Abnormal Pap/Colposcopy

In BC, Pap tests are recommended for people with a cervix every three years after age 25. The goal is to prevent cancer of the cervix by detecting PRE-cancer changes as early as possible. If you have an abnormal Pap test, the next step can vary. You may need a repeat Pap in six months if the expectation is that your immune system is likely to clear a mild change. These changes can be due to low risk HPV effect, mild inflammation of your cervix, or skin changes due to menopause.

Alternatively, you may be referred to a hospital-based colposcopy clinic for a more detailed exam with a microscope and likely a small biopsy to check if the changes on your cervix need treatment or closer follow up. It is important to complete the recommended follow up to prevent any PRE-cancer changes from progressing over time to an invasive cancer of the cervix. The most common treatment is called a "LEEP" (Loop Electrosurgical Excision Procedure). Colposcopy exams but not LEEP treatments can be done during pregnancy.

Dr. Wilson is one of the doctors at Peace Arch Hospital who provide colposcopy exams. If you have questions about a colposcopy referral or appointment, please call your colposcopy clinic directly, as referrals for colposcopy are not processed in our office.

HPV vaccination and Pap/colposcopy are very effective in reducing cases of cervical cancer. Once you have finished follow up with the colposcopy clinic, you will continue with regular Pap tests with your family doctor. You can take other steps to prevent cervical cancer by avoiding or quitting smoking and by getting the HPV vaccine.

The HPV vaccine is provided free to students in Grade 6 in BC. The Gardasil 9 vaccine protects against types of HPV that cause most cases of cervical cancer, as well as genital warts. If you have received the vaccine, you still need to be screened. To learn more about the HPV vaccine, please visit ImmunizeBC.

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