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The meaning of smear test

A smear test, also known as cervical screening, can detect abnormal (precancerous) cells in the cervix at an early stage, often before any complications arise. Regular screening helps identify changes that could potentially lead to cervical cancer.

There are three possible results from a smear test: normal, unsatisfactory, and abnormal. An abnormal result suggests that changes in the cervix could increase the risk of developing cervical cancer. The human papillomavirus (HPV), which is responsible for most abnormal smear results, is a common infection.

HPV is widespread, with around 75% of individuals of reproductive age expected to contract one or more high-risk types of the virus at some point. Fortunately, in most cases, HPV does not cause symptoms or health problems. However, early detection of both HPV and abnormal cervical changes is crucial for providing appropriate care and preventing the development of cervical cancer.

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

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Abnormal smear test results, 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 medications and supplements that will boost your immunity and maximise the chances of treating HPV infections.

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.

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What is a colposcopy?

Colposcopy is a minor procedure that allows the cervix to be closely visualised. A speculum is used, and the cervix is examined under magnification. Two dyes, acetic acid and iodine, are applied to highlight areas where abnormal cells may be present. In some cases, cervical biopsies may be needed, and these are performed under local anaesthetic. At LWC, we use local anaesthetic for every cervical biopsy to minimise any discomfort during the procedure. We are committed to making the experience as comfortable as possible.

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.

Following a biopsy, we advise 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 precancerous cells if you monitor for cervical changes and address any issues immediately. Cervical screening can save lives!

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 the treatment cost?

At London Women Canter we offer the following coloscopy packages:

  • Diagnostic Colposcopy includes consultation and colposcopy for £525.
  • 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.
  • LLETZ treatment under local anaesthetic. Includes colposcopy, removal of abnormal precancerous cervical cells and lab fees for £1250

LLETZ treatment can also be performed under general anaesthetic according to personal wishes, circumstances and previous experience. The fee for a general anaesthetic LLETZ procedure depends on the hospital it will be performed.

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Our London Clinics

London Womens Centre Google Map

  • The Medical Chambers

    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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Opening Hours

London Women’s Centre

Open : Monday – Friday, 9am – 5pm

Appointment FAQ’s

Our Secretaries

Mr Panayi’s Secretary:

Amy Foskett-Jones

Tel: 07990781826

Fax: 0208 082 5560

amy@londonwomenscentre.co.uk

Mr Athanasias’ Secretary:

Angela Hughes

Tel: 07731522542

Fax: 0203 725 9935

angela@londonwomenscentre.co.uk

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