I just came back from my family doctor. I was not putting up with "waiting six months to pap smear test again" before doing anything. My old Gyno retired so maybe this was part of the confusion. Anyway, he agreed with my history we should not wait so he has now referred me to another gynocologist to get the biopsy and possible the leep done at the same time, if there are enough bad cells at the biopsy. I told my doctor what I have read about the Mirena, about the possibility that the hormones in the IUD could be causing the abnormal cell but he doesn't believe it's possible. He said that it would be the estrogen that could contribute and that the Mirena does not have this hormone. I don't know if I agree but to be on the safe side, when I see my Gyno, I'm getting this thing taken out! I have never had problems up until having this Mirena IUD put in. Coincidence, maybe but I am not taking the chance, especially when I'm trying to have another baby. As it is, this is a big set back and I'll have to wait to start trying until the leep is done and I have had sufficient healing time. :(