I've had LLETZ treatment four times with the most recent in Feb of this year. My latest smear at my 6 month checkup has come back as moderate again (although last time turned out to be CIN1 which was incompletely excised at the ectocervical margin during treatment). My whole situation is complex as I was due to have an abdominal stitch placed on the 7th Sept pre-IVF (to start in Oct).
With this latest news I've been advised to delay surgery until having a follow-up colposcopy on the 11th Sept and then discuss what my options are. I'm well aware that further treatment is almost 100% likely. Has anyone else been in a similar situation? I have already been told that after 4 LLETZ there is hardly any cervix left so am a bit confused about how they can do a standard LLETZ again to treat the abnormal cells this time. I know I carry high risk strains of HPV and this thing clearly isn't going away, having had my first treatment in about 2006. Is a trachelectomy likely to be my next option? It makes sense given that this would also include a stitch similar to the abdominal cerclage (TAC) /stitch that I was having anyway.