What is the next procedure after a colposcopy?

After a colposcopy, your colposcopist will usually be able to tell you what they have found straight away. If there is any uncertainty, a small sample of tissue from the cervix may need to be removed (a biopsy) for further examination. In some cases, abnormal cells can be treated during your colposcopy.
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What comes after a colposcopy?

After a colposcopy you may have some mild pain, similar to period pain, for a few days. Taking a painkiller such as paracetamol can help. You are also likely to have some bleeding and discharge from your vagina. If you had a colposcopy only, then the bleeding and discharge may pass after a few days.
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Why do I need a second colposcopy?

If cell changes come back, they are usually found after your follow-up appointment. If your cervical screening (smear test) done during this appointment finds high-risk HPV, you will usually have further tests at colposcopy again.
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How many biopsies are taken during colposcopy?

“The full benefit of earlier detection of HSIL by screening using HPV testing will depend on improvement and standardization of colposcopy.” At least two or three biopsies should be taken based on these results.
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What if cervical biopsy is positive?

However, if you recently had a cervical biopsy, you may need repeated Pap and HPV testing sooner. A positive test, on the other hand, means that cancer or precancerous cells have been found and further diagnosis and treatment may be needed.
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A Patient’s Guide to Colposcopy: What to Expect When Having a Colposcopy.



Should I get a hysterectomy if I have precancerous cells?

If the precancerous disease is more extensive or involves adenocarcinoma in situ (AIS), and the woman has completed childbearing, a total hysterectomy may be recommended. During a total hysterectomy, the entire uterus (including the cervix) is removed.
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How serious are precancerous cells?

Often, precancerous lesions are not invasive and a person will not develop cancer. In some cases these precancerous cells, if left alone, may go on to become “invasive” cancer cells. Sometimes, it may take these cells a few years, or even decades to progress.
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Do you get colposcopy results right away?

Colposcopy results

The colposcopist will usually be able to tell straight away if there are abnormal cells in your cervix. Biopsy results usually take about 4 weeks and a copy will be sent to both you and your GP in the post. About 4 out of 10 women who have a colposcopy have a normal result.
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What are the symptoms of HPV in females?

HPV can infect cells in the vagina and around the vulva. If a female has low risk HPV, they may see warts on the vulva. These warts may present as: a cluster that looks like a cauliflower.
...
Some symptoms of vaginal cancer include :
  • bleeding after sex.
  • unusual discharge.
  • a lump in the vagina.
  • pain while having sex.
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Do I need a colposcopy if I have HPV?

If you test positive for HPV 16/18, you will need to have a colposcopy. If you test positive for HPV (but did not have genotyping performed or had genotyping and tested negative for 16/18), you will likely have a colposcopy.
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Why has my HPV come back?

Occasionally, HPV that was dormant can become active again and may start to cause cervical cell changes. This is called clinically significant HPV and would be detected with a test. We don't know why HPV becomes active again, but cervical screening (a smear test) can help detect the virus and any cell changes early.
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What are high grade precancerous cells in cervix?

High-grade squamous lesions (cervical intraepithelial neoplasia [CIN] 2 or 3) have a high risk of persisting or developing into cervical cancer over a period of years. If you are age 25 and older and not pregnant, CIN 2 or 3 is treated by removing or destroying the abnormal area.
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What is the next step after a LEEP procedure?

The most common next step after a LEEP procedure is to get a pap smear in six months. It is Really Important to get a follow-up pap smear, after the LEEP procedure.
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Why do I need a second LEEP procedure?

In some instances, you may need a repeat procedure to remove all the cells completely. You may also need an additional LEEP if abnormal cells return. You're at a greater risk of recurrence if you're infected with a high-risk strain of the human papillomavirus, or HPV.
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What causes precancerous cells in cervix?

Infection with the human papillomavirus (HPV) is the main risk factor for precancerous changes in the cervix. Smoking and having a weakened immune system increase the chance that an HPV infection will not go away on its own and will develop into a precancerous condition of the cervix.
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How long does it take for HPV to cause abnormal cells?

In fact, once cells in the cervix begin to undergo abnormal changes, it can take several years for the cells to grow into invasive cervical cancer. Many women experience precancerous changes in the cervix in their 20s and 30s, though the average woman with cervical cancer is diagnosed in her 50s.
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What color is HPV discharge?

Increased vaginal discharge, which may be pale, watery, pink, brown, bloody, or foul-smelling. Abnormal vaginal bleeding between menstrual periods, after sex, douching or a pelvic exam.
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Does HPV cause a smell?

Usually does not have symptoms until it is quite advanced. As the cancer progresses, the following signs and symptoms of more advanced cervical cancer may appear: Vaginal bleeding after intercourse, between periods or after menopause. Watery, bloody vaginal discharge that may be heavy and have a foul odor.
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Is HPV serious for females?

Does HPV cause health problems? In most cases (9 out of 10), HPV goes away on its own within two years without health problems. But when HPV does not go away, it can cause health problems like genital warts and cancer. Genital warts usually appear as a small bump or group of bumps in the genital area.
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How long does it take for your cervix to heal after a colposcopy?

If you feel like this, contact your GP or the colposcopy clinic where you had your treatment. It takes four to six weeks for your cervix to heal. To reduce the risk of infection during this time, you should avoid sexual contact or wearing tampons.
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What happens if you have CIN 3?

CIN 3 is not cancer, but may become cancer and spread to nearby normal tissue if not treated. Treatment for CIN 3 may include cryotherapy, laser therapy, loop electrosurgical procedure (LEEP), or cone biopsy to remove or destroy the abnormal tissue. CIN 3 is sometimes called high-grade or severe dysplasia.
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Do all colposcopy require a biopsy?

While a colposcopy can suggest that you have cancer or precancerous tissue, only a biopsy can actually make a diagnosis. If an abnormal area is small, your doctor may be able to remove all of it during the biopsy. The type of biopsy you'll have will depend on the location of the tissue being biopsied.
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How do they remove precancerous cells from the cervix?

LEEP stands for Loop Electrosurgical Excision Procedure. It's a treatment that prevents cervical cancer. A small electrical wire loop is used to remove abnormal cells from your cervix. LEEP surgery may be performed after abnormal cells are found during a Pap test, colposcopy, or biopsy.
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How common is precancerous cells on cervix?

In fact, many women are told that they have precancerous cervical cells. “There are a million abnormal Pap smears each year,” King said. “Of those, 100,000 have serious precancer changes. And there are only 10,000 new cases of cervical cancer a year.
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Is precancerous the same as benign?

Benign: These tumors are not cancerous. They do not invade nearby tissue or spread to other parts of the body. If a doctor removes them, they do not generally return. Premalignant: In these tumors, the cells are not yet cancerous, but they can potentially become malignant.
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