Wednesday, July 2, 2008

Things I wish I knew about my cervix before today...

As a woman, our cervix likes to play games. Especially peek a boo. They play this certain game for 1/4 of our life time. A "normal" cervix looks like a mouth with your lips covering your teeth (our lips being the glands that cover part of the cervix). This is how our (women) cervix is most of the time. Sometimes though, the cervix plays peek a boo and shows it's glands (kinda looking like a normal mouth... the best way for me to describe this anyways). This is also normal as our cervix is made up of both tissue cells and gland cells. When a PAP comes back with atypical/abnormal cells, they are picking up those glandular cells. This is when your doctor would send you to see a gynocologist to get a colposcopy done (here the gyno looks to see whether your cervix is playing peek a boo or not). If it looks "normal". Hooray! Some gynos take a biopsy just in case (cuz biopsies are fun!). Others wait for further progression.
So when you have a normal abnormal result, that means that you're cervix is playing peek a boo and it's just that the PAP test cannot recognize that because it's ancient (has been around for 50 years...).
An other thing, this is one that I kinda knew, is that most cases of cervical cancer are due to the HPV virus. There are many strains of the HPV virus, most of which your body can get rid of on it's own. Men are carriers of HPV (thanks guys) therefore when they say that cervical cancer can be sexually transmitted, it's that the HPV virus is, not so much cervical cancer. A woman can give her partner HPV, however it is not very likely. There is a test that can be done by your gyno that can rule out or confirm whether you have HPV. This test is not covered by medical (extended or otherwise) in most of Canada (except for Quebec...) therefore it costs 99$ to perform the test. By finding out whether you have the virus, it's helpful in knowing whether you need to go for biopsies or LEAPs (which are like biopsies but with a general anesthetic and more tissue removal... sort of the next step).

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