Women's and Newborn UnitThe Colposcopy clinic is one of the clinical services provided on the Women’s Health Unit on ward M2 at the Bradford Royal Infirmary.

You may be referred into our care following a routine cervical smear where an abnormal result has been found. Alternatively your GP may refer you to the colposcopy clinic if they suspect that there may be other abnormalities on your cervix; either because of symptoms that you have, or because of what they have found on examination.

Abnormal smears are caused by the human papilloma virus (HPV) there are many sub types of this virus. The main cancer causing sub types are 16 and 18 but there are at least 12 sub types which are carcinogens (cancer causing). If you have an abnormal screening test which shows the presence of one of the sub-types of virus then you will be referred to colposcopy for an examination.

Approximately 80% of the sexually active population will acquire the HPV virus at some time. Most people are never aware they have been in contact with the virus as it usually clears on its own. However sometimes it persists and can lead to precancerous changes on the cervix. For more information visit Jo’s Cervical Cancer Trust.

The National Cervical Screening Programme has now changed and all women who are eligible for cervical screening will be HPV tested when they attend for their smear. If there is evidence of the virus in your test then the laboratory will look for abnormal cells, if you are HPV negative then you will continue on the routine cervical screening programme.

You will come to colposcopy with the following results:

  • HPV positive – borderline squamous/endocervical
  • HPV positive – low grade dyskaryosis
  • HPV positive – high grade moderate or severe
  • HPV positive – possible glandular neoplasia of endocervical origin
  • HPV positive – possible invasive cancer

At Colposcopy we are able to diagnose and treat precancerous changes of the cervix that might develop as a result of an HPV infection. Colposcopy forms an integral part of the NHS cervical screening programme and aims to reduce the number of women who develop cervical cancer and the amount of women who die from it.

The benefit of having regular smears, as recommended by the national programme, is that it allows us to identify precancerous changes early where we may either offer surveillance until the smear returns to normal or treat the cervix with a LLETZ (large loop excision of the transformation zone) where high grade precancerous changes are removed to reduce the risk of you developing cervical cancer in the future. In over 85% of cases, a single such treatment will successfully remove the precancerous cells and the smear test will go back to normal

We also investigate other symptoms which may have a cervical cause.

These symptoms include:

  • Bleeding with intercourse
  • Bleeding in between your periods
  • Persistent abnormal discharge that has not responded to usual treatments and where swab test have not revealed any infection.
  • Possible abnormal appearances of the cervix.

We also run specialist vulval (the skin and lips surrounding the vagina) clinic where we investigate and treat:

  • Precancerous abnormalities of the vulva (VIN – vulval intraepithelial neoplasia).
  • We also see patients with vulval symptoms or lesions (such as cysts or ulcers) when the GP is concerned about the possibility of cancer.

What does colposcopy involve?

ColposcopyWhat to expect at colposcopy – national colposcopy patient information leaflet

Colposcopy is a gentle examination of the cervix involving a speculum being placed, some dyes being put onto the cervix to show up abnormal areas and then an examination using the colposcope – a type of microscope. What we do following the colposcopy depends on the reason for your referral and what we see when you have your colposcopy.

We may need to do nothing further if the examination is entirely normal.

We may recommend cervical biopsies (tiny samples of tissue from the cervix) to check possibly abnormal areas that are seen during the examination.

We may recommend a large loop excision of the transformation zone (LLETZ) using local anaesthetic to remove areas of precancerous change.

Meet the team

  • Mr Nicholas Myerson, Lead Colposcopist and Consultant Gynaecologist and Obstetrician
  • Dr Susan Calvert, Colposcopist (with specialist interest in vulval disease) and Consultant Urogynaecologist
  • Dr Hemalatha Dadi, Colposcopist (with specialist interest in vulval disease) and Consultant Gynaecologist and Obstetrician
  • Suzanne Taylor, Nurse Practitioner in Colposcopy / Hysteroscopy and Programme Lead for Cervical Screening
  • Joanna Robinson, Nurse Colposcopist
  • Julie Goode, Registered Nurse
  • Bernadette Baker, Registered Nurse
  • Pat Allan, Healthcare assistant
  • Juleth Mckenzie, Healthcare assistant
  • Jane Mortimer, Colposcopy Failsafe Administrator
  • Aziza Ahmed, Colposcopy Failsafe Administrator
  • Uzmah Kosar, Smear Clinic Administrator

Contact us

Colposcopy Failsafe
Tel: 01274364542

Smear Clinic
Tel: 01274 383171

Useful links