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Case 27 - A 39-Year-Old P4 Woman with Recurrent HSIL after LEEP
- By Mallory Kremer
Edited by Todd R. Jenkins, University of Alabama, Birmingham, Lisa Keder, Abimola Famuyide, Kimberly S. Gecsi, David Chelmow
Book:

Surgical Gynecology

Published online:

19 November 2021

Print publication:

02 December 2021, pp 78-81
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Summary

A 39-year-old para 4 cis-woman presents with a history of an office loop electroexcision procedure (LEEP) one year ago. She was told that they “got everything” during her LEEP. At her one-year follow-up appointment, her cervical cytology and human papillomavirus (HPV) testing were abnormal. She reports that a hysterectomy was recommended for recurrent dysplasia. She desires future fertility. She presents for a second opinion as she did not feel heard at her last doctor’s visit. She reports she is otherwise doing well. She is sexually active with male and female partners and uses condoms regularly. Menses are five days long and occur monthly. Her flow is heavy, but this does not bother her. She is a former smoker, with a 10-year pack history, and uses marijuana regularly. She has no other significant past surgical history. She is currently taking cetirizine and is allergic to sulfa antibiotics.