I was recently told that I have stage 1a cervical cancer - but I should be grateful it was picked up so early. I can’t help but feel anything but lucky. I really want to be optimistic, but I worry about the future and I’m struggling to have faith in the process given my journey so far.
A brief summary: I am 33 years old, received the HPV vaccination at 17 and have been with my now husband since I was 18. Following the birth of our child in 2020, I had a routine smear to be told that I had high risk HPV. I was shocked. I couldn’t understand how this could happen - I’d been vaccinated, had one partner for 10+ years. How could this happen when 90% of people clear the virus within 2 years? I was told that I likely caught it before the vaccination, and sometimes it can lie dormant for many years.
Over the next few years I paid for private tests, convinced the HPV would disappear. Perhaps giving birth had “triggered” it, but every year it returned a positive result. I queried with the GP to be told that some people just can’t clear it, probably due to an autoimmune disease (which I don’t have, to my knowledge).
Since then, I’ve worried. Worried I can’t clear it, worried that I never will and that some day it’ll come to haunt me. That day has arrived. I asked the GP if they could bring forward my 3 yearly smear, to be told no. I paid privately, the results returned “abnormal cells - borderline changes”. This led to a colposcopy, those results returned CIN 3. This led to a LEETZ procedure, I was asked to come in face to face, and was told that it was stage 1a cervical cancer, and I’d need a further LEETZ to ensure it’s removed. That’s due to take place in the next week.
Of course I am grateful for its early detection - although I fear what would have happened had I not trusted my gut and gone private. But I worry for the future. I can’t clear this HOV infection, and I’ve been told that if abnormal or cancerous cells returned, we would consider hysterectomy. My family isn’t complete, and I worry about the future. I can’t help but feel like this is an inevitable outcome, I’m just waiting to happen.
Any advice would be appreciated - I admire the positivity and strength of the people in this community when I read their stories.
Hi Bris1725 and welcome to our group.
I’m sorry to read about the level of worry you’re going through with all of this.
I appreciate you don’t feel lucky because you’ve had a cancer diagnosis, but it is very early and stage 1a is a tiny cancer, so small it needs a microscope to see it. Hopefully a further LLETZ will remove it completely.
While most people can rely on their immune system to get on top of the hpv virus, sometimes it does persist and it’s not something that has a cure. The hope is that the immune system clears it and makes it dormant, and for the vast majority this is the case and it doesn’t cause any further damage.
I’d try to concentrate on your situation at present. You have an upcoming LLETZ appointment which will hopefully remove the cancer, and there is every chance you will not experience this again. It’s honestly not helpful for you to be thinking of the “what ifs” and the possibility of a hysterectomy in the future. That may never need to happen, and your vigilance in paying for private tests should ensure that anything in the future would be picked up very quickly.
You don’t have long to wait for your appointment, and then you’ll have a wait for the results and be tested again to make sure everything has been removed. I can’t stop you from worrying, but I’d encourage you to try and think positively about the fact that a minor procedure could remove everything without requiring further treatment. I hope you’ll let us know how it goes, and that everything will be fine.
Sarah xx
I was where you are now 2 years ago, I had battled HPV for 10+ years had many punch biopsies and colposcopy appointments then in 2023 I had high grade changes a biopsy taken and I was diagnosed with stage 1A1. I had a lletz which revealed full removal with clear margins for context the cancer was less than 2mm in size and not visible to the naked eye. We are very lucky to get an early diagnosis so easier said than done but try not to worry, my nurse specialist said that those diagnosed early are not the patients they worry about it is those who miss smears they worry most about. Be kind to yourself and don’t rush to things in your mind that may not happen I did all of those things and ended up in a spiral of panic that I didn't need to put on myself. Following your lletz your doctor will review your case in a multi disciplinary team meeting and review next steps for me there was no further action required but as I had underlying issues with endometriosis I chose to have an elective hysterectomy as I did not plan to have any more children which I had last year 12 months post diagnosis. My post treatment smears before hysterectomy were HPV negative but there was some cin 1 which was removed before my hysterectomy as follow up for me was under the colposcopy team. I am now under Gynae now and continue to have follow up every 6 months with vault smears as I no longer have a cervix, so you will have follow up for years to come. Every case is different but definitely don't worry if you can this is the best case scenario that they caught it early. My only recommendation that I didn't know myself is that stage 1 can be covered under life insurance if you have a policy, my critical illness policy paid out in full and allowed me to take some time to get around the situation and provided financial relief whilst I had my hysterectomy so if it's something you have look into it. I hope your next lletz goes well and you have clear margins you 100% did the right thing going private I always advocate in trusting your gut as only we know our bodies. Its hard don't get me wrong but you'll have more answers soon xx
Hello, Thank you for taking the time to reply, it’s appreciated. You are right that it’s very early, and microscopic, I should be grateful for it being picked up so early. I know that many people aren’t as lucky, and have had to face into far more challenging situations and treatment. I will try to focus on the positives, and the present situation.
Hello, thank you for sharing your story. An incredibly brave move to elect for hysterectomy. I can’t imagine what you must have been through. As you say, it is very early and very treatable. I realise I should focus on the current situation and not worry about the future. That feels hard right now, perhaps because it all feels raw. Like you, my body seems unable to shift the infection and so when you’ve experienced a very early ‘scare’ like this, you can’t help but think about the future.
Absolutely, its easy to say don't worry when you are on the other side of the storm. Don't get me wrong HPV will always be a massive fear even after hysterectomy, because the hysterectomy doesn't magically remove the risk of HPV coming back. But I now have even more checks than before Cancer which keeps my mind at ease. Even if I had to pay privately I probably would if I wasn't eligible for further tests because I will forever worry my body cannot fight it for whatever reason. But since my lletz and hysterectomy I've tested negative at every smear/ vault smear which has never happened. It does make me nervous and it always will, weirdly my biggest issue which I received support with following my diagnosis was the guilt that I didn't feel qualified to worry, be sad or anxious, because it was only stage 1. Definitely embrace every emotion talk to your partner, friends and family and if you have a nurse specialist they are there to support you too any Cancer regardless of stage is Cancer and I think our automatic reaction is to worry about whats next, but hopefully you wont need a hysterectomy. I'm sure your doctor will be able to give you more clarity once they completed the next lletz hopefully you don't have long to wait xx
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