Melanie – Interview 13
Melanie was diagnosed with CIN3 in 2008 and with cervical cancer shortly afterwards, at the age of 29. She had LLETZ under general anaesthetic to treat the CIN3 and a hysterectomy to treat the cancer.
Melanie said she had been on the pill since she was fourteen, and so always attended for cervical screening. She missed one appointment and, when she noticed bleeding during and after sex, she visited her GP. Her smear test result showed abnormalities and she was referred to a colposcopy clinic, where she was diagnosed with CIN3 and told she would be treated by LLETZ under general anaesthetic in a further appointment.
At this appointment, Melanie was told that all the CIN3 had been removed and that she would need to attend a follow-up appointment in six months. Four weeks after this appointment, however, she received a letter asking her to make another appointment to discuss any further treatment. She said that, at this point, she felt certain she would be diagnosed with cancer.
At this appointment, Melanie was told that she had early stage cervical cancer and a trachelectomy was discussed. In this operation, the surgeon tries to remove all the cancer but leaves behind the internal opening of the cervix. This is then stitched closed, leaving a small opening to allow the flow of a period to escape. The idea is that the stitch will support a growing pregnancy until the baby can be born by caesarean section. This operation can only be given to women who have a small stage 1 cervical cancer.
At the following appointment, Melanie spoke to a different consultant, who gave her the option of having a trachelectomy or a hysterectomy. She felt annoyed at being given a choice but, because she did not want to have children in the future, she decided to have a hysterectomy, having discussed both options with her family and partner.
Melanie said she was happy with the care and information she received from doctors and nurses, and also found the Jo’s Cervical Cancer Trust website informative and supportive (www. Jotrust. Co. Uk). She said it took around thirteen weeks to fully recover and, at the time of interview, she was looking forward to a phased return to work.