AboutBrenda Expertise I have been an R.N. since 1988 and come from a family of nurses. I have clinical experience in labor and delivery, as well as post-partum care and pre-term pregnancy complications. I have also worked in Community Health Clinics dealing with this area of expertise, including WIC (Women, Infant, & Children) clinics performing nursing evaluations and assessments in determining a need for services or intervention for pregnant women, newborns, and young children. I have worked in immunization clinics in and around my community as well. I also have several years experience in OB and Pediatric Home Care Nursing. In addition to that, I am a mother of two, ages 21 and 16, both of which I had hoped would be vaginal deliveries, but ended up being C-Sections... one of which had me in pre-term labor...another which was frank breech (bottom first)... one who rejected the breast... and so on... to list my personal experience would be a bit lengthy! I'd simply like to help anyone who might have a question or concern that I can draw on my expertise to answer!
Experience I have been an R.N. since 1988 and come from a family of nurses. I have clinical experience in labor and delivery, as well as post-partum care and pre-term pregnancy complications. I have also worked in Community Health Clinics dealing with this area of expertise, including WIC (Women, Infant, & Children) clinics performing nursing evaluations and assessments in determining a need for services or intervention for pregnant women, newborns, and young children. I have worked in immunization clinics in and around my community as well. I also have several years experience in OB and Pediatric Home Care Nursing. My experience also includes approximately three years working in Behavioral Services.
Education/Credentials Graduated from the Mary Lanning School of Nursing in May 1988. Have been a licensed Registered Nurse in the state of NE since 1988.
Question i went to the obgyn today and the said i have hpv and lsil,im wondering how serious is lsil? will it ever go away? and can it stop me from having any more kids? what are the side effects?and is there a cure?im really upset and shocked about this hole thing
Answer Dear Amber,
Squamous intraepithelial lesion (SIL) is a term that is used to describe abnormal changes in the cells on the surface of the cervix. The word squamous describes thin, flat cells that form the outer surface of the cervix. The word lesion refers to abnormal tissue. An intraepithelial lesion means that the abnormal cells are present only in the layer of cells on the surface of the cervix. A doctor may describe SIL as being low-grade (early changes in the size, shape, and number of cells) or high-grade (precancerous cells that look very different from normal cells).
Therefore, LSIL means 'low-grade squamous intraepithelial lesion'. This is not considered cancer and there is a very low rate of cancer with this diagnosis. High-risk HPV infection is very prevalent in women with LSIL. In fact, nearly all cases of cervical cancer are associated with human papillomavirus (HPV) infection. Approximately 20 million Americans are currently infected with HPV, and another 6.2 million people become newly infected each year. At least 50% of sexually active men and women acquire genital HPV infection at some point in their lives.
There are many kinds of HPV and not all of them cause health problems. Some kinds of HPV may cause problems like genital warts or cervical cancer. HPV types 16 and 18 cause about 70% of cervical cancers. HPV types 6 and 11 cause about 90% of genital warts. Most people who have a genital HPV infection do not know they are infected. The virus lives in the skin or mucous membranes and usually causes no symptoms. Some people get visible genital warts, or have pre-cancerous changes in the cervix, vulva, anus, or penis. Very rarely, HPV infection results in anal or genital cancers.
HPV usually goes away on its own, without causing health problems. So an HPV infection that is found today will most likely not be there a year or two from now. For this reason, there is often no need to be tested only to find out if you have HPV now. However, you should get tested for signs of disease that HPV can cause, such as cervical cancer.
For you, or any woman in a low or moderate risk category, often colposcopy is not deemed necessary and the treatment of choice is simply more frequent follow-up Pap smears. This is because of increased HPV prevalence, the fact that HPV-related cervical intraepithelial abnormalities typically regress on their own, and the low rate of HSIL in younger women. However, every case should be evaluated independently and the appropriate treatment will be determined by your own physician.
I hope this has helped you and answered your question. I wish you well.
