u/Mia-Deez

I’m 21F in Staffordshire (UK) and have just been put on a 2‑week‑wait cancer pathway, but instead of being booked into a colposcopy clinic, I’ve been referred straight to a gynaecological oncologist, which I can’t find any clear NHS guidance about.

My cervical history is messy: I have endometriosis and PCOS, and in late November 2025 (Worcestershire Trust) my endometriosis consultant noticed a suspicious cervical growth during a routine clinic appointment for my endo surgery waiting list and referred me to colposcopy. In early December 2025, that colposcopist found a friable, papillary, abnormal cervix, but biopsies showed papillary endocervicitis and microglandular hyperplasia (benign). In early January 2026, during my robotic endometriosis surgery, the surgeon again saw an irregular, vascular, suspicious cervix and took more biopsies, which were benign. Later that month (late Jan 2026), I saw another colposcopist who was very dismissive, barely examined me, said it was just a large ectropion, cauterised it, and discharged me. She advised switching to the POP, but due to NHS delays I stayed on the combined pill until last week.

Today (Aug 2026), I was seeing a community gynae in Staffordshire for an unrelated pelvic physio referral, but mentioned my post‑coital bleeding and pain during sex had come back badly. She examined me and found a grossly abnormal cervix, “never an ectropion”, with growths covering most of the lower cervical lip, a network of blood vessels, and yellow‑green discharge (not STDs/STIs as they tested for this) and immediately referred me on a 2WW pathway directly to gynae oncology, not colposcopy.

I’m trying to understand why someone with recurrent but previously benign glandular cervical changes would bypass colposcopy and go straight to oncology, and what non‑cancerous conditions could cause recurrent cervical growths, abnormal vascularity, discharge, and changing appearances. Is this normal in some NHS Trusts, and what other benign explanations could fit this pattern besides cancer?

From my understanding, to be referred directly to oncology there must be a serious concern of cancer? I’m just not sure what the norm is here! Any feedback would be much appreciated!

I’m 21F in Staffordshire (UK) and have just been put on a 2‑week‑wait cancer pathway, but instead of being booked into a colposcopy clinic, I’ve been referred straight to a gynaecological oncologist, which I can’t find any clear NHS guidance about.

My cervical history is messy: I have endometriosis and PCOS, and in late November 2025 (Worcestershire Trust) my endometriosis consultant noticed a suspicious cervical growth during a routine clinic appointment for my endo surgery waiting list and referred me to colposcopy. In early December 2025, that colposcopist found a friable, papillary, abnormal cervix, but biopsies showed papillary endocervicitis and microglandular hyperplasia (benign). In early January 2026, during my robotic endometriosis surgery, the surgeon again saw an irregular, vascular, suspicious cervix and took more biopsies, which were benign. Later that month (late Jan 2026), I saw another colposcopist who was very dismissive, barely examined me, said it was just a large ectropion, cauterised it, and discharged me. She advised switching to the POP, but due to NHS delays I stayed on the combined pill until last week.

Today (Aug 2026), I was seeing a community gynae in Staffordshire for an unrelated pelvic physio referral, but mentioned my post‑coital bleeding and pain during sex had come back badly. She examined me and found a grossly abnormal cervix, “never an ectropion”, with growths covering most of the lower cervical lip, a network of blood vessels, and yellow‑green discharge (not STDs/STIs as they tested for this) and immediately referred me on a 2WW pathway directly to gynae oncology, not colposcopy.

I’m trying to understand why someone with recurrent but previously benign glandular cervical changes would bypass colposcopy and go straight to oncology, and what non‑cancerous conditions could cause recurrent cervical growths, abnormal vascularity, discharge, and changing appearances. Is this normal in some NHS Trusts, and what other benign explanations could fit this pattern besides cancer?

From my understanding, to be referred directly to oncology there must be a serious concern of cancer? I’m just not sure what the norm is here! Any feedback would be much appreciated!