I've had a 'colpo' and a LEEP - loop electroexicion procudure. Back in 2001-2002.
I KNOW it's scary, but smear tests are VERY, VERY good at catching cervical cell abnormalities whilst they are still that: abnormalities.
I had 12 normal smears - in the US, smears are recommended every year for ANY sexually active woman no matter what her age and all women over 18 - before getting one with CIN II/moderate dysplasia.
I had the colpo performed with no anaesthetic. It's not commonly given there b/c all anaesthesia carries a risk factor. Instead, I was prescribed a moderate opiate painkiller to take an hour before the procedure and a tranquiliser. No driving if you take these medications!
It was not bad at all for me. Just felt like period pains.
The colpo will help them determine where the abnormal cells are. The cervix is painted w/a vinegar solution - painless - and then the practitioner can view the cervix w/the colposcope. If abnormalities show up she can then biopsy (take a sample) of all the areas affected to send to pathology. If she sees abnormalities in the endocervical canal - the opening in the cervix that dilates to allow a baby (or sperm) to pass thru, she may see if she can biopsy them or refer you on for a biopsy under heavier anaesthetic. That's called a 'cone biopsy'.
It's the cell sampling, the biopsy, that may cause some discomfort. But it's brief, I promise you!
Pathology results will indicate what - if any - further treatment you require. One - the least invasive - is called cryotherapy. In this procedure - don't know how it's done here as had mine in the States, you're again given oral medication beforehand - liquid nitrogen is swabbed on the cervix, so that the first few layers - and hopefully the abnormal cells - are sloughed off.
If the abnormalities appear to be deep and/or very localised, a LEEP can be prescribed. For this the cervix is injected w/a local anaesthetic - I won't lie, it does hurt, but it's not the end of the world and childbirth is worse. You can also ask for tranquilisers. Then, an excision is performed w/a device that's rather like an electricfied cheese grater - it can also be a laser.
If the abnormalities are discovered in the endocervical canal, a cone biopsy can be prescribed. For this you will need more anaesthesia - they're done under region block and IV sedation in the US. The canal is opened up and a laser removes the cells.
Nine times out of ten, the cryo, LEEP or cone biopsy WILL get rid of the abnormal cells. But you will need another smear 6 months later and smear tests annually after that.
I KNOW it's frightening. I've been there before! But I'm here to tell ya there is light at the end of the tunnel!
There are certain risk factors you can do to help yourself.
If you smoke, please STOP! Smoking IS a known risk factor in the development of cervical cell abnormalities.
CAT me if you feel very scared.
Good luck, hon!