This message is for Monica.
If your doctor is not responding to your requests for a more aggressive approach, and can\^t convince of why one is not needed, you should definitely get a second opinion. You sound very well informed and also in tune with your own instincts about your situation. There is no downside to listening to your gut in this case. Your health can only benefit by asking more questions and making sure you are 100% comfortable with your treatment plan.
I was in a similar situation several months ago. Pathology from my first cone biopsy revealed microinvasive adenocarcinoma (Stage 1A1) and AIS (adenocarcinoma in situ), which extended to the surgical margin. My surgeon (the head of GYN ONC at a major cancer center) advocated a \"wait and watch\" approach. I got 2nd, 3rd and 4th opinons, all from major cancer centers, and all felt that a 2nd cone biopsy was needed in order to obtain clear margins.
I definitely encountered Doctor #1s ego when I told him Drs #2, 3 and 4 disagreed with his treatment plan. It was unpleasant, but he couldn\^t convince me of why I should listen to him rather than the others.
Fertility preservation is important to me, but being cancer-free is more important. I had to go with these instincts and switch to a doctor who understood my priorites and could get me comfortable with a treatment plan.
It was time consuming and difficult to confront Dr #1, it was worth it.
Keep listening to your own instincts and asking as many questions as you need to get comfortable with your treatment plan. Stay strong!