Perceptions and experiences of healthcare

Many of the women we interviewed were happy with the care they received from doctors and nurses because they’d been informative, sensitive and approachable. Some said they were pleased and relieved to be treated quickly on the National Health Service (NHS) and that the short wait for colposcopy or treatment had been reassuring. They were also happy with the information they were given by hospital doctors. A few women praised the information and support they’d been given by their GP.

Melanie was nervous before her colposcopy but said the consultant was fantastic. He told her all…

Age at interview 29

Gender Female

Age at diagnosis 29

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Women we interviewed appreciated being able to ask questions before, during or after colposcopy and treatment, and felt it was important that the doctor had time to answer their queries or explain the procedures. Some said the staff were caring and reassuring during procedures and this had helped them to feel at ease when they had often felt vulnerable.

Jane felt she could talk about her fears and ask questions. Her consultant made a difficult time…

Age at interview 45

Gender Female

Age at diagnosis 35

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Some of the women we talked to praised the care, empathy and support they got from nurses, especially during procedures, for example holding their hand or distracting them from the procedure by talking to them. A few said the atmosphere during appointments was calm, relaxed and light-hearted and this made them feel less anxious. One woman praised the nurse at her local surgery, who’d had CIN3 herself and was able to tell her both about the physical and emotional effects of CIN3. Understanding the emotional effects of CIN/CGIN was very important to women. A few said their GP had been particularly good because he or she had understood the emotional impact of being diagnosed with CIN/CGIN and had been able to offer support outside the hospital setting.

Lizzie was very happy with the care shed been given and felt doctors and nurses were sensitive…

Age at interview 39

Gender Female

Age at diagnosis 36

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Michelle feels she couldnt have got through it without the support of her GP, who understood the…

Age at interview 31

Gender Female

Age at diagnosis 30

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Some felt their care could have been better. They would have liked more information from doctors in clear, non-medical terms about their diagnosis, planned treatments and what to expect after treatment. They felt the lack of information had made their experience more difficult. Gillian and Debbie said that it was only when they read their results letter that they found out they’d had a cone biopsy. Gillian was very disappointed in the care she was given and changed to another consultant.

Gillians new consultant gave her lots of information, which he got by writing to her first…

Age at interview 30

Gender Female

Age at diagnosis 27

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Bevs new consultant took time to explain the procedure, though it took some time to do because…

Age at interview 33

Gender Male

Age at diagnosis 33

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Emma had a LLETZ under general anaesthetic. She thought she might have cervical cancer as well as CIN3 and that she would find out after surgery. When she spoke to her consultant, though, he told her there had never been any chance of her having cancer.

If Emma and her mum had known before surgery that shed had no chance of having cancer, they…

Age at interview 29

Gender Female

Age at diagnosis 28

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Some women who would have liked more information felt they should have been recommended reliable websites by their doctor or nurse. Women were particularly interested in information on CIN, CGIN, treatments, healing after treatment, follow-up care, pregnancy, and recurrence (see Information).

Michelle feels doctors should refer patients to reliable websites and tell them about the…

Age at interview 31

Gender Female

Age at diagnosis 30

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Emma wishes shed been told about the Jos Cervical Cancer Trust website sooner. She has…

Age at interview 29

Gender Female

Age at diagnosis 28

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Sam, who changed to another doctor, also wanted more information, especially about why she needed several colposcopies but wasn’t being treated. She was 21 at the time and felt her new consultant took time to explain procedures while he did them and she could watch on the screen.

Being listened to, having a treatment plan and being treated like an adult was important to Sam…

Age at interview 22

Gender Female

Age at diagnosis 22

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Sarah was at university when she was diagnosed with CIN3. She felt she was being told off by her…

Age at interview 35

Gender Female

Age at diagnosis 25

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Some of the women we talked to were disappointed because they felt doctors hadn’t appreciated the emotional effects of CIN/CGIN, including what it felt like for women to have an abnormal result and to be waiting for colposcopy or treatment. Several thought that some doctors could show more sensitivity, be less matter of fact, and should try to put themselves in their patient’s shoes.

Emma found the emotional effects of having CIN3 were harder to deal with than the physical. More…

Age at interview 29

Gender Female

Age at diagnosis 28

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Several women felt their appointments had been rushed and they were disappointed that they couldn’t ask questions at the end. A few said that each woman should be treated as an individual. One woman said the very busy clinic felt ‘like a cattle market’. Another said she felt like ‘a piece of meat’. Emma said she felt ‘like a cervix, not a person’. A few women wondered if female consultants were more understanding and approachable than male doctors. A couple of women said that there were students present during the procedure and, because the doctors were talking to the students, they felt slightly ignored.

Debbie was given very little information at colposcopy and felt rushed. During treatment, the…

Age at interview 36

Gender Female

Age at diagnosis 24

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Cryotherapy for CIN3 and CGIN

Cryotherapy can be used to treat abnormal cervical cells (CIN) by destroying the affected area so that normal cells can grow back in their place. It has...

Cervical abnormalities: follow-up care

Many of the women we interviewed talked about having follow-up care a few months after treatment. A colposcopy and cervical screening test (smear) are usually...