Hello and thanks for your enquiry,

I can appreciate that this is stressful to think about.

You may be able to call the clinic admin team, details from your appointment letter, and ask if there is another consultant there that can be assigned to your appointment.

It may be useful to consider taking a NSAID anti inflammatory, such as ibuprofen, about an hour before your appointment. This would give it some time to work and may help with crampy symptoms after the procedure. It may be possible to request a combination of a topical numbing spray or gel applied to the cervix first, followed by a localized lignocaine injection into the tissue of the cervix. This will depend on how easy it is do, whilst maintaining your comfort.

For patients who have experienced medical trauma from prior gynaecological procedures, some NHS Trusts can arrange for the colposcopy to be performed under conscious sedation or general anaesthesia. This typically requires a specific request ahead of time, which might require re-booking the appointment into a dedicated hospital theatre slot.

Having conscious sedation, which is oral or intravenous (into the vein), may be easier to request than having an anaesthetic. A short acting low dose oral sedative tablet can be prescribed to take just before the appointment and the procedure. But this would need to be arranged before the day of the appopintment, and prescribed by your GP, or the colposcopy team. 

I hope this helps,

Best wishes,

Vanda