Hello, 

Thanks for reading this, I have an apt following a LLETZ and I need some help knowing what questions I should ask.

Background: 

Mid 30s, have attended smear tests every three years since 23yo.

This year, had a feeling something not right, pain, bleeding and horrible lower back pain so went in a little earlier than due.

Results were HPV+ with abnormal unidentified squamous cells. I'd been CIN1 a decade ago and it went away so I expected same but was called to colposcopy clinic. I had a  chat with Dr about symptoms, the kindest Dr I might add.

A week later I attended and had colposcopy, LLETZ, D&C with hysteroscopy under GA (discussed in advance may do all these at same time)  They didn't tell me much after the procedure just await results.

Recovery was a lot of sleeping and 4 weeks of bleeding. This week I have follow up apt so I rang to see if results are back yet or if my apt will be rescheduled. (There's a backlog for results I believe) I asked if a nurse could call me back. A nurse called back but I was asleep (I'm sick with cold/flu ) 

The nurse told me results are back and LLETZ showed CIN3 no breakthrough or no clear breakthrough something like that and consultant wants to have a chat so come in for apt and then nurse was gone.

I was half asleep so didn't ask what does breakthrough mean... 

Now I'm wondering what else I need to ask. 

What is breakthrough? 

A decade ago when it was CIN1 I thought that's no biggie there's room for error there ....but now with CIN3 I'm thinking that's not much room for error...Is CIN3 ever mixed up with early cancer? How far apart are they? Is one ever confused for the other? What's next? 

Can CIN3 cause back ache and bleeding? 

Ill see consultant soon, what questions should I ask?

Many thanks.