urgent referral to gynae tomorrow

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I have recently been having irregular bleeding, spotting between periods then some heavy bleeding. I also have had pelvic and back pain. I haven't had a smear since 2009 but have had 2 children since then!. Went to gp who has referred me via 2 week pathway. What can I expect at the appt? Feel worried they will think I am making a fuss over nothing!

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  • Posted

    Nope. They won't. You can expect for this to be taken quite seriously actually. You may have some erosion or endometriosis, infection or cervical or uterine changes that need identifying and addressing. Your symptoms are notable. Lots of changes happen during pregnancy and delivery and the pregnancy hormones tend to make any changes move along more rapidly than they otherwise would. So usually a pap is schedulled after delivery for as soon as post-partum bleeding stops (usually at 40 day mark and repeated after a year (or 6 months depending on the picture). You are overdue for a pap so you can expect an ultrasound, pap smear and possibly a referral for colposcopy or even straight to colposcopy (which is nothing to fear - they will just look closely at your cervix with a special magnifying glass and evaluate the state and any likely issues).  

    I hope it is something simple and you feel better soon. If you can, please post after your evaluation or once your results come in.

    All the best!


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    • Posted

      Thanks so much for taking the time to reply to this. At the appt today I had a pap smear, then a colposcopy where they said I have an area on my cervix that is bleeding very easily and looks abnormal. She also used the dye and took a biopsy. She then said she is pretty sure I will need an op under general anaesthetic to ensure that she can remove it all. Not quite sure what all this means...
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    • Posted

      Don't be too alarmed at this stage. The operation is not a big deal. They will perform a conical excision of a part of cervix to ensure they remove the abnormal looking area and a bit more extra edge. The conical specimen is then sent for biopsy to confirm that the edge is clear and the nature of the abnormality itself. It is a day procedure usually with only a few hours stay until the drugs wear off. The procedure requires you to sleep but usually no complex intubation so easy deal. Your main concern will be biopsy results and whether or not lymph system is affected in case it turns out to be something more serious. Usually it is straightforward. Try to keep cool. The cervix and uterus are typically easily treated in either scenario.

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