More Medical Stuff (or My First Biopsy)

Heads up to everyone: Just like with my IUD post, this post is a frank and honest discussion about a biopsy I had done. If the idea of reading about medical procedures or female health makes you uncomfortable or squeamish, you might want to skip this post.

Over the years, I’ve had a lot of random medical conditions and medical tests. I joke to my parents that this has happened to me because I was raised in a family that worked in the medical field so somehow everything seems to happen to me. More often than not, I’m not that concerned about what I find out because I can talk to my parents and get a lot of answers. The only thing that really scared me recently was my tumor, but everything else has been something I just viewed as something new to experience and not something to be fearful of what I will find out.

Last year at my annual appointment with my OB/GYN, I had all the regular tests run as I try to stay on top of all health things including my reproductive health. Everything came back fine, but my OB/GYN let me know that I tested positive for high-risk HPV. For those of you who don’t know that is, here’s some quick information about it (for more information, check out this page). High risk HPV is not the type that can give you warts (that’s low risk HPV). High risk HPV is something that approximately 90% of women will get at one point (currently there is no test for men to see if they have it, but I’d bet numbers are similar). It is contracted by skin to skin contact and a majority of people will fight it off on their own in 1-3 years. If you can’t fight it off, it can lead to cancer but HPV only causes about 3% of cancer in women.

I have no idea who exposed me to this, but it really doesn’t matter. It’s not that big of a deal and it’s normally not something to worry about. I did have the HPV vaccine when I was 24, but that doesn’t protect you against all strains of high risk or low risk HPV. That’s why it’s so important to get checked every year to make sure you are fine. When I was told about this last year, I also knew my Pap smear came back normal so it wasn’t something we had to take action on immediately. My OB/GYN let me know that if my body didn’t fight it off in a year then we would have some more steps to take.

And as much as I would have loved for my body to fight it off within a year, I knew that with my history and the odds I seem to have that it wouldn’t be the case. And I was right. I tested positive for it again with another normal Pap smear. But because my OB/GYN wants to make sure that everything is fine with me and I want to do what I need to do to make sure I’m healthy, I had my first biopsy last week.

I was very fortunate that not only do I have an amazing OB/GYN who is super open and honest with me and could tell me everything I needed to, I was able to talk to my parents about this as well as some friends who have had it done. I knew that this was not being done because my doctor was worried about me but as a precaution to make sure there is nothing we need to watch (kind of the same reason I get mammograms). I still was nervous that this would hurt, but I had been told by friends that getting an IUD was worse so I knew I would be fine with just some painkillers and I could drive myself.

While I wasn’t scared for the results, I was nervous about the procedure and the room I was in for it seemed a bit scarier that the normal exam room to me.

But there wasn’t really anything too scary. I think it was more of being in a room that I hadn’t been in before and the unknown factor. I joked to my doctor that of course she put me in the scary room but she calmed me down quickly and we got started with the biopsy.

The procedure only took a few minutes and it wasn’t that bad. After getting the speculum in, my cervix was washed with a vinegar solution that helps make the cells easier to see. This didn’t hurt and wasn’t uncomfortable, it was just a bit cold. Then my doctor used a colposcope to see my cervix better. The colposcope is a machine that helps to illuminate and magnify things for your doctor. That was also when my doctor decided which biopsies I would need. She determined that I would not need the biopsy where they take a sample from the bottom of my cervix to check the cells as everything looked normal. Then we moved on to the biopsy I did have done.

The biopsy I had took cells from the inside of my cervix where you really can’t see the cells during the exam. There was a small tool used to scrape some of the cells off, similar to what is done during a Pap smear. But this was a little bit longer so I was prepared for it to be more than a tiny pinch. I knew it probably wouldn’t hurt, but of course I was worried that it would. But my friends were right and it didn’t hurt. I did feel it and it was a bit uncomfortable, but I wouldn’t say it was painful. I described it to my doctor as almost like a headache or scratch happening inside my body. It was about 10 seconds long and then that was done. I did feel a bit of a cramp when I sat up after the biopsy and I had some cramps for the next few days, but it wasn’t bad and I didn’t really need painkillers for that long.

Because my Pap smears have been normal and everything looked normal with the visual exam, my doctor is expecting my biopsy to come back normal as well. And if that happens, I go back in a year for my normal exam and hopefully my tests will show that my body has fought off the high risk HPV. And even if the biopsy shows that there are mild abnormality in the cells, I don’t have to go back for a year. It’s only if they appear severely abnormal that I would go back soon for another test. But again, that is not something my doctor is expecting because of all the normal test results I have had.

I should be getting my biopsy results back in the next few days (things were delayed because of the weekend and holiday). And hopefully next year all my tests will come back normal so I don’t have to do another biopsy. But if I do, at least I know what it’s like now and I don’t need to be scared. And I know that for most people hearing a test result isn’t normal or negative can be scary. I wanted to share my experience so others can know it doesn’t need to be. While I don’t love having random medical things happen to me, I’m glad that I can share on here so hopefully someone else going through it can see what I went through and can stop feeling as scared.

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