A member asked:

Ascus pap then normal then ascus. no hpv testing. not standard in ontario family dr said redo pap six month. ok to wait ? an concern for cancer

7 doctors weighed in across 3 answers

ASCUS: Atypical cells of underdetermined significance - meaning they are close to normal but not completely. However, these cells do not look cancerous at this time and it will likely take a very long time for it become cancerous. Cytology testing maybe an appropriate follow up and you'll need HPV in the future to determine if you need colposcopy (magnification aided exam of your cervix)

Answered 4/23/2016

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Dr. Susan Rhoads answered

Specializes in Family Medicine

OK: With three pap smears and no evidence of cancer, you can relax, but vigilant.. ASCUS is common and can mean nothing. But it is wise to follow-up as you were told. If you want HPV testing, it may be available but not covered by your insurance. Find out cost and consider paying for it. http://www.cdc.gov/cancer/hpv/basic_info/screening/

Answered 4/23/2016

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Repeat now: ASCUS classification refers to presence of atypical squamous cells which may represent in-situ carcinoma present in the Pap smear. There is usually a kncown 40% error in reading because of early prmalignant cells that are missed. Repeat the Pap now and if atypical cells are seen then a formal biopsy needed. Even if all is neg. a follow up in 6 month needed to confirm no progression

Answered 11/27/2014

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