Abnormal Pap Smear

Pap smears are a sample of cells from the cervix. If your pap smear returns abnormal it may be recommended that you have a colposcopy.

A colposcopy is similar to a pap smear, although it takes a little longer.

Examination involves inserting a speculum into the vagina to examine the cervix using a microscope. Areas on the surface of the cervix which may be causing the smear test abnormalities can be easily seen and biopsied.

Using this information, your gynaecologist will discuss treatment options with you.

The most common advice you will receive will be to do nothing in the short term, as many smear abnormalities resolve on their own, A further colposcopy is then performed in a few months to assess this.

For women with high grade abnormalities, your gynaecologist may advise a “LLETZ “or “Loop” procedure to remove the abnormal area. This can be performed under local or general anaesthetic. It is important to remember that even if you do have high grade changes noted on your pap smear, it is VERY unlikely that you have cancer.

Following colposcopy, or LLETZ treatment, your gynaecologist will advise a further follow up appointment or two, then your GP will continue with your care and pap smear screening tests.

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