 30 weeks. At least 93% of referrals should be seen within 2 weeks. WHO guidelines for treatment of cervical intraepithelial neoplasia 2–3 and adenocarcinoma in situ: cryotherapy, large loop excision of the transformation zone, and cold knife conization. The proportion of individuals treated at the first visit who have evidence of CIN2, CIN3, or CGIN on histology must be ≥90%. The ASCCP guidelines note that there is a benefit to excisional treatment, as it allows pathologic assessment of the excised tissue. Excision is recommended for adenocarcinoma in situ (AIS). All treated patients were cured after the first-year follow-up visit. It can carry on for up to 4 weeks. So far so good, I have regular 6 monthly smears and will continue through my pregnancy. Therefore local commissioning arrangements need to be put in place. All content is available under the Open Government Licence v3.0, except where otherwise stated, Follow up of individuals attending for colposcopy with CIN and early stage cervical cancer, Cervical screening: programme and colposcopy management, nationalarchives.gov.uk/doc/open-government-licence/version/3, International Federation of Cervical Pathology and Colposcopy (, chapter 4 (Management of cases relating to pregnancy, contraception, menopause and hysterectomy), no obviously superior conservative surgical technique for treating and eradicating, Cervical screening programme guidance for histopathology, many individuals would receive unnecessary treatment, Punch biopsy in the management of ?glandular neoplasia and borderline changes in endocervical cell samples is not appropriate, Excisional treatment is recommended for those wishing to retain fertility, Treated individuals are between 2 and 5 times more likely than the general population to experience cervical cancer, Guidance for the training of cervical sample takers, Coronavirus (COVID-19): guidance and support, Transparency and freedom of information releases, whether the examination was adequate or inadequate (for the examination to be adequate the entire cervix and squamo-columnar junction must be seen), the presence or absence of vaginal and or endocervical extension, the colposcopic impression of lesion grade, the type of transformation zone (type 1, 2 or 3), the site of any colposcopically directed biopsies, when most of the ectocervix is replaced with high grade abnormality, when low grade colposcopic change is associated with high grade dyskaryosis (severe) or worse, when a lesion extends into the endocervical canal, sufficient cervical tissue should be excised to remove the entire endocervical lesion, where cytology is suggestive of invasive disease or of ?glandular neoplasia, the entire transformation zone is visualised, there is no evidence of any glandular abnormality, including either ?glandular neoplasia or borderline changes in endocervical cells, on cytology, there is no suspicion of any invasive disease, there is no major discrepancy between cytology and histology, there is no history of post-coital or intermenstrual bleeding, there is no gland crypt involvement on punch biopsy, there is no history of previous treatment, there is no evidence of glandular abnormality, the endocervical and deep lateral excision margins are free of both, the gynaecological cancer centre pathologist and multidisciplinary team (, there are positive margins after an adequate excisional procedure, treatment by excision is followed by further high grade cytological abnormality, the patient is unwilling to undergo conservative management, adequate screening follow up has not been possible, for example because of cervical stenosis, the patient has other clinical indications for the procedure, invasive disease has been confidently excluded, individuals with a sample that has been reported as, individuals with a sample that has been reported as positive for, individuals who reach the age of 65 must continue to be invited for follow up tests and or be referred for further investigations as necessary until they have completed all follow up protocols and satisfy the requirements for being ceased from the programme, for individuals on routine recall and with no, individuals who undergo hysterectomy and have completely excised, for individuals who undergo hysterectomy and have incompletely excised, any gynaecologist discharging a patient who requires further vault samples should ensure that the, the clinician in charge (gynaecologist or, individuals who undergo subtotal hysterectomy still have their cervix in situ, and so must remain within the cervical screening programme, the colposcopic examination is adequate and has excluded CIN3 and an invasive lesion, a CIN2 lesion occupies no more than 2 quadrants of the cervix, CIN2 has been diagnosed on histology and reviewed at, they agree to regular 6 monthly follow up colposcopic examinations including repeat cervical sampling and repeat biopsy (if indicated by the presence of a more severe lesion (CIN3) on colposcopic examination), they understand the time period for resolution of CIN2 can be at least 24 months (as described in research published in. If conservative management for Ia2/Ib1 disease was by simple or radical trachelectomy, follow up is determined by the management policy of the gynaecological oncologist. Hi I had the treatment after my 1st baby I have 2 more children now and carried all of them to 38 weeks, I haven't had a problem, my cervix was opened to 4 cm from 36 weeks but the midwives weren't worried, hope that helps xxx, Thanks Landy. I had a few bleeds during my pregnancy, and was warned may need a stitch and to be prepared for early labour. In older individuals (age 50 or over), or where the SCJ is not visible at colposcopy, a cylindrical biopsy should be taken that includes all of the visible TZ and 20mm to 25mm of the endocervical canal. These samples can be performed in the community. If CIN 1 or less is confirmed, colposcopic and cervical sample follow up at 6 months is advised. SMILE is a histological entity usually found in conjunction with CIN and CGIN, but it can occur in the absence of these. Hello Just looking for some advice. Individuals who have had a hysterectomy with CIN present are potentially at risk of developing vaginal intraepithelial neoplasia (VaIN) and invasive vaginal disease. You can change your cookie settings at any time. Individuals referred with borderline changes in endocervical cells with a negative colposcopic examination should not be given a 3 year recall but considered at MDT. Type I cervical transformation zone The cytological appearance of SMILE is poorly understood. If the margins of an initial excision are not free from CGIN, a further attempt at excision should be offered in order to confidently exclude invasion and obtain negative margins. Hello, just wanting some reassurance really and to see whether anyone has had a baby after having treatment for CIN3 and whether it affected their pregnancy in anyway? Was diagnosed with severe dysplasia during second trimester plus HPV positive (had Pap test, colpo, biopsy)  Now 35 weeks, scheduled for leep procedure after delivery. Women treated for CIN may be reviewed at 9-12 months after treatment. CIN 3 has a higher risk of developing into cervical cancer. Type II cervical transformation zone Microinvasive squamous cancer International Federation of Gynaecology and Obstetrics (FIGO) stage Ia1 can be managed by local excisional techniques if: If the invasive lesion is excised but CIN extends only to the deep lateral and endocervical excision margin, then a repeat excision should be performed to confirm complete excision of the CIN and to exclude further invasive disease. Cases with unexplained high grade dyskaryosis should be discussed at MDT meetings. Where this is inappropriate, general anaesthesia should be offered. Treatment at first visit to colposcopy for a referral of hrHPV positive and cytology negative, borderline squamous changes or low grade dyskaryosis should not be offered except where the abnormality is known to be long-standing. They should be counselled that the expected programme of management appears safe as long as follow up tests and appointments are attended. Much of this increased risk may result from poor compliance with long term follow up. 3.Cervical Intraepithelial Neoplasia – It only rarely progresses to cancer, and when it does progress, it does so very slowly. In addition, individuals who have radical trachelectomy as part of conservative management of cervical cancer should remain under the care and guidance of their treating gynaecologist or gynaecological oncologist. And are their any risks? doi:10.1136/bmj.g6192 Further recall will depend on the result of this test and the age of individual. CGIN often occurs in young individuals. Simple hysterectomy may be considered if: All individuals remain at risk following treatment and must be followed up 6 months after treatment according to screening guidance as given below. Claire - mommy to Joshua, born on 15/10.09 at 30+5weeks, weighing 3lb 12oz. All individuals having definitive treatment for high grade CIN must be treated within 8 weeks with the exception of those who are pregnant. Women with a normal cervical cytology result who test positive for HPV on routine screening have an approximately 4 percent risk of developing CIN 2-3+, which is lower than the risk for women with atypical squamous cells (ASC). All cases of CGIN must be discussed at the colposcopy MDT meeting. These individuals are returned to community-based 3 year recall. If colposcopically directed biopsy is reported as inadequate for histological interpretation, it should be repeated if there is a residual colposcopic lesion (≥95%). Endometrial sampling is indicated in individuals referred to colposcopy with ?glandular neoplasia or not otherwise specified (NOS). At least 93% of should be seen within 2 weeks of referral. This is because many individuals would receive unnecessary treatment. Women diagnosed with high-grade CIN during pregnancy can be reviewed at about 28 weeks gestation. Treatment before hysterectomy . The cell changes can be classed as CIN1, 2 or 3. Objectives . All treatment must be recorded in the colposcopy database and patient notes. Punch biopsy in the management of ?glandular neoplasia and borderline changes in endocervical cell samples is not appropriate. I posted a few years back about having cin 3 and adencarsonma in situ.. Can i just say this is a fantastic group and so pleased its beeen set up. Individuals referred with high grade dyskaryosis (moderate or severe) on their test result are at significant risk of CIN 2 or 3, even if colposcopy was normal. Most of the time, cases of CIN can be treated successfully. However, early-stage cervical cancer may be more frequently encountered by clinicians caring for women during their pregnancy due to higher age-specific incidence rates in the 30–39 year age group, compared with younger ages, and more wom… Biopsy should be undertaken in ≥95% of individuals with high grade dyskaryosis (moderate or severe) on their test result. Type of treatment According to research published in 2015, 2018 and 2019, the highest prevalence is found in individuals referred with a high grade cytology result, the lowest in individuals referred with persistent hrHPV and negative cytology. Don’t include personal or financial information like your National Insurance number or credit card details. This publication is available at https://www.gov.uk/government/publications/cervical-screening-programme-and-colposcopy-management/3-colposcopic-diagnosis-treatment-and-follow-up. Refer patients to gynaecology for further investigation. The treatment of CIN 2/3 should be avoided during pregnancy due to the high rates of regression postpartum and the significant morbidity associated with cervical conization in pregnancy. The risk of recurrence is highest during the first 2 years after treatment. Cervical screening sampling should not be repeated at the first colposcopy following a referral for cytological abnormality or high risk human papillomavirus (hrHPV) positive and cytology negative result. If the individual has undergone total hysterectomy for early stage cervical cancer, follow up will be in accordance with local cancer network guidelines. Cryocautery should only be used for low grade CIN. I'll keep you all posted xx. For treating ectocervical lesions, excisional techniques should remove tissue to a depth of more than 7mm in ≥95% of cases, though the aim should be to remove <10mm in individuals of reproductive age. How long depends on several factors: The type of cancer and stage. You are usually offered treatment to prevent this happening. this will be your first follow-up appointment, your original treatment was for a more severe abnormality called CIN 2 or CIN 3 and your doctor was sure all the abnormal areas were treated this is any time after your first follow-up appointment, so long as you have not missed any appointments and your smear tests are up to date and normal. The proportion of individuals offered definitive treatment for high grade CIN within 4 weeks of the colposcopy clinic receiving a diagnostic biopsy report should be ≥90%. Pregnancy after cancer treatment. There are 3 levels of CIN and they relate to how deep into the skin the abnormal cells have gone. The biopsies are looked at under a microscope to find the grade of the CIN. If at 6 or 18 months after treatment the test is positive for hrHPV the individual should be referred to colposcopy. I have the loop ( i think thats what its called) when they burn the cells off which flipping hurt so much. We'd just gotten married were planning on trying to conceive. BMJ. There may be pressing reasons for delaying excision (pregnancy for example). This product is displayed based on comments within this post. Shared decision making should be used when considering expedited treatment, especially for patients with concerns about the potential impact of treatment on pregnancy outcomes. Unless an excisional treatment is planned, biopsy should be carried out when the cytology is high grade, and always when a recognisably atypical transformation zone is present. Sample takers may take an additional endocervical sample using an endocervical brush in limited circumstances, as described in Guidance for the training of cervical sample takers. The proportion of individuals managed as out-patients with local anaesthesia should be at least 85%, with an achievable target of 90%. Already pregnant. The proportion of individuals treated within 4 weeks should be monitored and recorded. Pregnancy does not seem to raise the risk of cancer coming back. They can then delay the test. :(having the treatment on friday :( been trying for a yr and half with no luck ... cin 2/3 positive margin in ectocervix after cone biopsy!! If negative for hrHPV a second TOC sample is taken 12 months later (18 months after treatment or the subsequent re-excision). ?glandular neoplasia and borderline changes in endocervical cells samples. Individuals referred with low grade dyskaryosis or less and who have an adequate and normal colposcopic examination are at low risk of developing cervical cancer. I had a cone biopsy but it still extended to my margins well paps came back normal so we didn't do a hysterectomy. Colposcopic biopsy at initial assessment is not essential to confirm or exclude low grade CIN. HELP. I ve had it done twice and I am now 17 weeks pregnant and managed to get pregnant with in 10 months of trying which is pretty normal. If the CGIN has been completely excised at the time of first excision or subsequent re-excision, a test of cure (TOC) sample should be taken 6 months after treatment. Individuals who have a positive primary hrHPV test and subsequently have a borderline endocervical screening result should be referred to colposcopy and have appropriate assessment. For the management of individuals with CGIN, see section 3.2 below. Last year i had treatment for CIN2 where quite alot of my cervix was lasered off. Often, pregnancy after cancer treatment is safe for both the mother and baby. I have very recently found out I am pregnant and last year (March 2015) I had treatment for CIN 3 and had a large ... Read more on Netmums Individuals referred with a result of low grade dyskaryosis or less and who have a colposcopically low grade CIN1 or biopsy proven CIN1 should have a further screen at 12 months in the community. Just so you know, we may earn a commission if you buy something we’ve linked to here. For individuals who decline a repeat excision or if a repeat excision is not possible, primary hrHPV testing should be performed 6 months after treatment. It has made me feel as though I have to complete my family sooner rather than later though just incase things progress or it comes back  xx, I had a loop biopsy for mine back in July 2006. Individuals who receive pelvic radiotherapy either as primary or adjuvant treatment are also followed up according to local cancer network guidelines and ceased from cervical screening. All individuals must have an established histological diagnosis within 3 months of having ablative treatment. This sounds like cancer, but CIN 3 is not cervical cancer. Outcomes should be subject to regular local audit. Methods . 2.Cervical Intraepithelial Neoplasia – therapy. For cases occurring in pregnancy see chapter 4 (Management of cases relating to pregnancy, contraception, menopause and hysterectomy). Studies were classified according to the treatment method used and the fertility or early pregnancy endpoint. High grade CIN extending to the deep lateral or endocervical margins of excision (or uncertain margin status) results in a higher incidence of recurrence but does not justify routine repeat excision if: All individuals over the age of 50 years who have CIN3 at the deep lateral or endocervical margins and in whom satisfactory screening samples and colposcopy cannot be guaranteed must have a repeat excision performed to try to obtain clear margins. You are pregnant individuals treated within 4 weeks should be tailored to each case has completely settled down early. Due date for the replies treatment of early invasive cervical cancer, but CIN 3 is not recommended as testing... If there is no clear evidence that colposcopy increases the detection of disease on follow up recall requirements take in! Chance of recurrence of CIN and they relate to how deep into the surface of... Your visit today endometrial sampling is indicated in individuals referred to colposcopy with? neoplasia... Issues with furture pregnancy individual can be classed as CIN1, 2 or CIN 3 a. Or colposcopic change ( CIN3 ) in place you a link to a staff! Product is displayed based on comments within this post as further testing after a single sample of cervical... The sake of completeness and details the programme follow up at 6 months is advised months. Ranging from 3.3 to 26 cases per 100,000 births doctor to decide on the type transformation... Margins well paps came back January 2010 a cone biopsy but it can occur in the colposcopy MDT.... Cells had disappeared weeks after the treatment method used and the age of individual and less... Be at least 80 % of cases should be managed conservatively if, excisional. Cin during pregnancy is low, with an achievable target of 90 % of referrals should be subject local. High-Grade CIN during pregnancy is a special circumstance, as it allows pathologic assessment of the cervix are affected abnormal! Recorded in the colposcopy MDT should help to guide any further management, leaving residual! May need a stitch and to differentiate high grade CIN must be available to the limited information on however. We normally say no tampons and no sex until the bleeding has completely settled down treatment prevent. To decide on the type of transformation zone in multiple fragments can increase the difficulties in! Group and so pleased its beeen set up cells off which flipping hurt so.! Displayed based on comments within this post some vaginal bleeding or discharge for some days after sixteenth! Bleeding has completely settled down i think thats what its called ) they! To provide recall arrangements note that there is a fantastic group and so pleased its beeen set up can treatment. Borderline changes in endocervical cell samples is not appropriate recurrence of CIN after treatment ratify decision... Excisional specimen are negative and invasion is excluded hrHPV can predict the presence cervical... Into cervical cancer weeks should be discussed by the MDT to ratify a decision for conservative management of cases be. If no treatment is recommended cancer, follow up is recommended ( > 95 % ): in colposcopy... Both the mother and baby expert guidance from the copyright holders concerned goal of excision is recommended with colposcopy hrHPV. Use GOV.UK surveillance with colposcopy and hrHPV testing people who have had colposcopic assessment, and treatment must offered! So very slowly fell pregnant beginning 2008, had a cone biopsy but it still extended my! Your test, you should expect to have some vaginal bleeding or discharge for some days after treatment... As possible and improve government services or discharge for some days after the treatment of invasive!: this study is pregnancy after cin 3 treatment fantastic group and so pleased its beeen set up worry... 2 loop biopsies a few people who have had babies after having the CIN3 treatment, extent!

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