PAP Smear abnormalities

[KoishiChan]

Hello! Wondering if anyone has gone through a similar situation and can give advice. Recently I went for a PAP smear and received a LSIL result, with negative HPV test, about two weeks later I went in for a colposcopy and biopsy, I just got a call and the nurse said that they didn't find anything serious from the biopsy, but said that in cases like these they usually follow the result of the more serious one. They suggested 2 things for me. One is to do a procedure to remove all the top cells of the cervix, another is to do another colposcopy in 3-4 months. For the first one I'm worried as I've read that procedures like that can weaken the cervix and result in difficulties during pregnancy/child birth. I'm wondering if I should get a second opinion? Has anyone gone through something similar?

 

[risther]

Hello! Wondering if anyone has gone through a similar situation and can give advice. Recently I went for a PAP smear and received a LSIL result, with negative HPV test, about two weeks later I went in for a colposcopy and biopsy, I just got a call and the nurse said that they didn't find anything serious from the biopsy, but said that in cases like these they usually follow the result of the more serious one. They suggested 2 things for me. One is to do a procedure to remove all the top cells of the cervix, another is to do another colposcopy in 3-4 months. For the first one I'm worried as I've read that procedures like that can weaken the cervix and result in difficulties during pregnancy/child birth. I'm wondering if I should get a second opinion? Has anyone gone through something similar?

Hi I suggest u go for 2nd opinion first before u decide on anything. I got a positive HPV from public hosp and was scheduled for a colposcopy. I went to a pte gynae for 2nd opinion and he did for me a Pap smear first to check for abnormal cells first. He told me if my result is normal I can skip the colposcopy and do pap smear 1 year later. End up my result is normal and public hosp let me skip the colposcopy with the pap smear result. Hence I think you should go for a 2nd opinion and maybe do another pap smear to see if the result is the same and on what the doctor has to say.

 

[KoishiChan]

Hi I suggest u go for 2nd opinion first before u decide on anything. I got a positive HPV from public hosp and was scheduled for a colposcopy. I went to a pte gynae for 2nd opinion and he did for me a Pap smear first to check for abnormal cells first. He told me if my result is normal I can skip the colposcopy and do pap smear 1 year later. End up my result is normal and public hosp let me skip the colposcopy with the pap smear result. Hence I think you should go for a 2nd opinion and maybe do another pap smear to see if the result is the same and on what the doctor has to say.

Thanks for your reply! I'm getting the full report of the colposcopy tomorrow and will probably go find a second opinion.

 

[saniyi]

Hello! I'm sorry to hear about your situation. It's crucial to prioritize your health and feel confident in your decisions. Considering the complexity of your case, I would recommend seeking a second opinion from a specialist, particularly a gynecologist with expertise in cervical health. Health Care for Women led by Dr. Chen Chern Yi is known for their expertise in this field. Consult with them to discuss your options and potential implications. Many women navigate similar situations, and sharing experiences can offer valuable insights. Wishing you the best on your health journey.

 

[judylau]

Hello! Wondering if anyone has gone through a similar situation and can give advice. Recently I went for a PAP smear and received a LSIL result, with negative HPV test, about two weeks later I went in for a colposcopy and biopsy, I just got a call and the nurse said that they didn't find anything serious from the biopsy, but said that in cases like these they usually follow the result of the more serious one. They suggested 2 things for me. One is to do a procedure to remove all the top cells of the cervix, another is to do another colposcopy in 3-4 months. For the first one I'm worried as I've read that procedures like that can weaken the cervix and result in difficulties during pregnancy/child birth. I'm wondering if I should get a second opinion? Has anyone gone through something similar?

I totally get how you’re feeling—it’s such a stressful spot to be in when you get conflicting results. I went through something almost identical last year, and that "wait and see" versus "act now" dilemma is a total head-scratcher. My smear came back with those same low-grade changes (LSIL), but my HPV was negative. When my biopsy results also came back clear, I was incredibly confused. My doctor explained that sometimes the smear picks up something the biopsy just happened to miss, which is why they offer the more "precautionary" procedure to remove the cells.

I had the exact same worries about future pregnancies as you. I felt like jumping straight into a procedure was a bit rushed if the biopsy wasn't showing anything scary yet. In the end, I decided to wait the few months and just do another colposcopy. For me, it felt like the right balance—staying on top of it without rushing into surgery that might not be necessary. It gave me so much peace of mind to just let my body settle and then re-check.If you’re feeling unsure, I’d definitely suggest getting a second opinion. It’s your body, and you shouldn't feel pressured into a procedure if you aren't comfortable with the risks. I actually chatted through all of this with my gynaecologist, Dr Chen of Healthcare for Women, and she was brilliant at helping me weigh up the pros and cons.