Cervical abnormalities: CIN3 and CGIN

It took me about a week, and the general to get out of my system. And I spent about two or three days in bed, children running around, but there was people here and helping and I didn’t have any problems with the LLETZ itself, not at all, just bloating really and that was about it. No discomfort and no pain. So I’d quite happily have it done again. But no, nothing. I mean a lot of women get infections after LLETZ but luckily I didn’t.

But no, everything was pretty smooth and good. So I then sat and waited for the results and I got my results last week, which came back, “All Clear,” clear margins, which I was delighted, because there’s always a chance that you don’t get clear margins and that you have to have the treatment again, and stuff like that. So, you know, for it to come back clear and with clear margins, and just to look at that letter and “No cancer present.”

Did they give you any advice like, “Don’t do this afterwards….”?

No heavy lifting for a few weeks, or until the bleeding has eased. But yeah, no heavy lifting, no vigorous exercise, no relations. No relations for up to six weeks afterwards, or until you stop bleeding because I mean they do say four to six weeks, but the bleeding I know can go on for weeks and weeks and weeks and weeks. I mean I’ve known, I know some women that it’s gone on for three months, nine weeks you know, however long, mine only lasted three weeks.

And was it heavy or…?

No, it’s just more of, it’s not a bleeding, it’s more of like a discharge if… it sounds horrible, too much information. But it’s more of a discharge than bleeding as such. I think straight after I’d had it done, probably for a few hours after it was, what I’d call bleeding. After that it was more of a discharge that had blood in it, if you understand what I mean, and it sort of changed between, obviously as time wore on it would go from more of a red to brown and then it basically just eased off.

The bleeding is normally like a period, maybe slightly heavier than a period. And the natural, what usually tends to happen is the bleeding tails off. If it suddenly starts to become heavier, or becomes a bit smelly, then that might imply that there is an infection, in which case they [women] should see a doctor.

After the appointment my partner and I walked home, and I remember feeling a little bit woozy but feeling quite happy because I knew that I was comfortable and wasn’t in pain. And I didn’t feel upset or depressed at all actually. I felt quite relieved that it was over and I knew that I’d done what needed to be done. So we went home and I planned to have the next day off work, which was quite nice, so I could just rest and relax.

I was told to expect some bleeding, perhaps a bit like a normal period, maybe a bit heavier, and that I had to use pads rather than tampons, which most girls wouldn’t like but you appreciate that that’s what you have to do. I had a good night, slept well.

The next day I woke up. I was in the bathroom brushing my teeth and I coughed. And this massive, massive plug of blood fell out and hit the floor. And I remember just the sound of it, this thud, and you looked down and I was like, “Okay. That’s not supposed to happen.” And I looked down, and I know things look more when they’re on the floor, so I knew it wasn’t hundreds of mls that I’d lost. But I was looking there thinking, “I know they say phone if you’ve got any concerns. Shall I phone? Or shouldn’t I?”

So I left it for a bit, and I didn’t phone in the end, but I did continue to bleed quite heavily for quite a few days. And it gets to the stage where you’re like, “Is this a heavy period or is this more?” And you’re never really quite sure, having never been through it before and I was working long shifts, on my feet. Quite active, and I was changing every hour, going through sanitary aids like there’s no tomorrow. And you think, this is a bit inconvenient now. And I was starting to get a bit tired and a bit probably anaemic I think, and a bit depressed and a bit weepy. And that’s when I think reality hit home, of what had happened to me really and that it was an invasive procedure. And I think sometimes you feel you need a bit of TLC I think. And looked after myself. I treated myself when I got in to a takeaway and a film and…

Were you still working every day? Long hours?

I was working. For about three or four days in a row, but looking forward to my time off and I knew that that would come to an end quite soon. And things got better. I’d made sure I took lots of iron and ate well, and slept and looked after myself. And things got better and then got back to normal.

That’s good. So how long did this bleeding carry on for?

It probably went on for maybe seven days in total. Seven or eight days, but it got lighter towards the end. So it was probably heavy for maybe four or five days, and then became a bit lighter and more manageable. And then tailed off.

I bled quite a lot for me. Well I’m the sort of person that has very light periods, so for me anything more than a very small bleed was quite frightening. And it stopped and then I thought that everything was okay. And then I went to see my parents and my brothers, and we’re quite an active family and we went to the park and we were all running around and playing Frisbee and messing about. And then after that I started bleeding really heavily and I don’t know whether it was linked at all, but that’s what happened.

But I think what it was my period but it was a lot heavier than normal. So that, I found that quite worrying and then I looked on the internet quite a lot to see whether that was more. And it was kind of, it was a little bit frustrating because people either seemed to have bled lots and had an infection and really horrible things had happened, or nothing.

So I kind of knew that I wasn’t bleeding enough for it to be some terrible infection or something that had gone horribly wrong, but I wasn’t absolutely sure about that. So I was really quite worried for a few days, and then I decided to go and see the GP. And she couldn’t, she examined me and she couldn’t see where the bleeding was coming from. And she did a urine test that showed no infection. So she said well I think it’s probably just your period and it’s heavier than usual because of the treatment. And she gave me tablets to stop my period. And after a couple of days that worked and then my next cycle was normal.

So the tablets just stopped that particularly heavy period?

Yeah.

And then the next one was normal in terms of the time and the amount of blood?

Just the same as a normal period.

I felt fine until the Saturday night when I was out, and I started haemorrhaging. And I was terrified.

So lots and lots of bleeding?

Incredibly. I mean I’d heard, and one of my housemates actually had a friend that said after she’d had it done she did have a lot of blood but I couldn’t have imagined how much blood. And I was in a bar, which didn’t help. And basically I just hopped right in a taxi to the hospital.

And were you in central London?

I was, and I actually, it got quite heavy. I was considering going home and I thought no, I’m probably better off staying in central London because I’m closer to the hospital that I was told to go to, were that to happen. So I called up one of my housemates and got him to give me the number I was supposed to call if I had such symptoms, phoned them.

They said to come down to A&E [Accident and Emergency] at the recommended hospital. I was absolutely terrified finding out an hour later when I realised how much I was actually bleeding. Jumped in a taxi, went to the hospital. Went to A&E. Was eventually seen.

Were you given any medication or what happened there?

They did. I think it was silver something. They did use some chemical basically to stop the bleeding, to help seal the wound again. I think it’s the same stuff they use at the end of your loop diathermy … so they did that. Then I was put in a room and then eventually I was moved. But when they went to move me and I stood up, I started pouring blood again. So then they were talking about possibly putting me into theatre, or packing me and using a catheter. It all sounded very horrible. But fortunately the bleeding stopped again and then I was just kept in the hospital over night and for the remainder of the next day on a drip.

And what happened after that? It, it kind of just stopped by itself or?

Yeah. So I guess the chemical treatment worked.

Unfortunately, literally a week to the day of the operation, there was a haemorrhage. And not being that educated about those sort of things, it is obvious to me now. When I went into A&E [Accident and Emergency] they said to me, it was a female doctor who was brilliant, she said, “Look at the difference between that blood, the colour of it, and say blood from an old wound or a period. The period blood is darker. This is bright red. So it’s a haemorrhage.”

So you were bleeding very heavily, using sanitary towels?

Very. Yeah.

Every…?

Well they said to me they were trying to ascertain how much blood I’d lost before they’d checked. And then eventually the female doctor said, in A&E, said to me, how many sanitary towels have you got through in an hour? And I said, “Six.” And she goes, “Six an hour every day?” And I said, “Yes.”

We were wheeled into a room and the ambulance staff, I heard them outside talking to whoever it was, saying she’s bleeding. You need to speak to her as soon as possible. And in fact after a few minutes, somebody did come in. They examined me. I think once they had a look and realised what was going, the blood was literally very heavy, bleeding heavily, and she ran off quickly to get the gynaecologist out of bed, because this was about one o’clock in the morning.

He came down. They then linked me up to one of those machines that does your blood pressure automatically. Then I felt myself passing out. And I could hear them talking to my husband about blood transfusions.

I had a light general anaesthetic. Went in that morning and my husband came with me. And it was, you know, it was absolutely fine. I knew what to expect. I actually thought I would be more uncomfortable afterwards than I was, given what they were doing.

But I left at six o’clock that evening, and felt fine. Was reassured that everything had gone very well and that they’d be in touch. And then I took a few days off work, but the next day I had been sitting down doing some ironing, trying to rest. And I stood up to go to the toilet and just had a huge bleed. I don’t know why, but something hadn’t been sealed, or I don’t really know, but I…

So you just started bleeding?

Oh I just yeah,

Poured out?

Poured out. So I called the hospital number, of the ward I’d been on and they said, “Well that’s not abnormal for you to bleed afterwards.” So they said, “Go to bed, take a couple of paracetamol and just go to bed and drink plenty of fluids.” And let them know. And I had sanitary towels that I was using, which they had given me when I left the hospital. And I was going through one every sort of 15 minutes, and was just feeling quite shocked at that stage and shaky. And my husband had gone back to work at that stage, so I called him. I called my sister, and called the hospital again, and I just said, “I just don’t feel right.”

So I just got straight into a taxi and went in and yeah, they just couldn’t stop the bleeding. So I had to have another, a minor procedure to stitch or cauterise, whatever it is they had to do to stop it. And then I was fine. I’d a very quick recovery after that.