The cervix
The cervix is the lower narrow end of a woman's uterus. It opens into the vagina (the birth canal). The cervix is covered by a thin layer of tissue. This tissue is like the skin inside your mouth.
The pap smear test
The Pap test, sometimes called a Pap smear or cervical cytology screening, is an important part of women's health care. This test looks at cells taken from the cervix.
Your results will be placed in one of several groups:
Normal (negative).
Cervical intraepithelial neoplasia: Changes are seen in the cells that may show signs of pre-cancer.
Atypical glandular cells.
Abnormal results
A woman who receives an abnormal Pap test result may need further testing. Sometimes you may only need a repeat Pap test. Further testing methods such as colposcopy and biopsy can help identify the reason for the abnormal test result.
Colposcopy
Colposcopy lets your doctor look at the cervix through a special device similar to a microscope. It can detect problems of the cervix that cannot be seen with the eye alone.
Biopsy
If an area of abnormal cells is seen, your doctor may decide that a cervical biopsy is needed.
Treatment
Treatment of cervical changes depends on the severity of the problem and include a large loop excision of the transformation zone (LLETZ), cold coagulation and cone biopsy. A follow up smear is always indicated post treatment.