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Doctor insights on: Abnormal Pap Smear After Leep Procedure

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Can I have normal pap smear after leep procedure?

Can I have normal pap smear after leep procedure?

Yes, very likely: You should not be surprised as it is expected to be normal unless the leep did not remove the previous abnormality completely. ...Read more

Dr. John cuong Doan
174 Doctors shared insights

Loop Electrosurgical Excision Procedure (Definition)

This is a procedure done to remove a part of the cervix that is abnormal. Pts have leeps once they have had an abnormal pap smear and further evaluation warranted a leep to remove tissue off the cervix. This is both a diagnostic and therapeutic procedure. Its cuts the bad part out and it helps heal whatever other tissue is affected by ...Read more


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HPV-18 and ASC-H positive results led to a LEEP procedure. First pap smear 11 months later resulted in negative HPV test, but ASC-H present. Why?

Too many acronyms: Whenever a test is done somebody has to say what is positive or negative in a result about it. These are all summed up in the sensitivity and specificity of the particular test. If I measure your BP and tell you I measured 139/89 and said was fine because high BP was defined as higher than 140/90 you would probably start doubting my judgment. Whenever you get a test result back ask doc what does I ...Read more

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I had my first abnormal pap smear. Why are the doctors telling me to return in a year?

I had my first abnormal pap smear. Why are the doctors telling me to return in a year?

Depends...: Most doctors order pap smear and hpv test at the same time. Hpv is the virus that we now know causes cervical cancer. Depending on the results of the pap smear and hpv test combined, the doctor formulates how they want patients to follow up. Abnormal pap smear with the diagnosis of ascus and hpv negative has a about a 1% risk of progressing to a high grade dysplasia or cancer within one year. ...Read more

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Does an abnormal pap smear mean I have hpv?

Does an abnormal pap smear mean I have hpv?

Depends: Abnormal pap smear can be due to low grade infection also. Hpv testing can be done to find and confirm hpv infection. ...Read more

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Can an abnormal pap smear be due to candida?

See below: Candida casues the nucllei to be slightly enlarged and thedn the pap smear may be misread but it does not cause relayy abnormal pap smears. ...Read more

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Are abnormal pap smear and HPV the same thing?

Are abnormal pap smear and HPV the same thing?

Almost: Iy is estimated that over 98% of abnormal paps are caused by hpv and over 99% of cervical cancers are caused by hpv. The pap smear is looking at the cervical cells, hpv is the virus that can infect and affect those cells. ...Read more

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Can age and medication play a role in abnormal pap smear.

Yes: Some chemotherapy can increase the risk of an abnormal pap. In women infected with HPV, drugs to treat autoimmune disease and steroids can hinder the immune system's ability to control the virus and this increases the risk of abnormalities. It is common to have a low grade abnormal pap in your teens and twenties when first infected. This usually clears without treatment. It's more worrisome after 35 ...Read more

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What does it mean to have agus abnormal pap smear results?

What does it mean to have agus abnormal pap smear results?

Requires evaluation: Newer term is agc, atypical glandular cells. It means that the cervix and uterus (endometrium or lining of the uterus) require further evaluation by a gynecologist who will further test the cells to look for cancer. Follow up is important because caught early, this can be treated. Ignored, it can lead to cancer. Definitely don't panic, but be sure to follow up for additional tests without delay. ...Read more

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Can being pregnant cause an abnormal pap smear? Help please?

Hormonal changes.: During pregnancy the female hormonal levels are different than during a non-pregnant state. Hormones (like estrogen) have an impact on the appearance of the cervical lining (which is sampled in Pap tests). These hormonal changes can make the cervical cells look 'less mature'. This appearance of the cells is different but not 'abnormal' and should not be confused with pre-cancer or malignancy. ...Read more

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I had an abnormal pap smear low grade. Does this mean cancer?

I had an abnormal pap smear low grade. Does this mean cancer?

Not cancer: If your pap smear shows LSIL, which stands for low-grade squamous intraepithelial lesion, most doctors will not do anything immediately. You will probably be asked to come back in six months for another pap smear to see if the lesions are still present. In many cases, the lesions disappear over time and there are no further problems. If you return for your second pap smear and the finding is still present, you will probably be advised to have a coloposcopy done. A coloposcopy is a procedure performed in a doctor's office and is typically the first step in diagnosing cervical cancer ...Read more

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Is the next step colposcopy if you have an abnormal pap smear?

Is the next step colposcopy if you have an abnormal pap smear?

Depends: The recommendation for colposcopy depends on the specific pap result as well as the age of the patient and in some cases hpv status. In many cases, a repeat pap smear at 6 months is appropriate. ...Read more

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If you have hpv, will you get an abnormal pap smear right away?

HPV is tricky: Hpv can show up on your pap smear quickly or years later. The good news: healthy young women may clear hpv. The bad news: some will progress to cancer. Men have no symptoms and you can even get hpv through a condom. If any of his past girl friends have had a bad pap smear or been to the gyn a lot for unknown reasons, do not have sex with him until you are married. He is not worth the risk. ...Read more

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How will I know what does an abnormal pap smear mean while pregnant?

See below: Sometimes Folic Acid deficiency causes the pap to be slightly abnormal and misread I would ask my OB gyn about that and see if you should take folate (folic acid) and repeat the pap. ...Read more

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What does it mean by abnormal pap smear and then after colposcopy, it's normal?

Abnormal clls on PAP: This likely means that there are abnormal cells on your pap smear, and that colposcopy found nothing. But you will need and hopefully got a cervical biopsy during your colposcopy, and another pap next year at the earliest if your biopsy was negative. It is not normal, but it probably does not have enough evidence that there is neoplasia/pre-cancer. Keep close follow-up with your dr. To be sure. ...Read more

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How often is it suggested to have a colposcopy if you had an abnormal pap smear?

How often is it suggested to have a colposcopy if you had an abnormal pap smear?

Depends: Depends on the abnormality found, if the pap shows abnormal cells with high risk hpv types, then coloposcopy is indicated. If the pap shows anything more abnormal such as low grade or high grade dysplasia, then colposcopy is performed. Generally, colposcopy is performed at the most every 6 months depending on the level of dysplasia. ...Read more

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Slightly abnormal pap smear, negative HPV results, what does this mean and should I be concerned?

Depends: Most likely there is not much concern if the hpv dna test is negative. Slightly abnormal paps could be secondary to atrophy or mild inflammation. ...Read more

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What does it mean if I came out with an abnormal pap smear? And is bad can it mean that I have some type of infection or anything more serious?

Cannot say: Am abnormal pap smear can mean anything from a reactive change to cancer. Without a diagnosis or more information it is impossible to say what 'abnormal' means in this case. See your provider for more information of what your result means for you. ...Read more

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Can hsv 2 cause an abnormal pap smear.

Can hsv 2 cause an abnormal pap smear.

Pap test: Infections such as HSV, candida or trichomona can cause abnormalities in the epithelial cells that can mimic the changes seen in precancer lesions. Also they may accompany such lesions and warrant close search. Since HPV causes the precancer lesions and is also sexually transmitted many of the risk factors for one apply to the other. ...Read more

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Have you ever had an abnormal pap smear that was not cancer or precancer?

There are ASCUS.: There are such smear results that are ascus (atypical squamous cells of undetermined significance) which is to say that they do not look normal, but they can't be called cancer or precancer either. Infection and inflammation are common sources. The pap test is repeated in 12 months or 6-12 months for those younger and older than 20 respectively. A reflex hpv-dna test can be done in adults. ...Read more

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Just received a letter from the doctor saying that I have an abnormal pap smear. What could it mean?

Need more info: There are multiple levels of abnormalities of pap smears. Most just require continued follow-up with yearly pap smear. If the abnormality is more severe it may require colposcopic examination, biopsy or conization. It would be prudent to discuss the results with your doctor who has more details about the results and your health. ...Read more

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Postpartum abnormal pap smear results, what to do?

Postpartum abnormal pap smear results, what to do?

Postpartum PAP: It depends on the abnormality which was detected, but in case of any abnormality the follow up should be scheduled as soon as possible. ...Read more

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Can a STD or STI cause a abnormal Pap smear?

Definitely yes: Abnormal pap smears are usually the result of cervical cells infected with a virus (human papilloma virus) that alters its machinery so it can produce more viruses. ...Read more

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What does an abnormal pap smear mean?

Depends: It depends what the pathologist has said as to why it is abnormal. In any case a follow up is needed with your doctor and further pap tests required ...Read more

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What does it mean to have an abnormal pap smear?

What does it mean to have an abnormal pap smear?

Depends on severity: Depending on the severity of abnormality, it may just require retesting sooner than the usual 1-3 years. Hpv testing may be warranted. If abnormality is high grade, it may require colposcopic examination and biopsy. ...Read more

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What to do if I had a abnormal pap smear, now what?

What to do if I had a abnormal pap smear, now what?

Depends: It depends on the result, I need more information. Followup is ciritical, so be sure to go back for repeat or further testing as advised by your doctor. You can got to the ASCCP website for the most current guidelines on pap screening. ...Read more

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What exactly does having an abnormal pap smear mean?

What exactly does having an abnormal pap smear mean?

More vigilance: Depending on the severity of the abnormality it may require as little as continuing annual paps; colposcopic examination, may be a biopsy, and in very severe cases removal of a cone of the cervix. ...Read more

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I have had an abnormal pap smear what does that mean?

I have had an abnormal pap smear what does that mean?

It depends.: A pap smear is a test used to screen for cervical cancer, where a doc takes a sample of cells from the cervix. There is a wide range of abnormal results. Some pap tests come back showing you have a virus called hpv which is extremely common in sexually active women. Pap smears can also show that the cells of the cervix themselves are abnormal, showing pre-cancerous or cancerous cells. ...Read more

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What do you advise if I had a abnormal pap smear, now what?

Depends: Not all abnormal PAPs are the same. You should be given specific instructions by your GYN provider - regarding what the next step in your care should be. ...Read more

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Can you try for a baby even if you've had an abnormal pap smear?

Yes: An abnormal pap smear is not a contraindication for pregnancy. You should continue to have testing on a regular basis and follow the advice of your doctor. ...Read more

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Abnormal pap smear results. How soon do I return?

WHAT DID YOUR DOC SA: Say! Did you ask your doc, it depends how abnormal the pap was, please call your doc. ...Read more

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Can I still join the army if I have an abnormal pap smear result?

Yes: I am not military, but this should not interfere with your ability to serve effectively. ...Read more

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What to do if I had a abnormal pap smear in 2001 and now have hgsil CIN 2?

What to do if I had a abnormal pap smear in 2001 and now have hgsil CIN 2?

Followup with dr!: If your pap showed HGSIL, you need to have a colposcopy done. If you already did and the biopsy shows CIN 2, you will likely need a procedure to remove the surface of the cervix containing the abnromal cells. ...Read more

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Can you donate eggs if you had an abnormal pap smear with mild abnormalities?

Yes: Please speak with your doctor and get clearance to donate from your gyn. Most people with mild abnormalities will just need to be followed by their gyn - only a few will progress to severe abnormalities or cancer. ...Read more

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Can you get abnormal pap smear due to pregnancy?

Can you get abnormal pap smear due to pregnancy?

Sometimes...: During pregnancy there can be inflammation which can be interpreted as an abnormality by the pathologist. Sometimes women who carry the hpv virus can express it during pregnancy due to changes in immune response, and an abnormal pap smear can show up. It may resolve after delivery, but may need investigation during pregnancy with colposcopy and/or biopsy. ...Read more

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Is it okay to have sex if you have an abnormal pap smear?

Yes: An abn pap can mean many things. With testing, your dr should be able to quickly tell you whether anything further needs to be done, such as a biopsy or colposcopy (looking at the cervix using a magnifying scope). You won't give your partner cancer. However, keep in mind that cervical cancer (one reason for an abn pap) is caused by the hpv virus, which is contagious and can also cause warts. ...Read more

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Can you have an abnormal pap smear just because you are newly pregnant?

No: An abnormal pap smear and the status of hpv (positive or negative human papilloma virus) is one issue. Pregnancy is a separate issue, though both may occur at the same time. ...Read more

Dr. Ed Friedlander
941 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


Cervical Smear (Definition)

A cervical smear or pap smear is a text looking at cells from the outside and canal of the cervi to see if ...Read more