Abnormal cervical screening (previously Pap test)

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An abnormal cervical screening test is a common reason for being referred to a gynaecologist. ​

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In the past, Pap test, done every two years, was used to screen for the health of the cervix, by checking for abnormal cells on the cervix. The new cervical screening test checks for human papillomavirus (HPV) which causes abnormalities in the cells of the cervix and leads to cancer of the cervix in the long term. If HPV is not detected in the cervical screening the test needs to be repeated only after five years for most women. You need a cervical screening test if

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• you are between 25 and 75 years of age

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• have been sexually active

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• you have a cervix (not removed by surgery)

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• you need the test even if you have been vaccinated against HPV

 

A/Prof Bindu Murali will assess women with the abnormal cervical screen by a colposcopy which is done in the procedure room at Loftus specialist clinic.  Colposcope is an instrument that has a magnifying camera and helps to see the vagina, vulva and cervix much more clearly. Apart from direct inspection, cervix and vagina may be examined after applying different solutions which may help to spot the abnormal areas. Biopsies are taken from the abnormal-looking areas and sent to pathology for further testing. Colposcopy and biopsy usually do not cause any pain, but may cause minor discomfort.

You may require further treatment, depending on the biopsy results. This may include 'large loop excision of the transformation zone' or LLETZ, which removes the abnormal cells with its surrounding areas or a cone biopsy where a larger portion of the cervix is removed.  A/Prof Bindu Murali can do both procedures as a day only procedure at Wollongong private or Wollongong public or Shellharbour public hospitals.   

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