Counseling -- Abnormal Cervical smear.
Hello Mrs. Smith, I am Dr. Munagapati, senior house officer in the department of obstetrics and gynaecology. We have got the results of your smear test back. I am afraid we have detected some abnormal cells. Let me explain what it means.
Mild, CIN I: Some of the cells from the cervix have shown some changes. This could be due to infection. So we will check and treat if there is any infection. It is necessary to repeat the cervical smear and then we will decide the further course of action. I would like to reassure you that this is not cancer.
Moderate, CIN II: Some of the cells from the cervix have undergone changes. So we would like to do another test called colposcopy. Here we have a direct look at the cervix with a microscope. At the same time a biopsy can be taken. We will let you know about the biopsy as soon as the report is back. I would like to reassure you that this is not cancer. But it might develop into cancer if left alone untreated. The treatment of abnormal cells is quite a minor one and if the treatment is done early enough, it almost always leads to a complete cure. But you need to have a smear test every year to check that everything is still fine.
Severe dyskaryosis, CIN III: Some of the cells from the cervix have undergone changes. So we would like to do another test called colposcopy. Here we have a direct look at the cervix with a microscope. At the same time a biopsy can be taken. We will let you know about the biopsy as soon as the report is back. I would like to reassure you that this is not cancer. But it might develop into cancer if left alone untreated. The treatment of abnormal cells is quite a minor one. But you need to have a smear test every year to check that everything is still fine.
If not all the cells are removed, I am afraid we would do further tests to know the extent of the disease. You might have to have a hysterectomy then. I am sorry about the bad news. I am going to arrange, for you to have a biopsy. Here are some leaflets to read. If you have further doubts don't hesitate to ask. Thank you.