HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Ok, My Situation Is Complicated And Compounded, In That There

default
Posted on Sat, 18 Jul 2020
Question: ok, my situation is complicated and compounded, in that there are multiple health issues interfering with one another, and I do not know what my priority list should be, and, due to lack of insurance, I have no idea where to go to address them. in the interest of not writing a novel, I'll outline the conflicting issues of the last 13 years of my medical history in bullet points: • 2006: age 16: received the 1st Gen HPV vaccine, immidiately after it first came out • 2013: Age 23, diagnosed. with Severe Rapid Cycling Bipolar 1 Disorder. By rapid cycling I mean, I have an episode every couple of days usually. • 2014: diagnosed with high risk strain 16 18 HPV • early 2015: abnormal cells growth found, GP told me to go to an.OBGYN and have a biopsy of my cervix. a mass was also found in my breast, so I was so told to have a biopsy on my breast. • early to mid 2015: 24-25 years old: both biopsies (cervical and breast) came back as benigne. • early 2016: 25 years old: had another pap, and was told to go have another cervical biopsy. • early 2016: 25-26 years old: went into an incredibly bad depressive episode (worst one I had ever had) and was incredibly resigned, uttey hopeless, and ultra suicidal. I decided to take care of the bipolar first, because I knew id eventually and quickly start to attempt suicide. due to the degree of rapid cycling, and exterior abuse from my now ex.boyfriend, which was going on simultaneously, I ended up completely forgetting to ever go get the second cervical biopsy. the bipolar is constantly and issue, which kept me occupied. early 2019: age 28: remembered cervical biopsy, and went to visit my GP, who rewrote the order for the 2nd biopsy of my cervix. he was In full agreement that after getting the second biopsy, he would advise that I have a half or possibly a full hysterectomy due to the severity of the bipolar 1, the danger involved if I were to become pregnant, as well as my family history of cervical and ovarian cancer, which had killed my paternal great-grandmother at only 50 years old. my paternal grandmother and her sister both had preventative hysterectomies when they turned 50. my plan was to have the surgery as soon as possible. • mid 2019: finally left my abusive ex-boyfriend, and due to the subsequent stress, drama, and my full realization of everything that had occured, which happened a few months following the breakup, I went into another incredibly bad bipolar episode (this time fullblown mania, which led into full blown psychosis, which lingered a notably longer time in relation to my normal/average episode duration). • early 2020: 29 years old: my periods suddenly became very noticeably erratic, random, and most times, nonexistant, as far as blood is concerned, however, I started cramping way worse, and more often. all growing up Ivw been lucky and had relatively light cramping, and only for about 3 days a month. now I was cramping intensely for a week to a week and half every month - to the point that I was unable to sleep thru the pain. Yesterday (6.27.20): 30 years old: very unexpectedly find myself looking at a positive pregnancy test. I've never even had a pregnancy scare, let alone a positive test. I was really certain that due to the increasingly erratic menstrual cycle, along with the fact that I very very rarely ever had ever used protection in the 15 years I have now been regularly sexually active. I was constantly in a relationship during highschool and my 20s, so I have had sex on a very regular basis (almost weekly), since 16 years old.. and had never even had a pregnancy scare... because of the bipolar, mainly, I'm making the decision to terminate the pregnancy. in any other scenario, I'd love to have a baby. I'm 30, I'm grown, my boyfriend of a year and I are looking towards getting married in the future.. but, the risk is just too great. what are the chances that the high risk HPV, considering how long the abnormal cells growth has been left unchecked, as well as the sudden changes in mental cycle duration and cramping associated, that It has already turned cancerous? I'm still currently w/o lnsurance, largely due to the Covid-19 situation, so I don't know how to fund everything that needs to be done, where I can go to have things done, and Im unsure of what the priority list should look like... please help. what do I do first? where do I go?? how do I do it w/o insurance. it's incredibly early in the pregnancy (3 or 4 weeks, tops), and I have an appointment at planned parenthood this coming Tuesday, and I'm looking to take the medication to stop the pregnancy. please help, thank you in advance!
doctor
Answered by Dr. Soumya (40 minutes later)
Brief Answer:
Continue Pregnancy as first Priority and donot worry about cancer

Detailed Answer:
Hi,

I understand your concerns.

Following is my reply:

1) You had irregular cycles as you are battling with bipolar as well as depression. This is common to have irregular cycles in such a stressful environment.

2) Though you have HPV infection, all your biopsies have come normal. Hence there is absolutely no reason to worry. There is less chance of lesion turning into malignancy. Hence dont worry about chance of malignancy.

3) I suggest you continue pregnancy as there is no risk to pregnancy or risk of cancer.

4) You can see regular gynecologist and go ahead with pregnancy. This is best time to get pregnant and its a blessing for you.

5) Termination of pregnancy should be last option.

Let me know if you need anymore help.

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Soumya

OBGYN

Practicing since :2010

Answered : 3102 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Ok, My Situation Is Complicated And Compounded, In That There

Brief Answer: Continue Pregnancy as first Priority and donot worry about cancer Detailed Answer: Hi, I understand your concerns. Following is my reply: 1) You had irregular cycles as you are battling with bipolar as well as depression. This is common to have irregular cycles in such a stressful environment. 2) Though you have HPV infection, all your biopsies have come normal. Hence there is absolutely no reason to worry. There is less chance of lesion turning into malignancy. Hence dont worry about chance of malignancy. 3) I suggest you continue pregnancy as there is no risk to pregnancy or risk of cancer. 4) You can see regular gynecologist and go ahead with pregnancy. This is best time to get pregnant and its a blessing for you. 5) Termination of pregnancy should be last option. Let me know if you need anymore help. Regards