I had a total abdominal hysterectomy 23 years ago and after surgery and the usual checks everything has been fine and I believed I did not need to have a smear test going forward. I am on secondment working in Ireland and as part of a screening programme I had a vault smear and the results have shown that HPV was found and abnormal cell changes were seen. I need to go for a colposcopy. I am fine with this and happy to have this checked, however, I am concerned as to whether this could be cancer as it has been so long since I have been checked. Any help to put my mind at rest would be very helpful.