Doctor insights on:
Abnormal Pap Smear After Leep Procedure
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
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
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
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
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
Abnormal pap smear: No - abnormal pap smears do not cause miscarriages. ...Read more
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
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
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
I have a mild abnormal pap smear, dr. Did not give me detail he just said come back for a colposcopy. What does it mean to have a mild abnormal pap?
Need for examination:
Colposcopy will allow the doctor to examine the cervix in more detail and s/he may take a biopsy to resolve the abnormality in the PAP test. It does not mean you have cancer, just that abnormality needs to be investigated.
You are young enough that you should take HPV vaccine. ...Read more
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
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
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
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
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
Yes: I am not military, but this should not interfere with your ability to serve effectively. ...Read more
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
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
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
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
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