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Doctor insights on: Abnormal Pap 15 Years After Hysterectomy

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Dr. Ed Friedlander
901 doctors shared insights

Pap Smear (Definition)

A pap smear (cervical smear) is a text looking at the cells from the canal and outside of the cervix to see if any abnormalities (especially ...Read more


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Last year I had a hysterectomy but kept ovaries and just had my first pap and it came back abnormal,, what are your thoughts! I'm Only 29 years old. ?

Last year I had a hysterectomy but kept ovaries and just had my first pap and it came back abnormal,, what are your thoughts! I'm Only 29 years old.  ?

Need more data...: Depends on whether results were abnormal (vice unsatisfactory), why they took your uterus and whether or not your cervix remains. Need to discuss results with doc who ordered tests. If you do not have a cervix, did not have a true abnormal test and have never had high grade precancerous lesions might want to quit having this test. http://www.uspreventiveservicestaskforce.org ...Read more

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I had a hysterectomy 15 years ago and am spotting blood for the last three years, pap tests were negative doctor says it's nothing to worry about. ?

Hysterectomy: I have had a patient that had this problem because she was post menopausal and the skin of the vagina had thinned. Using a low dose of estrogen vaginal cream helped. Since your doctor looked at the vagina and does not see any lesions, it may be the bleeding is coming elsewhere. I hope this helps you but because we can't ask questions, we are at a disadvantage in helping you. ...Read more

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Total hysterectomy 1.5 years ago for endometrial cancer. Bleeding today after my vaginal vault pap for screening. Is this normal?

Total hysterectomy 1.5 years ago for endometrial cancer. Bleeding today after my vaginal vault pap for screening. Is this normal?

Yes: You have low estrogen levels because of the removal of your ovaries. This causes the vaginal tissues to thin out and dry out and it becomes very easy to traumatize them and cause bleeding, even from the pap swab. More serious problems should be detected by the pap itself. ...Read more

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I had a hysterectomy 24 years ago, and had my first pap in 18 years, the results were: Benign squamous mucosa with endosalpingiosis?

I had a hysterectomy 24 years ago, and had my first pap in 18 years, the results were: Benign squamous mucosa with endosalpingiosis?

Talk to your MD: You need to talk to your GYN MD about the pap smear results. The benign squamous mucosa is consistent with the upper vaginal wall. The Endosalpingiosis suggests a portion of a Fallopian tube is "trapped" in the vaginal cuff and may produce future vaginal bleeding. ...Read more

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I read it's not the norm to have a pap done after total hysterectomy all is out. I have abnorm result (sil). Why are there differences of opinions?

I read it's not the norm to have a pap done after total hysterectomy all is out. I have abnorm result (sil). Why are there differences of opinions?

HPV : In your case the pap was warranted since you had an abnormal. Hpv can still effect the vagina. The next step is an evaluation of the vagina with a microscope called a colposcopy. The doctor will look for hpv affected areas and biopsy if needed. ...Read more

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Even though i've had a complete total hysterectomy is it possible to have cancer with an abnormal pap (sil)?

Even though i've had a complete total hysterectomy is it possible to have cancer with an abnormal pap (sil)?

Yes: You can have dysplasia of the vaginal cuff. In most hysterectomies the cervix is removed, despite this dysplasia can develop at the vaginal cuff. This left untreated could lead to cancer. ...Read more

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I have had 2 abnormal paps. A follow up with a specialist revealed HSIL and moderate dysplasia. My understanding is that this is a pre cancerous condition and that I may have to have a hysterectomy. What is the best course of action and what does this d

I have had 2 abnormal paps. A follow up with a specialist revealed HSIL and moderate dysplasia.  My understanding is that this is a pre cancerous condition and that I may have to have a hysterectomy.  What is the best course of action and what does this d

Abnormal pap smears: The diagnosis of moderate dysplasia does not have to eventuate in a hysterectomy as it is not a cancerous condition yet. You DO need to follow up with the MD at least every 6 months to be sure that the dysplasia does not progress to actual cervical cancer. There are Rx options prior to hysterectomy if the dysplasia is caught before invasive cancer. Ask your MD about his/her follow up plans. ...Read more

Dr. Jeff Livingston
1,837 doctors shared insights

Hysterectomy (Definition)

The entire uterus (womb), cervix, the part protruding into the vagina, and ...Read more