Should I have another LLETZ?

Hi, 

So two years ago I had CIN2 and high risk HPV. I had a LLETZ and since then my smears have been clear.

Now my smear has come back as CIN1 and still high risk HPV. They want to do another LLETZ but this will leave me with cervical incompetence for life - meaning I would need stitching in my cervix throughout any pregnancy. I am only 26 and yet to have children, but plan to one day. 

NHS guidance says not to treat CIN1. I am being treated privately. Has anyone else had similar advice? I'm concerned my doctor is being overly cautious. 

Thank you, 

  • Hello there

    I'm afraid as nurses and without being involved in your care we cannot give medical advice or a second opinion.

    Decisions about treatment are made on an individual patient basis using all the information the doctor has about you and your situation and treatment isn't taken lightly. 

    Whilst most CIN1 isn't treated but monitored there are situations when the doctor will decide to offer treatment and I suggest you ask to speak to them so they can talk through the reasons why they are suggesting the LLETZ.

    Some people do need more than one LLETZ treatment and whilst this can affect the cervix competence as you say in pregnancy it doesn't stop people becoming pregnant and can be managed ( with a stitch if necessary) to prevent early labour, so try not to overly worry about this.

    The important thing with cervical screening and any follow up colposcopy is to manage any abnormality to prevent cervical cancer.

    Wishing you all the best

    Naomi