My First Colposcopy after Abnormal Smear - Don't Worry!!

Hello,

I felt I should write something here on this forum regarding my first Colposcopy. There never seems to be a follow up when somebody has had a colposcopy and I would like to share my experience with you.

It all started when I had my very first abnormal smear result. My previous 2 smear tests had been normal.

My first reaction was panic! I started to google cervical cancer and was left in a state of anxiety. I was convinced that this was it for me.

It didn't help that my abnormal smear was showing high grade dyskaryosis, the words "high grade" were very upsetting.

After 2 weeks of waiting and worrying my colposcopy appointement had arrived. I was a bag of nerves whilst in the waiting room. All I could think is this is really going to hurt and scared that the Dr was going to tell me I had the big C!


When my name was called I thought "this is it, my fate will be decided now". The Dr sat down with me and the first thing he said was, "you do not have cancer". In my mind I was thinking, you haven't even had a look yet, how do you know?

Basically, an abnormal smear comes about from a change in the cells of your cervix. It does not mean you have cancer. It can take up to 20 years for cancer to develop and that's only IF the cervical cancer is activated.

The Dr explained alot to me and made me feel at ease. Next it was the colposcopy......

My advise is to wear a long lose fitting skirt like I did, otherwise you'll have to walk from the little changing room to the chair with you little tush hanging out!

I had to sit in a big chair that had to bits either side to put my legs on. All you need to think is how many women have colposcopy's everyday and what the Dr is seeing is no more than what he or she sees everyday. That is what they are qualified in.

The nurse then helps you get comfortable and stays right by your side all the way through it.

When you are ready, the Dr puts the same kind of speculum inside you that is used for your smear test, then there is a kind of funny looking set of binoculars thing that sits on the outside of you vagina, they do not go inside. The Dr then opens you up.

THIS DOES NOT HURT - It may feel a bit uncomfortable but it doesn't hurt. It feels no different to the smear.

I didn't need any treatment so I cannot comment on that but I did however need a biopsy - which again didn't hurt. I was told to do a huge cough on the count of 3 and that was it, biopsy done.

I would recommend looking at the screen to the side of you, of your cervix so you can see what the Dr is seeing, he/she can then explain to you the condition of your cervix.

This all took less than 15 minutes.

You should take a sanitary towel with you as afterwards there can be some blood or discharge.

For the rest of that day I had period cramps which is normal. They can last 2 to 3 days - everybody is different. You will also have a brown coloured discharge. This can last 3-4 days - again everybody is different.

So to conclude - The worry comes from not knowing. If this is all new to you then worry is at the top of your list but now I have had it done once, I know what to expect if it happens again in the future and I KNOW it isn't half as bad as you expect it to be.

I hope this has helped a few women out there and if you have any questions please contact me and I'll try to answer them for you.

Thank you.

  • Thanks Kat! 
     

    I suppose it's similar to the Lletz in a way? I'm in on the 28th so I will let you all know how I get on :) 

     

    xx 

  • What did you have done ? I'm the same hpv but no abnormal cells. Waiting for a colposcopy appointment 

  • Hi,

    my smear actually came with HPV positive and abnormal cells. When I went for the colposcopy, the doctor said he could see signs of HPV infection but not abnormal cells so no need for a biopsy. My annual smear check is coming up soon so fingers crossed

  • What did they do about the hpv showing up?

  • Nothing. If they find you with hpv and low abnormal cells the protocol is just to have a smear every year, to check if there is any change. The body should be able to fight the infection by its own. If not, a small procedure is needed and that's all. Nothing to worry about :)

  • Ok as this is my 3rd smear and hpv still present but cells are normal so have been asked to go and have one

  • Hi. I received my letter yesterday with a hpv positive and low grade changes diagnosis from smear. I now have an apt for colposcopy clinic on Tuesday.

    I have been married for 16 years and no idea where the HPV came from but I know they only started testing late 2019 so previous smear before this. Should I be concerned at quick turnaround?

    Thanks everyone 

  • Hey adviceplease123, 

    80% of women have the human papilloma virus at some point in their lives; as a woman you're more likely to have it than not.

    Most women pick in up through sex at some point in their lives. Some of these women will show as HPV positive in their next smear, however for the vast majority of women this virus will lay dormant in the body. This can be for many many years. It's not certain why the dormant virus will flare up and show as positive in a smear, but there are links to stress and a decrease in your immune system being a reason. Think of it being like the herpes virus causing cold sores during a flare up.

    There are also women who can pass the virus onto their child during birth, which means some people who have never had sex can have the virus. As men aren't tested for HPV, you could assume a similar amount have the virus without any knowledge.

    Given your 16 years of marriage, it's likely you have had HPV for a long time which has been dormant in your body. Have you been going through a stressful time since your last smear?

    Also, as you correctly say, the process of smear testing has changed in some places in the past few years. Where I live is one of these places. Previously, abnormalities were checked for first. Only if you had abnormalities was your HPV status checked. So unless you had abnormalities, you wouldn't know if you were showing as HPV positive. Now, they test HPV first as standard.

    Hope this helps. If you have any other questions I can help with, feel free to ask

    Kat x

  • Hey Kat, 

     

    Just popping back on to update you!

     

    I had the cold coagulation treatment yesterday, I was given numbing cream and 2 anaesthetic injections and then treatment but I didn't feel a thing luckily, the anaesthetic made my heart beat a bit quicker because of the adrenaline but there was two other nurses in that kept me chatting away to take my mind off it! 
     

    Didn't need to take any paracetamol and I've not bled or had any discharge since leaving Hospital.

     

    Return in 6 months for another smear so fingers crossed it'll be all gone and that'll be me for the 3 years! 
     

    Thanks for your help! Xx