pre-cancerous changes (cin)

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CIN does not cause symptoms. It is most often found when a woman goes for one of her regular cervical screening tests.

During the cervical screening test the nurse or doctor takes a sample of cells from the cervix, and then sends it to the laboratory to be looked at under a microscope.

If there are any abnormal cells, the cell changes will be classed as borderline, mild, moderate or severe.

If your result is borderline, you will have a repeat test in a few months' time. There is a good chance that the cells will go back to normal without any treatment.

If your result is mild, moderate or severe - or if you have had two borderline test results - you will be invited to attend the colposcopy clinic at Noble's Hospital. At the clinic you may have some tests and/or treatment to remove the abnormal cells.

You may have:

Another Cervical Screening Test

Colposcopy
This means looking at the cervix through a magnifying instrument called a colposcope. The doctor or nurse uses a device called a speculum to hold open the walls of the vagina. S/he can then look at the cervix through the colposcope, and see any areas that may be abnormal.

Punch biopsy
This means taking a small sample of tissue (biopsy) from your cervix to be looked at under a microscope.

After the biopsy you may not need to have any treatment. Instead, the clinic may arrange a follow up appointment so you can have further checks in a few months' time. Alternatively your doctor may recommend that you have a loop excision (see below).

Loop excision of the cervix  
This is a form of treatment for pre-cancer. It involves taking away a small part of the cervix where the abnormal cells are. The treatment takes about 10 minutes and you have a local anaesthetic first. A thin wire is used to remove the abnormal area.

The clinic will arrange for you to have another cervical screening test after a few months. If the results are normal, you are likely to be discharged from the clinic. At the clinic, your follow-up cervical screening routine will be discussed before you are discharged.




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