Tuesday, 30 September 2014

cervical screening: the honest truth

As I sit here for the second time in 6 months, trying not to move on the sofa in fear of making the situation worse, I thought maybe I should share my story. As a twenty-seven year old woman I have had my fair share of female-related woes, culminating in what I want to talk about today. Although I know I have a few male readers out there, the majority of you guys are girls (!) and I feel its important for women to be aware of the trials and tribulations we face in terms of cervical health. 

Just as a heads up, I wanted to share my smear/cervical cancer screening story with you. An opportunity for you to bail out now if you are not interested!

When I was 25 and living in Cardiff doing my teacher training, I had my first smear test. They used to begin cervical cancer screening at 20 in Wales, but as of last year they have moved in line with the UK recommended age of 25. If you want any more information about who gets invited for screening, please see here. Anyway, off I went to my GP surgery and saw the nurse for my first ever smear test. What I expected: a mortifying, degrading experience that would be really painful and embarrassing. What I experienced: a completely lovely nurse who put me at ease and talked through each stage with me clearly. No, I wouldn't choose to spend every twenty minutes like this, but I survived! It was a little uncomfortable at worst, but with some deep breathing and relaxation techniques it was totally manageable. No 'pain' as I'd expected. The only thing I wasn't prepared for was the feeling afterwards. I will be completely honest with you - I left feeling a little emotionally off balance, and oddly a bit violated. I think this is entirely a personal thing, as I know lots of women who didn't experience this at all. My Mum had breast cancer just a few years prior to this (she fought it and is now many years in remission, go her!) so I think I was a little emotional and overwhelmed by the whole screening-for-cancer thing. The human body is a funny thing. You can find out more about the emotional aspect of screening here

A few weeks later I got my results back. All ok. Phew! 

A year later, when back registered with a doctor in Surrey, I was recalled for another smear test. I think this was due to moving from the Welsh health authority to the English health authority. Despite the screening process being 3 yearly, I thought there was no harm in going back for another smear - after all, the outcome is so important. Again, I saw the nurse and had another smear. All ok, again a bit emotional afterwards, but fine. This time my results came back showing 'mild abnormalities', or low grade dyskaryosis or CIN1 - apparently the case in about 5% of cases and this does not mean you have cervical cancer. I have to be honest and say that I can't remember how the sequence of events went after that, but I think I had another smear 6 months later and then was referred to the colposcopy clinic at my local hospital. 

Now, a colposcopy is like an upgraded smear (my very non-medical definition!). According to the Cancer Research UK information site on cervical cancer (seriously so useful and user-friendly, check it out here) a colposcopy is "a close examination of your cervix. A colposcope is basically a magnifying glass. It doesn't go inside your vagina. The doctor or specialist nurse uses it to look more closely at the abnormal areas on your cervix and may take samples of them (biopsies) to send to the lab". I have now had three colposcopies over the past 18 months. It can be a little more scary as you usually have to go to hospital, but takes little longer than a smear and is again completely explained by a specialist who is able to answer any questions you may have. I took my Mum with me to the first one, who made sure to ask all the questions I didn't even think of - would any treatment, if needed, effect fertility? What if the results come back inconclusive? How does treatment work? Will she suffer any after effects? Thank god for Mums! 

My first colposcopy was absolutely fine. The procedure itself was straightforward - this time my legs were in stirrups (which is a little mortifying at first - just remember they see this countless times each and every day!) and I had a doctor and a medical student (just my luck!) examining me, as well as two nurses on hand who made me feel completely at ease. The results came back a few weeks later showing mild abnormalities and I was asked to come back for another colposcopy in 12 months time. The reason for such a long wait (and yes, I was shocked... 12 months?! But don't fear...) is that for most people, abnormal cells will go back to normal by themselves. But in some cases they don't, and a further examination 12 months later will check for this. 

Onto my second and third colposcopies. The second I had back in March of this year, and the procedure was exactly the same as the first but this time biopsies were taken and the after effects were somewhat different. The day after the procedure I started to bleed quite heavily, and by the evening was bleeding so heavily I was really quite concerned and called NHS Direct (or the 111 service as it's now called, for when you need medical help fast, but its not a 999 emergency). They told me to rest as much as possible, and if the bleeding continued to make an emergency appointment with my GP the next day. The morning came round and I was quite literally flooding when I stood up for long periods of time (sorry, gross I know) so quickly made it to my GP who sent me straight away to A&E. In A&E I was seen, after an almost three hour wait, by the on call gynae doctor who cauterised the bleeding with silver nitrate (used after taking biopsies in a colposcopy and can be a little painful, and can leave you with cramps) and I was sent on my way. Back home, more lying down, and the next day more bleeding. I waited another 24 hours before going back into hospital to be seen again in A&E, who took me to see the consultant who originally performed my colposcopy who finally was able to stop the bleeding and the next day I returned to normal. Phew! After all this, the results from the biopsies came back inconclusive. I was invited back in six months time for a third colposcopy. I was also diagnosed with high-grade HPV which can increase the risk of cervical cancer developing, but I was reassured to be told that HPV is very common and most people will have the virus at some point in their lives. Obviously the higher-grade HPV you have, the more concerning it is so my next colposcopy would be checking on that.

Yesterday I had my third colposcopy and today I am off work resting... and you guessed it, more bleeding. The consultant informed me that I am an unusual case (always reassuring!) as my cervix was bleeding even before the biopsies were taken - something relating to the pill apparently, but nothing to worry about. Naturally, I am a little concerned so will be booking an appointment with my GP to discuss this. Anyway, I am resting, trying not to move too much in the hope that it can heal and I don't need to go back to hospital. We'll see.

I'm sharing this for a few reasons. First, I was inspired by people like Hayley who have shared their experience, in an attempt to challenge the myths surrounding smears and screening. I love that people are being honest and coming forward to dispel rumours that so many of us hear about smear tests - 'they are so painful', 'it must mean I have cancer', 'I was made to feel really embarrassed', and 'I must be too sexually active' etc etc. I think we are all learning that is quite simply not the case.

Second, I wanted to share with you what happened to me after my second colposcopy as I was really quite terrified. When you start bleeding uncontrollably, it can be a really scary experience especially when the source isn't visible and you've just been dealing with the big C word. I genuinely thought that this reaction was a sign that I had cervical cancer. No, I'm not trying to scare you into thinking all colposcopies are like this - they're not. But I hadn't heard of any women having particularly negative experiences or negative after effects. I totally agree that we should all promote cancer awareness and cancer screening awareness, but lets not forget that sometimes this can be really shit and quite scary. I'm not trying to scare-monger, but simply say 'you're not alone, and you'll be fine'. Sharing negative experiences can be just as useful as sharing the positive. 

And finally, I just wanted to show that every experience is different. I have had friends who have had colposcopies and subsequent treatment and they have been completely fine, no complications or anything. In fact, most people I know have had entirely positive experiences, but we are not robots. We are built differently and people have different emotional and physical responses. 

Because lets get back to the root of this - cervical screening is to screen for cancer. I've seen the effect cancer can have on an individual and it's not pleasant. I wouldn't wish that on anyone. If we are informed, aware and most importantly spreading the word, I believe more women (and men!) can protect themselves and be aware of the early signs. So if you're putting off booking in for your smear, remember it's nothing to be afraid of. I can assure you the potential consequences of putting it off could be far worse!

If you want to find out more about cervical screening in the UK, check out the NHS site here. They have a great downloadable PDF brochure which gives you all sorts of information about the process - the what's, why's and when's. 

The Cancer Research UK site also has loads of great information on:
After treatment 
(particularly some great stuff on bleeding, the emotional effects and how to get back to normal)

I'd love to hear from you. Did you find this useful? Have you had a similar (or completely different) experience?

Thursday, 25 September 2014

aim it at you

Aren't they beaut? Yes, my new trainers. My boyfriend totally appreciates my love of a good pair of sneaks - in fact his love is greater than mine - so when these topped my birthday list he was straight in there. A couple of years back both he and I would have scoffed at the thought of me in a pair of Air Max's, but as fashions change and my need for comfortable shoes becomes ever important, my collection grows. So when I'm not in my favourite clogs or heels, you'll find me in these. Comfy. Bouncy. Happy. 

And as my shoe stash grows, as does my everyday ring collection. On my right hand I wear my usual - a stack of three rings bought for me by my boyfriend over the years (and one of my Nans) and a big round silver jobby from Spitalfields market. A complete bargain at £7, and real silver! I felt my left hand was left unloved, so when in Brighton a few weeks back picked up this big oval moonstone ring from a stall in The Laines. I also have been throwing on the odd mid-finger ring too - I bought a load from H&M that are a mixture of matte and shiny silver in different styles. They do leave a green stain on my fingers, but at only a few quid for about ten I can't moan!  


Tuesday, 23 September 2014

I got edges that scratch

Hello again, strangers. As always, the start of a new academic year has knocked me for six - I managed to fight off the inevitable cold for a whole extra week this year though. Success!

Anyway, I though I should show my face and wanted to share with you some new buys. I've been loving wearing my clogs recently; both this tan braided pair and my aubergine pair. Teamed with these jeans, they are a dream. The jeans by the way are a great fit, and although can go a bit baggy around the knees (a result of the rips I imagine), they have the perfect skinny-but-relaxed feel.  

Jeans Topshop
Bag Pull and Bear at ASOS
Necklace Accessorize


Sunday, 21 September 2014

bookworm #29

The Last Letter From Your Lover by Jojo Moyes

Once again, another great read from one of my favourite authors! I can always rely on Moyes' novels to bring a smile to my face and completely suck me in to the storyline - be it about stolen art work, the relationship between a disabled man and his carer, or in this case a story of lost love. 

Like with The Girl You Left Behind, this story is split into two parts - largely, a tale of a woman in the 1960s, Jennifer, who wakes from a car accident to realise there is something not quite right with her marriage. When she is released from hospital and is back home, she starts to find a series of letters hidden away that tell of a secret in her marriage. The second part of the story is set in the present day, where a journalist stumbles upon Jennifer's letters and wants to know more. She soon realises hers and Jennifer's stories have more in common than she first realised. 

I adored this book - a really easy, pleasant read that I just couldn't put down. The perfect antidote for the start of a new academic year!

Monday, 15 September 2014

famous with friends

Those of you with a keen eye or a memory an elephant would be proud of may recognise this chocolatey offering. Yup, this is one from the archives I thought was due another airing. This is my famous-amongst-friends fridge cake; a recipe I pinched from my auntie when I was a teen and have honed and tweaked ever since. The best thing? You can make this in ten minutes flat, and after popping in the fridge over night - no cooking required - it is ready to be enjoyed. 

You will need
4oz plain chocolate
(if you can't find plain, use half milk and half dark good-quality chocolate)
4oz butter
4oz raisins
1 tin condensed milk
10oz digestive biscuits 

To make, pop your butter and chocolate in a pan on a very low heat (or in a bain marie) and melt together. In a mixing bowl start crushing the digestives with a rolling pin until you have a mixture of breadcrumb-like size and larger chunks of biscuit. To the biscuits, add the raisins, condensed milk and melted chocolate mixture. Line a square dish (I use this one) with greaseproof paper and pour in the mixture. Top with sprinkles, glacé cherries, marshmallows or chocolate chips if you fancy. Leave for a few hours to set in the fridge - its best if you can leave overnight. Chop into bite-sized chunks and enjoy!


Wednesday, 10 September 2014

you already know

Top H&M
Boots H&M
Necklace Accessorize

Just a quick post today as I have a banging headache as I write this and need to move away from the computer! This is what I wore out on Saturday night to celebrate turning the grand old age of twenty-seven. My weekend was spent eating good food and seeing family and friends; perfection. 


Wednesday, 3 September 2014

kitchen shortcuts #3

So, introducing the third part of my kitchen shortcut series. If you didn't catch parts one and two, be sure to check them out, they may save you a few minutes or pennies somewhere!

This time I'm talking pastes - these are a little shortcut I've only discovered recently. When making a curry from scratch a few months back I discovered what a bloody faff it is grating/peeling/preparing ginger, and was forced to find a simpler alternative. To Sainsbury's I went and found these guys by the fresh herbs - ginger paste and coriander paste. They cost just over a pound each, and claim to have 13 uses per bottle. One teaspoon of the coriander paste equates to a whole handful of coriander, which is great if you don't have any fresh or if you have run out of frozen cubes. I used it when making my coriander chicken recipe over the weekend and it worked really well! The ginger paste doesn't go quite as far, with a teaspoon of paste matching a teaspoon of grated ginger, but for me the saving is the ease!

I also have seen lemongrass paste, chilli paste, garlic paste among others!

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