Colposcopy Results. Big scare. Good lesson.
Don’t really have a cool picture to go with ‘Colposcopy Results’. Ideally I’d be reporting about our amazing EndoActive Conference which took place last Saturday, May 16 but I’ve spent most of the week recovering and writing thank you emails and all of a sudden this has come first. If you’re reading this, please read to the end! Very, very important.
Just to recap – a few weeks ago my GP referred me back to my surgeon (who has performed both my laparoscopies for Endo and done a wonderful job) after my 3rd abnormal Pap test. Apparently it’s quite common to have abnormal readings of Pap test which is why doctors wait until you’ve had 3 in a row until they take the next step. All my results showed LOW Grade abnormality (even with the ThinPrep test which I paid a bit extra for to get a more accurate reading). Nevertheless, my surgeon decided to perform the Colposcopy in theatre so that if there was anything to be removed he could do it on the spot.
As it turned out, there were was. He lasered off some abnormal cells and sent a biopsy to pathology. To my relief, I woke up in very little pain and had a nice and easy recovery without the need for pain killers. First time that has ever happened!! I put that down to correct pain relief before going under anesthetic as I had warned the anesthetist that I usually have extreme pain after any procedure. The only thing I experienced during the week was fatigue, bloating and constipation. Movicol really helps! (2 sachets at a time mixed with water and up to 8 a day if things are really bad)
So today my results were in. Quite alarmingly, my surgeon told me that all my Pap test readings were incorrect and that the changes on my cervix were HIGH grade and not low grade as the previous tests had shown… slightly concerning that this wasn’t picked up over the past 12 months but there you go. Those high grade changes and the biopsy results indicated that the cells were also pre-cancerous.
It’s scary even writing those words and I did have a big cry after I absorbed that information but I’m trying to jump straight to the part which everyone else is saying which is “it isn’t cancer and it’s just good news because they’ve got it early”. That’s very true. It is scary to know that it could’ve gone another way but now that it’s been brought to everyone’s attention, I have no doubt it’ll all be kept under control.
It would be really easy to gloss over this and say yes yes yes I’m extremely lucky and very privileged and thank god for modern medicine and my extra-cautious surgeon and it’s all taken care of so just move on and move forward. But honestly I am still scared. I’m human for fuck’s sake and I don’t care who you are, NOBODY wants to hear the word Cancer. Pre-cancer, almost cancer, not quite cancer – whatever. It’s scary and yes, I know I’m in good hands and it’s NOT cancer. But warranted or not, I’m worried. Lately it’s been in the back of my mind that people with Endo are at higher risk of developing certain types of cancer. That’s a fact I only found out myself a few months ago. It’s probably not that common but the risk is there. So yeah, it’s scary and I’m scared.
PHEW! Good to get that out of the way. I’ll find out more information in a follow-up appointment in a few weeks and will have a repeat colposcopy in 3 months to keep an eye on things. If there’s anything you can take away from this, KEEP UP WITH YOUR PAP TESTS!!!!! And if your readings are even slightly abnormal, keep a close eye on them, go back for check-ups and don’t ignore notifications from your doctor.
Back in high school I was one of the students who benefited from the recently introduced Cervical Cancer shot which was subsidised by the government. This was and is a great initiative, however one thing we weren’t told is that that inoculation only protects you from 3 out of roughly 80 or 90 different strands of HPV!!! This was news to me – all these years I thought I was only getting Pap tests to make sure I didn’t have chlamydia or herpes or AIDS or some other type of STD.
I had no idea I was still at risk of developing cervical cancer because after all why would I? I had the magic shot! WRONG! I found this information out for the first time from my surgeon on the day of my colposcopy. What a shock that was. As he said, I am probably one among thousands of other girls who are walking around with a false sense of security – thinking that we’re completely protected when in fact we are not. This was probably the most important thing that I learned from this experience and I’m quite shocked at how naive and ill-informed I’ve been this whole time. To think that there’s a whole generation of women and girls who think they don’t need Pap tests is truly terrifying.
I MUST TELL EVERYONE!! TOGETHER WE MUST TELL EVERYONE!!
Take something from my experience and please take care of yourself people.
Syl x
Sarah B
May 21, 2015 @ 11:19 am
I’m so sorry this happened to you, but thank you SO much for sharing.
I’ve been slack (I’m 43) with the pap and ovarian scans. Strong maternal family history of breast cancer and also ovarian in my mum.(deceased at 58)
Sometimes I feel like Id rather not know. That’s irresponsible and cowardly. My endo is made worse by my thyroid being low but still only moderate.
I’m so happy you’re ‘ok’ and thanks again for sharing. It’s so easy to ignore signs and symptoms, especially with multiple issues.!
Your work and your story (and your awesome mum) have helped so many of us realise there’s a better normal and there are other options. Also, being auto immune potentially other issues. I know several woman with endo and thyroid disease. It’s anecdotal, but work keeping an eye on.
Cheers,
Sarah
Lesley Freedman
May 21, 2015 @ 11:23 am
Syl like you I’m trying not to worry. It’s bloody scary even hearing the C-word and after all you’ve been thru it just doesn’t seem fair. What’s even worse is knowing that all you girls got the HPV injections when you were at high school and thought they covered you for all cancer of the cervix. THEY DON’T. So now there is a whole generation of women who think they don’t need pap tests. Now that’s really scary.
Sonia McMartin
May 21, 2015 @ 12:07 pm
I had a similar situation, two years after my third child was born not long before my Pap smear was due I had a feeling something was wrong. I went to my Dr and asked for it to be done early which he wouldn’t do. Thankfully it was only a couple of months away after I had the smear I waited on tenterhooks for the results. When the results came in I had a low grade abnormality and was referred to a specialist for follow up. He informed any tests I needed he would do when he returned from long service in 6 months. After telling my mum she freaked as we have a bad history of cancer in our family she made a phone call to the Women’s and Children’s hospital and told them my history. They booked me in for a Letz procedure the following Monday just by hearing my history. They rang me with the results a couple of weeks later and I had early stage cancer. The woman I spoke to couldn’t believe how calmly I took it but I think I knew that was going to be the result right from the beginning. I freaked out about an hour later. I ended up having a colposcopy where they were pretty sure they had clear margins and just wanted regular follow ups. I’d decided I wanted a hysterectomy but the Drs weren’t keen as I was only 34. After talking with both my husband and I they decided to go ahead but leaving my ovaries. Due to terrible Endo and serious scarring they not only put a hole in my bladder but had to remove one ovary. I’ve since had my bladder fixed but it took three surgeries. Two more laparoscopies for Endo and they have removed my remaining ovary. I currently have yearly vault smears and so far so good on the cancer front, although I have to be very careful as I am unable to take any hormones. Even a very small dose causes the Endometriosis to flare again and they are extremely reluctant to do anymore surgery due to very bad scarring, and heavy bleeding. I think we all need to trust our judgment when it comes to our bodies if you sense something is wrong trust it and make your Dr listen. Sorry for the length of my post I felt it was important. Don’t put of your PAP SMEAR it’s to important
sylvia
May 21, 2015 @ 12:39 pm
Wow – yep absolutely spot on Sonia. Thank you for taking the time to write this. Great that you’re so proactive with your health and in control. Good on you!! Sorry you’ve had such an awful time! You sound like a very strong, sensible woman who takes charge of her health so power to you for that! Glad you’re (mostly sort of) ok xx
Stacey Rolfe
May 21, 2015 @ 12:11 pm
Hi Syl,
Reading this really helped me feel not so alone. I have had endo since I was 17, (I’m 35), 3 laps, years of pain and frustration.
Right now I am recovering from hemorrhaging 5 days after a loop excision to remove high grade cells.
I had an abnormal Pap smear then a colposcopy then a loop excision all within 2 weeks. Then on Monday I hemorrhaged, it was so scary, I lost over 1 litre of blood.
I didn’t realise this was more common with endo, I thought I was just unlucky.
I am on the waiting list to have another laparoscopy, I have an endometrium on my ovary and have cramps every day.
It is so hard living in pain and my hormones are a mess.
Thank you for everything you are doing for all the women like us that suffer. You are our voice.
Sending love
Stacey
sylvia
May 21, 2015 @ 12:33 pm
Wow. thanks so much Stacey and so sorry you’ve been going through such a traumatic time! You poor thing. Thank you so much for your comment because you’ve taught me (and I’m sure other people reading this) a thing or two as well. I’m not sure about hemorrhaging being more common with endo but i have learned that the risk of certain cancers can be higher yes. Endo is a tough thing to live with and seeing as you’ve been living with it for such a long, long time I’m sure you’re aware of self-management methods and things like that but just in case you’re not, I feel it’s my duty to tell everyone to really look into that as it’s so so important and can really help manage your disease (diet, exercise, physio, psychology, coping mechanisms etc) I plan on doing more posts about that stuff!
You’re welcome for everything and thanks for your contribution!
Syl x
Nikki
May 21, 2015 @ 10:54 pm
I’m sorry this happened to you but actually happy that you are in a position to spread this message to a fairly large group of women! I was 22 when I had my first Pap smear (while seeing Dr number 6 for my endo pain). All of my friends had the “ick” mentality where they didn’t want strangers looking at their vajayjays, therefore it really wasn’t talked about and I had no idea how important it was.
So, my first ever Pap smear shows extreme grade 3 pre cancerous cells. Unfortunately there was a mixup at the hospital which meant my LLETZ was postponed for 8 MONTHS!!!! The entire time I was freaking out, and rightfully so aparantly as when they finally did do the procedure I was told it had grown so fast it was “like pouring gasoline on a fire”. Terrifying.
sylvia
May 22, 2015 @ 12:05 am
Omg !! Nikki that’s awful. So strange that so many of us girls don’t talk to each other about ‘girlie’ things. At my high school which was all girls – I seem to remember we talked about EVERYTHING and it was all very very open so I guess I had a different experience to most. Hope you’re ok now after that ordeal x
Liz Howard
May 22, 2015 @ 5:41 am
Hi Syl,
Thanks for sharing your personal story and highlighting the importance of regular pap tests. I had a close friend who had a LLETZ at 22 yo, ten years ago and she was very worried, and felt very alone. You have made such a difference for so many women as you provide such support and inspiration via this blog and EndoActive.
Congratulations to everyone involved for an amazingly successful first EndoActive conference.
Take care and stay strong,
Liz
sylvia
May 23, 2015 @ 1:49 am
Thanks so much Liz, that’s so great to hear. I really hope more people can find this page. The whole reason I created it was because I couldn’t find anything in all my Google searches of young Australian women talking about their experience with endo or egg freezing or any of that stuff. Every time I searched “endo blog” or “egg freezing blog” I’d get something from America that was outdated and not relevant to me. I’m sure there are other blogs like mine that would’ve really helped me but annoyingly, Google gives preference to some and not others. Hopefully through endoactive and people sharing the link, more girls who are feeling alone like your friend was all those years ago can find this space and not feel so alone. Thanks for your support x
Gabrielle Mylonas
May 24, 2015 @ 8:52 am
Hi Syl,
I was reading your blog and watching the news (channel 7 – Sunday May 24) at the same time. The news segment showed a young woman with cervical cancer seeking funding for the drug Avastin (not currently funded by the Aus gov). Just thought I would circulate the name of that drug for all your readers who missed that news report.
sylvia
June 1, 2015 @ 8:32 am
Hi Gabrielle, I’ve taken some time to get back to you so that I could do some research into Avastin and follow-up on what you’ve written. I contacted ANZGOG – Australia New Zealand Gynaecology Oncology Group – who gave me this response with regards to Avastin:
“Avastin is a new drug from Roche. In 2014, following the completion of the ICON6 ovarian cancer study, they applied to have it accepted by the PBS for use in ovarian cancer. This has finally been accepted.
I am not aware of any clinical trials which have reviewed its use for cervical cancer. We would need to follow up with Roche to find out the status of any submission to the PBS for cervical cancer.”
Just in case you were interested 🙂
Gabrielle Mylonas
June 2, 2015 @ 12:26 am
You are providing a great blog for the gathering of all this information. I’m following it with keen interest and I’m sure its all heading in a great direction – thanks to you and your mum..
Off To RPA | EndoActive
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Colposcopy #3 - Syl Freedman
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