Does CIN-2 (moderate dysplasia) need to be treated?
This is a very difficult question to answer. Precancerous conditions of the cervix must be treated to prevent cancer. However, CIN-2 (moderate dysplasia) is a borderline condition. Most doctors would recommend treatment of CIN-2 (moderate dysplasia) out of an abundance of caution. However, CIN-2 (moderate dysplasia) in younger women is more likely to go away by itself without treatment. This, combined with the increased risk of premature labor in future pregnancies following a LEEP, may make it appropriate to follow some young women who have no children with colposcopy and Pap tests every six months for up to two years to see if the CIN-2 (moderate dysplasia) goes away by itself. If during follow-up, the condition gets worse or doesn't go away after two years, it needs to be treated. The decision whether this approach is appropriate for a particular patient must be made by the doctor and requires tremendous commitment on the part of the patient to return every six months without fail.
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