To LLETZ or not?

So I’ve had high risk HPV for 4 years now (recently found out it’s 18 and 45.)   After repeated changes in cells I was offered a LLETZ procedure. Had that in May.  Messed me up mentally and also physically more than I expected. Results of that were CIN1.  If I’d know CIN1 I might not have had the LLETZ at that time. So I expect to have to go f another colpo in October and am anticipating they may offer another LLETZ. I really don’t want to go down the same route to get the same result. My question is around a biopsy. If I ask them to do a biopsy first, do they do a punch biopsy or cone biopsy. I have seen both come up and I’m not sure what they would normally do as one seems more invasive than the other..?

  • Hello and thank you for posting. I am sorry you have been going through this.

    Unfortunately I am not sure that anyone, other than the those working in colposcopy at the hospital, would be able to answer this.

    Punch biopsies are done more commonly in the colposcopy unit setting and are more routine, whereas cone biopsies are more involved, and done in theatre, when more information is needed.

    The doctors will know from your previous medical history and procedures what is the best course of action in regards to the abnormal cells and the HPV, but do explain how difficult it has been for you both physically and mentally since the last LLetz. By talking this all through, and maybe asking them if it is possible for punch biopsies to be performed first, you can then make a more informed decision about a second LLetz procedure.

    It might also help you to feel more comfortable if you take a chaperone with you to support you. Hopefully you have a good friend or family member who can help.

    Take care, and if you want to chat with the nurses on the helpline call 0808 800 4040. Lines are open mon-fri, 9-5.

    Sarah.