Treatment:

Treatment depends on the degree of dysplasia. Mild dysplasia (LSIL or CIN I) may go away on its own.

• You may only need careful observation by your doctor with repeat Pap smears every 3 - 6 months.
• If the changes do not go away or get worse, treatment is necessary.

Treatment for moderate-to-severe dysplasia or mild dysplasia that does not go away may include:

• Cryosurgery to freeze abnormal cells
• Laser therapy, which uses light to burn away abnormal tissue
• LEEP (loop electrosurgical excision procedure), which uses electricity to remove abnormal tissue (See: Electrocauterization)
• Surgery to remove the abnormal tissue (cone biopsy)

Rarely, a hysterectomy may be needed. Women treated for dysplasia need close follow-up, usually every 3 to 6 months or as recommended by their provider.

Expectations (prognosis):

Early diagnosis and prompt treatment cure nearly all cases of cervical dysplasia. Sometimes, the condition returns.

Without treatment, severe cervical dysplasia may develop invasive cancer. It can take 10 or more years for cervical dysplasia to develop into cancer. The risk of cancer is lower for mild dysplasia.

Calling your health care provider:

Call for an appointment with your health care provider if you are age 21 or older and have never had a pelvic examination and Pap smear.

See: Physical exam frequency