Treatment comparisons

I recently went to the hospital to get biopsies done on my cervix because my smear tests came back with abnormal cells. I was told I had CIN3 and I’m high risk. 
Due to this, I had to have treatment within 8 weeks of my results coming back which the hospital seemed adamant it HAD to happen within this time. I, unfortunately, was very uncomfortable at my appointment (I have a needles phobia and got treatment with no local or general anaesthetic) and had many panic attacks so was unable to ask questions when I was there. 


The questions I have: 

Why did it have to happen within 8 weeks? 
At the time of the appointment, I had asked the doctor to stop the treatment but the doctors and nurses (who were all amazing with me!) explained it HAD to happen today and no one could afford for me to wait another 6 weeks on a new appointment. Is this because it was likely to be cancer cells rather than just normal cells they had to destroy at my treatment appointment?
And the main question - I was originally told I would be getting the loop treatment however, on the day, the doctor explained it would be cold coagulation instead. I’ve read the loop removes cells but cold coagulation destroys cells. What is the difference between them? Is one better than the other? I’m trying to understand why it was changed last minute 

  • Hello and thank you for your recent post,

    I am sorry to learn of your situation, I can appreciate this is a worrying time for you.

    The target for the treatment of abnormal cells is that all individuals who need treatment for high-grade CIN (CIN 3) are treated within 8 weeks, this does not mean that there are cancer cells, but there is a high risk that if left untreated the cells can change and become cancer compared with someone who has low-grade  CIN (CIN1).

    Both LLETZ and cold coagulation are effective treatments for abnormal cells. Without being involved in your care, I cannot say why the treatment plan has changed, this is something you will need to discuss with the doctor as cold coagulation is not suitable for all women.

    It might be worth calling the colposcopy department to see if it is possible to speak to someone about your treatment plan or possibly you may be able to talk things through with your GP.  You may find the Eve Appeal website helpful, they also have a helpline you can call for advice.

    I hope you are able to get more answers soon. Please feel free to get back to us if you need any more information or support.  You may find it helpful to talk things through with one of the nurses on our helpline.  The number to call is Freephone 0808 800 4040 and the lines are open from 9am till 5pm Monday to Friday.

    take care, all the best,

    Jemma

  • Hello Jemma, 

    Thank you so much for taking the time to reply, I really appreciate it. 

    Is there anywhere I can read comparisons between loop and cold coagulation? Or, can you tell me the difference are? I’m okay with having one over the other, I’m just trying to get my head around what the difference is between them. 
    You mentioned too that cold coagulation isn’t suitable for everyone, why is this? 

  • Hello and thank you for getting back to us.

    You can read about loop diathermy on our website. You will see that it removes the area of abnormality so that it can be sent to be looked at under a microscope by a histopathologist (specialist doctor).

    Cold coagulation destroys the cells, by using heat, we have some information about this and other types of treatment that destroy abnormal cells on our website. It is not offered to everyone with abnormal cervical cells but only the team caring for you will know if this is a treatment you can have.

    I hope you can speak to the colposcopy team soon and that your treatment goes well.

    Take care

    Caroline