Abnormal cell changes

Changes in the cells of the cervix are usually detected in connection with regular check-ups at the GP.
In about 5% of these smears, abnormal cell changes are found. It can by atypical cells or cells with dysplasia, which may be the very early stages of cancer.

Additional examinations

If the test shows atypical cells or mild dysplasia, doing a repeat test after 4-6 months is the safe and sensible thing to do. Very often the changes will disappear untreated.
However, if the test shows moderate to severe dysplasia, a colposcopy will be performed to extract small tissue samples. These samples will then be studied closely under microscope at the clinic.

Treatment of cell changes

If the tissue samples confirm moderate or severe dysplasia, the affected tissue should be removed. This is done in a cone biopsy.

Cone biopsy

It is a small procedure, usually performed under local anaesthetic. It lasts 10-15 minutes and it is carried out through the vagina. Using a fine loop of wire, a cone of tissue is removed from the cervix. The tissue is then studied under a microscope to make sure all areas affected by abnormal cells have been removed.
If all abnormal cells have been removed, we recommend that you have a check-up smear at your own GP 6 to 12 months later. After that, a check-up once a year for the next 10 years is sufficient.

After cone biopsy

It is a small procedure, but you should be prepared for a little bleeding or brownish vaginal discharge for 1 to 2 weeks. During this time, to reduce the risk of infection, you are advised not use tampons, have sexual intercourse, soak in a bath or use swimming pools.