Borderline Changes & HPV

Hi there,

 

Has anybody else had smear results showing borderline changes? Also said there is evidence of high risk HPV, is that saying I am HPV+?

I am booked in for a coloscopy July 20th, infact when I rang to make the appointment, they was adament they didn't want to see me until mid July (I had smear results back 3rd June)

If so, for those who have had the same smear results, what can I expect at the coloscopy, is there a chance I may need the LLETZ?

Thanks in advance

x

 

 

Hi there

I had exactly the same as you. 'Evidence of high risk HPV' does mean that you tested positive for the virus, yes.

Depending on what the consultant can see through the colposcope, they will either treat (most likely with LLETZ) on the day, or take biopsies to determine the true severity level of the changes. Mine did not want to treat on the day as she said it could be CIN1 (mild) or CIN2 (moderate) and with CIN1 they take a watch and see approach because it very often sorts itself out with no help. CIN2 doesnt often do that, hence they treat it. They don't want to give unnecessary treatment though, so we waited for biopsy results.

It's likely they will take some biopsies (I didn't think it hurt at all, some ladies say they feel a little pinch or scratch). If you're lucky it'll come back as CIN1 and they will ask you to come back in a year to see how it looks. If you're not so lucky (like me) it'll be higher than CIN1 and they will call you back for treatment at a later date.

There's no harm in asking the consultant on the day how she/he thinks it looks. I did with mine so it wasnt a huge shock when mine jumped from borderline smear to moderate changes on the biopsy results. My consultant and the nurses who assist her are super-nice and happy to answer any questions. Oh and don't worry too much about the colposcopy, it's not really much different from a smear, just lasts a few minutes longer.

Hope that helps, if you want to ask about anything else feel free

Elise

Thank you for taking the time to reply, it has put me at ease a little. It was my first smear and I had put it off for a year so I have been kicking my self!

If they do take a biopsy will I be ok to go straight back to work. And also if they decided to do LLETZ will I be ok to go straight back. As I have just told them I have an appointment in the morning and nothing else really.

Hiya

Ooh I feel for you - that's rough on your first smear! I had normal ones for nearly 20 years before I copped it :-/

I had a few period pain like cramps after the biopsies, but I'm sure if you take a couple of Ibuprofen you'd be fine to go back to work. For LLETZ they say don't plan on working for the rest of the day and a couple of the ladies on here have said it takes a day or two after that to feel normal again and a bit less fragile.

I wouldn't have thought LLETZ on the day was that likely in your case, and if they ask you if you want it you can always say you'd prefer to have it done at a later appointment, i.e. when you can plan for it, which seems a perfectly reasonable request. I think that even if the clinic/hospital does offer treatment on the day, they normally still give you the choice, so you have a chance to prepare yourself both mentally and practically beforehand.

Good luck! and will keep fingers crossed that you get more of a "move along, nothing to see here" kind of a result ;-)

Hi. My first abnormal smear was in October. It said borderline changes but the colposcopy showed cin 2. My hospital does a see and treat clinic so you have Lletz at the same time as colposcopy. My 6 month check up showed no abnormal cells but still hpv so last Wednesday I had another colposcopy and yet again the smear was different and I had abnormal cells again. This time he wouldn't say if cin 2 or cin 3 as he wants to wait for biopsy results. 

Personally I prefer to have the treatment on the same day as the colposcopy just to get it over with.

I hope it all works out for you xx 

Hi. My first abnormal smear was in October. It said borderline changes but the colposcopy showed cin 2. My hospital does a see and treat clinic so you have Lletz at the same time as colposcopy. My 6 month check up showed no abnormal cells but still hpv so last Wednesday I had another colposcopy and yet again the smear was different and I had abnormal cells again. This time he wouldn't say if cin 2 or cin 3 as he wants to wait for biopsy results. 

Personally I prefer to have the treatment on the same day as the colposcopy just to get it over with.

I hope it all works out for you xx 

Thank you claire. I think i am going to go in with the thought that i will be having lletz...and then anything less is brilliant! The letter says if I  need treatment they will do it the same day which i think i will prefer, get it over and done with whilst my floo is out ;) . I will have come back from italy the week before so at least i have that to take my mind off  things for a while! I will update with results!

My colposcopy was brought forward to today so I have just come back! They said there doesn't seem to be anything to concerning on my cervix, but they have just taken 2 biopsys from the opening inside bit of the cervix. I asked them if I was CIN1 and hey said yes kind of. Not feeling too worried. I've just got cramping at the moment which isn't too great.

Quick update

Biopsy results show high grade CGIN, so I am booked in for LLETZ