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Cervical screening and colposcopy

Being told your cervical screening result needs follow-up can be worrying. Most changes are caused by HPV and are found early, when they're easy to treat.

What is it?

Australia's National Cervical Screening Program tests for human papillomavirus (HPV), the virus that causes almost all cervical cancers. The test replaced the Pap smear in 2017. If HPV is found, the cells are checked, and you may be referred for a colposcopy, a closer look at the cervix using a magnifying instrument.

Common symptoms

  • Usually there are no symptoms
  • See a doctor promptly for bleeding between periods, after sex or after menopause, even if your last screening test was normal

How it's diagnosed

A colposcopy takes about 15 minutes in the rooms and feels similar to a cervical screening test. A speculum is placed in the vagina, a solution is applied to the cervix to highlight any abnormal areas, and Dr Saadie looks through the colposcope. A small sample (biopsy) may be taken. You can usually go back to normal activities the same day.

Treatment options

Many minor changes clear up on their own and only need a repeat test. If higher-grade changes are found, treatment removes the abnormal area, most often with a LLETZ procedure (large loop excision of the transformation zone). Dr Saadie will explain your results, what follow-up you need and how treatment might affect a future pregnancy.

When to see a doctor

Your GP will refer you if your screening result needs a colposcopy. Don't wait for your next screening test if you have unusual bleeding or discharge.

To see Dr Saadie, ask your GP for a referral, then request an appointment or call (02) 9894 9225.

More information

Other conditions

General information only, not a substitute for advice about your own health. Updated November 2026.

Ready to book your first visit?

Ask your GP for a referral, then request a time at Castle Hill or Eastwood. Our team will call you to confirm.

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