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A smear test may detect abnormal (precancerous) cells of the cervix. Also known as cervical screening, it help to identify changes in the cervix at a very early stage before any significant complications arise.

If you have undergone a smear test, there are three possible results: Normal, Unsatisfactory and Abnormal.

An abnormal smear test suggests changes that might potentially result in cervical cancer in the future.

In fact, a wart virus known as the human papillomavirus, or HPV, causes most smear abnormalities.

HPV infection is common and it is estimated that as many as 75% of the reproductive-age population will develop an HPV infection with one or more high risk types of the virus. The good news is that in most cases the HPV virus causes no symptoms or health problems.

Early detection of HPV infection and abnormal changes of the cervix is extremely important in order to provide the appropriate care and eliminate the risk of cervical cancer.

See a consultant and make sure you get your regular screening tests completed.

Abnormal Smear Test Result, Should I be Worried?

While it is natural to worry if you receive an abnormal smear result, it’s important to keep in mind that 1 in 20 cervical screenings reveal an abnormality of some kind.

An abnormal smear test does not imply cancer. It simply indicates that the cells have undergone changes that could eventually lead to cancer.

The main factor contributing to abnormal smear findings is an infection with a high-risk type of HPV.

Most women will fight the infection via their immune system. At LWC we offer all medications and supplements that will boost your immunity and maximise the chances of treating HPV infections.

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Abnormal Smear Result Grades

An abnormal smear can be categorised as borderline, mild, moderate or severe dyskaryosis. Borderline and mild smears are called Low Grade. Moderate and severe smears are called High Grade.

Suppose you have a low-grade dyskaryosis result (mild or borderline). In that case, you will typically be advised to have colposcopy to assess the cervix and confirm the smear findings. We need to ensure that the smear has not under or over- estimated the abnormal changes.

The colposcopy is a minor procedure, where the cervix is visualised. A speculum is used and the cervix is examined under magnification. Two dyes are then applied to the cervix (acetic acid and iodine) to help highlight if and where the abnormal cells are present. Cervical biopsies under local anaesthetic might be required. At LWC we use local anaesthetic for every cervical biopsy as it makes a huge difference and makes the procedure much more comfortable.

A cautious approach will be advised if the changes have been confirmed to be mild because it’s likely that the affected cells can return to normal without the need for treatment.

With high-grade smears (moderate and severe dyskaryosis) you will also require colposcopy and possible treatment if the biopsies from the cervix confirm the pathology, as there is a higher risk of progression to cervical cancer.

Here are some things to consider that can prepare you for your colposcopy:

  • Schedule the appointment for when you are not on your period. Call us to reschedule if you begin your period on the day of your appointment.
  • Avoid sexual intercourse before your procedure.
  • Avoid the application of vaginal creams or gels for at least 24 hours before the procedure.

Colposcopy typically takes 7-10 minutes.

After the colposcopy, unless a biopsy is performed, there are no precautions to take. We will explain the findings in detail after the procedure.

Cervical biopsy

The colposcopy usually includes a biopsy in order to check the cells or tissues under a microscope for signs of precancerous changes.

When the biopsy is performed, we will schedule a follow-up appointment to review the results, address any concerns, and create an appropriate plan that fits your needs. The biopsy results will be available in about 4-5 working days.

After undergoing a biopsy, we recommend avoiding sexual intercourse, swimming and bathing for three days.

If we detect high-grade precancerous cervical cells as a result from your cervical screening test, cervical biopsy and/or colposcopy, you will immediately be offered a LLETZ procedure to treat/remove them.

At LWC we strongly recommend regular cervical screening. Your cervix stays healthy and unaffected by pre-cancerous cells if you monitor for cervical changes and address any issues immediately. Cervical screening saves lives!

Dr Pandelis Athanasias

About Mr Pandelis Athanasias – Specialist in Abnormal Smears ✓

Mr Athanasias has years of expertise in treating abnormal smears. Patients feel comforted by his aid and professionalism throughout the delicate process. He offers a selection of treatments for low-grade to high-grade smears and HPV infections.

He is an accredited coloscopy trainer with extensive knowledge of modern treatments for abnormal smears.

He will guide you towards the best treatment option taking into account your individual thoughts and requirements.

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How Much does it cost?

At London Women Canter we offer three coloscopy packages.

Diagnostic Colposcopy includes consultation and colposcopy for £535.
Colposcopy + Biopsy includes a consultation, colposcopy, biopsy and lab fees for £825.
Colposcopy + Cervical Screening Sample includes consultation, HPV test and cervical smear test for £675.

Colposcopy and LLETZ treatment under local anaesthetic . Includes colposcopy, removal of abnormal precancerous cervical cells and lab fees.

Our London Clinics

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    10 Knaresborough Pl,
    Kensington, London,SW5 0TG

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  • The Lister Hospital

    Chelsea Bridge Road
    London, SW1W 8RH

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  • Spire St. Anthony's Hospital

    801 London Road, North Cheam
    Sutton, Surrey, SM3 9DW

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  • Parkside Hospital

    53 Parkside, London
    SW19 5NX

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  • New Victoria Hospital

    184 Coombe Lane West
    Kingston upon Thames, KT2 7EG

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