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Im due a smear after Lletz procedure but pregnant. Spoke to hospital, worried about advice

(6 Posts)
hormonalmum Wed 21-Oct-09 15:00:54

Hi, feeling bit worried - is this normal?

I had a Lletz procedure last year to treat grade 2 CIN. Then I had a follow up smear after 6 months which was clear.
I am now due another smear to check results again before going on annual smears for 10 years.
I am 12 weeks pregnant so called the hospital and asked what I should do. They told me to have a smear 3 months after baby is born and then go onto annual ones as has been recommended.

Is this normal procedure in these circumstances? It will almost be 2 years since the original procedure but I will only be on the second follow up smear.

I just feel a bit wobbly about it, given that I nearly missed having the original smear that caught the CIN and just want to be as careful as possible about following up.

Anyone been in a similar situation?

Have to log off now as on school run, but will be back.


HolidaysQueen Wed 21-Oct-09 15:09:53

I'm not sure if it is normal but just wanted to let you know my experience of regular smears and pg.

I have been having 6-monthly smears plus occasional biopsy for the last 4 years for abnormal cells (but not needed treatment yet). I had a smear while in early stages of pregnancy (6-7 weeks i think) but they then put me on 12 month check so I didn't need another while pg. I guess that may have been partly because the results were clear.

If you have had one smear post lletz and that was clear then I probably wouldn't be too worried about waiting a bit longer than normal for the second, but if you will be worrying about it then I might push to have it as smears are okay to have in pregnancy. Perhaps though you should get your GP to write a letter to your consultant so that your consultant can decide whether you need a smear sooner based on your situation, rather than just going off what the official policy is which i am guessing is what you were told when you called.

hormonalmum Wed 21-Oct-09 21:15:16

Thanks HolidaysQueen, I will speak to the practice nurse about it. I am due to go next week anyhow and see what she says about smears in pregnancy as she is the one that does them.
Depending what she says, I will speak to GP.

I just don't like the idea of going so long between the smears.

Thanks for helping put my mind at rest.

crokky Wed 21-Oct-09 21:20:06

I think you can safely have smears in pg, and I believe you can also have them sooner than 3 months post natal. I had a smear when my DD was 5 weeks old because the midwife had seen something that she didn't recognise on my cervix whilst I was in labour with DD.

I would definately ask at your surgery, they could probably give you one to make sure everythign is OK.

rabbitstew Wed 21-Oct-09 22:05:53

I think it is possible to have smears in pregnancy. Would it be particularly helpful, though - they wouldn't want to treat any abnormalities found while you were pregnant, anyway? And the chances of having the all clear 6-months after treatment, but having something seriously wrong (or indeed, anything wrong) less than a year after that are extremely low. As for having smears less than 3 months after giving birth, I think this is possible, although when I went for my 6-week check after ds1 and ds2 and asked for a smear at that point (I was due one), the doctor had a look and told me my cervix wasn't sufficiently healed, yet, post-birth and I would have to wait. So, all in all, I think you were given sensible advice.

hormonalmum Thu 22-Oct-09 11:54:24

Thanks ladies and good point Rabbit - they would not treat anything they found.
I feel a little more reassured about the advice I was given now.

Thank you

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