Cervical Screening Result

Hi, 

I've recieved my cirvical screening results today, It's showing i have HPV and that i have 'high grade' (moderate) dyskaryosis and that i'll have to go in for a Colposcopy, so hoping the letter with the date will com through soon. I feel so sick, its really caught me off guard. 

I admit that this is my first smear and i know i should of had a couple by now but i've always put it off. Never again. 

The HPV thing is upsetting me and i feel so confused as i've had the same partner for nearly 19 years and we havent cheated. Is this something that you just carry? Or can it sit doormant for many, many years? Im so confused and the more i read online the more im confused. 

Will they remove the cells on the day of the coloposcopy? Im so scared and confused.

Thanks 

JoJo2022

  • Hello JoJo2022 and thanks for your post

    I'm sorry you are concerned about your recent cervical screening result. Please try not to worry, the cervical screening programme is all about preventing cancer by detecting abnormalities that can then be monitored or treated until everything returns to normal.

    The next step now is to have the colposcopy examination to have a closer look at the cervix and examine the area of abnormality causing the abnormal smear.

    If the colposcopist finds that there is an area that may be abnormal on your cervix a biopsy is taken. This is to have a closer look at the tissue and abnormal cells. Depending on these results another classification system is used to describe the level of abnormality. This is called cervical intraepithelial neoplasia (CIN). If low grade dyskaryosis is confirmed on biopsy it is called CIN 1. In this case, you would have a repeat smear in a year. If the biopsy shows CIN 2-3 this equates to moderate to severe dyskaryosis. If you had CIN 2 and 3 you would be offered a treatment to sort out the abnormal area. You are often asked to come back at a later date to have treatment but this will be discussed with you at the colposcopy clinic.  

    The majority of abnormal cell changes on the cervix detected by cervical screening are caused by the Human Papilloma Virus ( HPV) This is a common infection and it is estimated that most people who are sexually active will get HPV at some stage in their lives. Most people will have no symptoms and their immune system will clear it up in a year or two without them ever knowing they had it. It is not possible to tell when a person got HPV or  how long they have had it. Abnormal cells caused by HPV can go back to normal if a person’s immune system clears HPV.

    Cervical screening is very successful so as long as you go along for your appointment and follow the advice given at the clinic then everything should be okay. So please try not to overly worry about this.

    I hope this is of use. Please get back to us if you need any more information or support. The number to call is Freephone 0808 800 4040 and the lines are open from 9am till 5pm Monday to Friday.

    Kind regards,

    Celene

  • Than kyou for replying, much appreciated. 

    I've now got my appointment letter though for my colposcopy. After this appointment and after whatever treatment might be needed what happens?

    As the letter says i have 'high grade' (moderate) dyskaroysis, depending on how the appointment goes, if these cells are removed what happens afterwards? Will i always have HPV? Will i have to go back for another cirvical screening? Will my partner need to be tested? We've been together many years and now im worrying that we cant have sex? After the treatment i have, how long before we can have sex? Im worried this will effect our relationship. I feel really low and confused about it all to be honest. 

    Is it possible after i've had treatment and then maybe after another cervial screening in 6 months that the HPV will be gone? Or got worse? 

  • Hello and thanks for getting back to us.

    I'm pleased to hear you have a date for your appointment at colposcopy and this must be one weight off your mind.

    As Celene explained in her earlier reply at colposcopy they will be able to look at the cervix much more closely, take biopsies of any abnormal areas (tissue sample) and then remove the abnormality with treatment. The team involved will explain what they are doing and what needs to happen at each stage so try and take things one step at a time and see what they have to say.

    If a treatment such as Large Loop Excision of Transformational Zone (LLETZ) here is needed this sometimes will be carried out on the day or they may decide to wait until the biopsy result is back before deciding the treatment plan. 

    There is information about what to expect after a LLETZ procedure here on Jo's trust including the do's and don't including avoiding sex for 4 weeks following treatment.

    After a treatment such as LLETZ usually an appointment will be made for 6 months following this called test of cure to check all the abnormal cells have been cleared. Often 1 treatment can do this  successfully but occasionally more treatment is needed. Once abnormal cells have been cleared you often find the HPV also clears alongside this. The important thing to say is within cervical screening, patients will continually be followed up until everything returns to normal.

    As also mentioned, HPV is extremely common and is passed through intimate skin to skin contact. Condoms can offer some protection but can't stop it completely. It is absolutely fine to continue to have sex whilst having HPV so please try not to worry about this but do talk through how this is making you feel with your partner and the colposcopy team.

    Men can also have HPV but I'm afraid there is no way of testing for HPV in men but as said, most people who have HPV will clear it within a couple of years without it causing any problems. It is however possible to have it clear and for it to go to sleep and then to reactivate at a later date years down the line which is why women should always attend their appointments as called to pick up any changes.

    I hope this is of some help to you and eases your mind a little but do get back if you have anything else to ask. Our number is 0808 800 4040, Monday-Friday 9-5 if you prefer to talk over the phone.

    All the best

    Naomi