Hallo, meine Frau ging zu einer Gynäkologen, um eine Untersuchung zu untersuchen, weil sie ihre Perioden nicht bekam. Alles war in Ordnung und die Perioden begannen nach 20 Tagen Verzögerung. Da meine Frau in der Klinik war, schlug der Gynäkologe vor, ein anfängliches Krebs -Screening durchzuführen. Nichts in Bezug auf Perioden. Nach einigen Wochen des Screenings erhielten wir einen Brief. Ich habe es beigefügt, bitte überprüfen Sie. Ist es in Deutschland eine normale Sache, einen solchen Brief zu erhalten? Oder kann es etwas Ernstes herausstellen? Wir sind in Deutschland ziemlich neu. Ich bin wirklich besorgt und verängstigt. Wir werden den Arzt diese Woche besuchen.
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Von TadpoleExact
6 Kommentare
>After few weeks of screening we recieved a letter. I have attached it, please check. Is receiving such a letter a normal thing in Germany? Or it may turn out something serious? We are fairly new in Germany. I am really worried and frightened. We will visit the doctor this week.
but why? the letter says pretty clearly what you should do and what’s going on with your wife.
**very roughly translated:**
„at the last screening something that needs to be controlled was found. please make an appointment in 6 months for controlling it. controlling this earlier would not make any sense since the cells renew itself only after 3 months.
Please do an appointment for your next control in the following days“
It probably won’t be anything serious, it is not rare to have a test result that shows some irregularities when screening for cervical cancer. That’s why they are telling you to return in 6 months as an earlier visit might not be useful because the cells haven’t fully regenerated before three months.
But if you are concerned, you can ask your doctor for clarification and I‘m sure they will explain the test results in more detail.
My wife got a similar letter and everything turned out good. Even if it turns out to be something, they found it, better now than never.
Yes, this is a relatively normal letter, and in the vast majority of cases nothing bad comes out of it. It is just recommended to follow-up. Then in most cases everything has resolved itself in the follow-up. In some cases a small procedure or another follow-up is recommended. This does not mean a cancer diagnosis at all.
If you are testing anything (not just cancer tests, really just anything in regard to organic tests) then you will always get some negative test results, some inconclusive test results, and some positive test results. If the test result is inconclusive, then sometimes further testing is recommended. This is one of these cases. The test will probably have found cells which could be normal or return to normal with further growth of new cells, but the result is not a 100% clear negative and not a 100% clear positive. That’s why they recommend to check in 6 months. Nothing needs to be done before that (except registering for an appointment in 6 months).
I can explain. I am a medical student and worked in a gyn practise as a student job for 2 years.
A Pap smear is a test that you should do every year (or if your wife is 35+, every three years with an HPV Test).
If she is under 35, they will have just done a Pap smear and no HPV test.
If there were cancerous cells, they would have done further exams and then scheduled surgery. If there were dangerously precancerous cells, they would have done a conisation.
They found something that is not cancer, and not urgent. That means they found some cells that might be abnormal. That is not uncommon. They want to control it every 6 months to see if it changes. It often just goes back to normal. If it does progress, at a certain point, they will do a conisation. That is a procedure where they take out tissue surrounding the cervix to prevent cervical cancer from developing. It’s done if you find advanced CINs (cervical intraepithelial neoplasia).
If your wife is over 35, they might have also done an HPV test. But they don’t mention a positive HPV test in the letter.
So no need to be scared! Just do the regular controls in the time frame the doctor suggests. Often, there is nothing worrisome on the follow ups.
You can message me if you have any more questions. I understand that this letter is quite unsettling without any explanation. In my practise, the doctor called patients on the telephone to explain. But if there is a language barrier, they might not do it?
Hey, I want to soothe your mind a bit further! I also had this kind of test result a few years back. The follow up also showed some abnormalities and I had to do some treatments with creams and stuff for a few weeks. A third screening was still showing some „mutated cells“ and an operation was scheduled where they removed the suspicious tissue (Small procedure, conisation / kolposkopie).
I had to be celibate for a few weeks, they tested again and now everything is fine. Its actually not that uncommon and the prevention procedure for cervical cancer!
Suspicious tissue on the cervix is btw categorised in different stages (I think it was called „CIN“ or something like this.) There is actually a stage where cells are mutated but not dangerous. One stage further is the „precursor“ stage for cancer and then there is a stage that is actually cancer (maybe even benign).
So don’t worry your wife’s doctor didn’t even classify it as the most harmless stage, because it might still be nothing