Advanced Cervical Dysplasia Education & Care

An abnormal Pap smear, positive HPV test, or cervical dysplasia diagnosis can feel scary and confusing. We help you understand what your results mean, what your actual risk is, and which options are safest for your situation. Sometimes that means monitoring. Sometimes it means colposcopy. Sometimes it means LEEP or referral. And for carefully selected patients, it may include a non-surgical topical treatment option – no membership required.

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So you’ve been given all of this information – now what?

Abnormal Pap smears, HPV results, and cervical dysplasia diagnoses can feel overwhelming, especially when unfamiliar medical terms and recommendations are suddenly coming at you all at once. The most important first step is understanding what your results actually mean, what your level of risk is, and which options make the most sense for your individual situation.

How We Can Help

Our goal is to help you understand your results, your level of risk, and the reasoning behind your options — so you can move forward with clarity and confidence.
What Services We Offer:

  • CONSULTATION & SECOND OPINION

    Understand your results, your level of risk, and the reasoning behind your options in a calm, pressure-free setting.

  • GENTLE COLPOSCOPY

    Comfort-focused, in-office colposcopy with careful explanation and a more thoughtful patient experience.

  • IMIQUIMOD TREATMENT

    For carefully selected patients, we may discuss non-surgical treatment options with close follow-up and shared decision-making.

Consultation & Second Opinion

Sometimes the most important step is simply understanding your results. Many women come to us after an abnormal Pap smear, HPV result, biopsy, or recommendation for colposcopy or LEEP feeling overwhelmed and unsure what to do next. Our consultation visits focus on helping you understand:

  • What your results actually mean
  • Your level of risk
  • Why certain recommendations are being made
  • What options may be appropriate for your situation

Some patients simply need reassurance and monitoring. Others may need colposcopy, treatment, or referral. Our goal is to help you move forward with clarity and confidence.

Gentle Colposcopy: A more comfortable approach to colposcopy

Colposcopy allows us to closely evaluate the cervix and determine whether abnormal areas require monitoring, biopsy, treatment, or referral. For many women, the idea of colposcopy causes significant anxiety. Some have heard painful stories online or from friends. Others simply do not know what to expect. We take a slower, more thoughtful approach focused on communication, comfort, and dignity throughout the procedure.

Imiquimod Treatment: A non-surgical option for carefully selected patients

Topical imiquimod is an immune-activating medication that has been studied as a treatment option for certain forms of cervical dysplasia. It is not appropriate for every patient and is not used when higher-risk findings are present. For selected patients hoping to avoid or delay excisional procedures, we may discuss imiquimod as part of a shared decision-making plan with close follow-up.

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Beyond the LEEP Services Pricing

  • Consultation: $350
  • Colposcopy: $350 + pathology fees (usually $50-$100)
  • Topical Imiquimod Treatment: $2200 + pathology fees (usually $50-$100)

Members of Hitchcock Family Medicine do receive additional discounts on cervical dysplasia services. For more information on becoming a member, click here.

Cervical Dysplasia FAQs
What is cervical dysplasia?
Cervical dysplasia means that some cells on the cervix look abnormal. These changes are usually caused by high-risk HPV. Dysplasia is not cancer, but some higher-grade changes can become cancer over time if they are not monitored or treated appropriately.
Can cervical dysplasia affect fertility or pregnancy?
Most women treated for cervical dysplasia go on to have normal, healthy pregnancies. If treatment is needed, we will discuss the safest and most conservative options that protect your reproductive health.
Is cervical dysplasia caused by HPV?
Yes. In most cases, cervical dysplasia is caused by certain strains of the human papillomavirus (HPV). Many women will contract HPV at some point, and most infections go away on their own—but in some cases, the virus causes abnormal cell changes in the cervix.
What happens after an abnormal Pap smear?
If your Pap smear shows abnormal cells, we may recommend additional testing such as an HPV test or a colposcopy. These help us better understand the type and extend of the cell changes and guide next steps.
What is a colposcopy?
A colposcopy is an in-office procedure where we closely examine the cervix using magnification after applying solutions that help abnormal areas stand out. If we see any areas of concern, small biopsies are taken and sent to pathology. It usually takes about 15-20 minutes and is similar to a Pap smear in terms of positioning.
What is a LEEP?
LEEP stands for loop electrosurgical excision procedure. It is a procedure that uses a thin wire loop with electrical current to remove abnormal tissue from the cervix. It is commonly used to treat high-grade cervical dysplasia and also allows the tissue to be sent to pathology for further evaluation.
Do I really need a LEEP?
Sometimes, yes. LEEP is an important and effective treatment for many patients with high-grade cervical changes. Our role is to help you understand why it was recommended, whether it clearly fits your results, and whether other reasonable options exist.
What makes your approach different?
We take time to review your Pap, HPV, colposcopy, and pathology results carefully, then explain your actual risk in plain language. Our approach emphasizes comfort, dignity, shared decision-making, and evidence-based care, so you understand the safest options before moving forward with monitoring, colposcopy, treatment, or referral.
Do you offer second opinions?
Yes. Many patients come to us after being told they need a colposcopy, LEEP, repeat biopsy, or closer follow-up. We can review your records, explain what the results mean, and help you understand your options.
What is Imiquimod?
Imiquimod is a topical medication that stimulates the immune system. It has been studied as a possible treatment option for certain cervical dysplasia cases. It is not right for everyone, but for carefully selected patients, it may be part of a non-surgical treatment plan.
Is Imiquimod FDA-approved for cervical dysplasia?
No. Imiquimod is not FDA-approved specifically for cervical dysplasia, so its use for this purpose is considered off-label. Off-label treatment can be medically appropriate in selected situations, but it requires careful counseling, shared decision-making, and close follow-up.
Do you treat cervical cancer?
No. We do not treat cervical cancer. If your results suggest cancer or a condition that requires specialist care, we will help you understand the concern and coordinate referral to the appropriate gynecologist or gynecologic oncologist.
Will I need treatment?
Not always. Mild dysplasia may just require monitoring. If cell changes are moderate or severe, we may recommend treatments such as topical medications or procedures to remove the abnormal cells and prevent progression.
Do I have to be a Hitchcock Family Medicine patient?
No. You do not need to be a Hitchcock Family Medicine member to be seen in the cervical dysplasia clinic. This is a cash-priced service, and we provide clear pricing up front, so you know what to expect before your visit.
Do you see patients from outside Chattanooga?
Yes. We can see patients from outside the Chattanooga area for cervical dysplasia consultations, second opinions, colposcopy, and selected treatment options. If you already have Pap, HPV, colposcopy, or pathology results, we recommend sending those records before your visit so we can review them carefully and make the appointment as useful as possible. Some situations may still require coordination with a local OB/GYN or gynecologic specialist, especially if ongoing procedures, pregnancy care, or close follow-up are needed.
How do I get started?
You can schedule a consultation even if you’re not a current patient. We’ll review your results, walk you through the process, and work together on a plan that fits your comfort level.
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