Does CIN-1 (mild dysplasia) need to be treated?
In addition to the biopsy report that shows CIN-1, your doctor should also take into consideration the results of your Pap test, your colposcopy, your age and whether you have any children. However, assuming that everything points to low-grade disease (low-grade Pap test, colposcopy and biopsy) the American Society for Colposcopy and Cervical Pathology (ASCCP) guidelines (and everyone else's guidelines) recommend following such women with colposcopy and Pap tests every six months for up to two years without treatment. This is because most low-grade disease goes away by itself within a few years and treatment (LEEP) is associated with pregnancy-related complications. After two years of follow-up, treatment is acceptable but so is continued follow-up. Follow-up is more appropriate for women who are interested in having more children, while treatment is more appropriate in older women.
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