Thinking of you tiger - hope you're all hanging in there, this is such a shitty time of year when you're barren, I can't wait till its all over
Well failure stories has never felt more apt, as it's sadly more bad news from me.
Smear test came back with normal cervical results but abnormal cells in the sample - got hold of the cytology report and it says 'non cervical glandular neoplasia - refer to colposcopy, recommend D&C'
I've got an urgent referral through on the 2ww referral pathway. This year has just been a series of 2ww. I've been referred to the colposcopy clinic, although I don't know if that will be for an actual colposcopy as my cervix itself was normal. From what I can tell, in other CCGs the pathway is to refer to gynae cancer clinic via the colposcopy coordinator. On Tuesday I got a call inviting me to an appt (with no explanation about the results - just told I HD normal cervix but some abnormal cells that were from elsewhere) - appt was on Thu, however I was out of the country with work and no way I could get back with less than 48h notice. Colposcopy coordinator said they would try and see me asap but they have no clinic slots, and they need to see if the clinicians will put on an extra clinic to see the patients like me on the urgent referral list (obvs Xmas doesn't help)
My lovely consultant told me to send through the cytology results when I got them and bless him he responded to my email within 2h. On a Saturday. He said it's hopefully nothing sinister as I have had 2 normal endometrial biopsies, but glandular neoplasia needed to be investigated and I I should have the colposcopy if it's offered before I see him next. Dr Google threw up guidance from Camden CCG which said only 40 women a year get diagnosed with non cervical glandular neoplasia in London - nothing like being on the shit side of statistics. Said 70% of these were cancerous.
I'm seeing him on 30th Dec anyway, so as BUPA covers non fertility gynae and cancer, will discuss referral to a colleague who specialises in gynaecological oncology, who can liaise directly with him regarding anything to do with my endometrium.
Given I've had intrauterine adhesions removed, there's no way I'm letting any NHS reg do a D&C blind. The clinic won't know I've had one D&C, two hysteroscopies and two endometrial biopsies in the last 9 months. Christ knows what they'll make of all the treatment and interventions I've had.
Here was I hoping for a menstrual bleed for Xmas (period due around Xmas eve). Now it turns out I'd really quite like not to have pre cancerous cells.
If it was pre cancerous cells of the cervix that could be relatively easily treated with a LLETZ or similar. Unfortunately as this indicates suspected abnormal cells from the endometrium, ovaries or metastatic lesions from a non gynaecological site, I don't think there's much in between 'watch and wait' and 'hysterectomy'
If it weren't for the normal endometrial biopsies I've had this year as my glimmer of hope, I'd be losing my mind.