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Doctor insights on: Endometrial Cells Pap Smear Over 40

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Are endometrial cells over 40 normal on a pap smear?

Are endometrial cells over 40 normal on a pap smear?

Not normal: Generally it is considered abnormal when that happens - it should be investigated. ...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


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What does it mean to have endometrial cells on a normal pap smear?

Endometrial cells: Within normal limits Pap smear result means that no cell lesions or malignancy have been found. Reactive cellular changes, cellular atrophy, and endometrial cells present are normal variables. Pap smears are an excellent tool, but are not perfect. ...Read more

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I am 45 years old and just has my pap smear as well as an ultrasound last week. Pap and ultra were normal but it came back with endometrial cells.

I am 45 years old and just has my pap smear as well as an ultrasound last week. Pap and ultra were normal but it came back with endometrial cells.

Endometrial cells: I wonder if you mean "endocervical" cells, as those are what we want to see when you have a pap to indicate that there is an adequate sample to rule out issues. Are you sure about them being "endometrial"? ...Read more

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My pap smear was negative for HPV but showed endometrial cells? What does this mean? My dr. Wants to do a biopsy.

My pap smear was negative for HPV but showed endometrial cells? What does this mean? My dr. Wants to do a biopsy.

It's a precaution: Endometrial cells come from your uterus. In women your age, about 12% show normal endometrial cells on their pap smear. Usually they are just normal cells that have "shed" into your pap smear. But about 1 in 10 times they can signal something abnormal is happening in your uterus, possibly cancer. It's recommended that any woman with these cells on a pap smear has further testing, just to be sure. ...Read more

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Had a pap smear on day 10 of menstration. Pap came back normal but shows endometrial cells on uterine lining. What does this mean? Going for a biopsy.

Had a pap smear on day 10 of menstration. Pap came back normal but shows endometrial cells on uterine lining. What does this mean? Going for a biopsy.

Likely okay: Typically, unless a woman is having irregular bleeding, endometrial cells on a pap aren't worrisome at all. That's based on a new recommendation for pap smear management. If you have irregular or heavy bleeding, doctor will want to rule out pre-cancer as cause, hence, biopsy of uterine lining. No harm in biopsy. Your doctor knows you best, so be sure to ask him/her why they have concerns for biops. ...Read more

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I have adenomyosis with heavy bleeding w/clots that soak through my clothes. Pap smear had endometrial cells. Could this be a sign of cancer?

I have adenomyosis with heavy bleeding w/clots that soak through my clothes. Pap smear had endometrial cells. Could this be a sign of cancer?

Not cancer: Endometrial cells on pap is not a sign of cancer. Adenomyosis can explain heavy bleeding and cramping, but doesn't rule out cancer. Make certain your concerns and communication with your doctor is very good. ...Read more

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Is it normal to see endometrial tissue on a pap smear right after period ends?

Is it normal to see endometrial tissue on a pap smear right after period ends?

It is normal, howeve: Exfoliated endometrial cells are commonly seen in specimens, obtained during the proliferative phase of the menstrual cycle. However, endometrial cells have been considered a potential harbinger of endometrial adenocarcinoma when seen in cervical/vaginal cytology preparations of postmenopausal woman.
In a woman 40 years old or older endometrial cells should be reported and follow up need. ...Read more

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If I had any cervical/endometrial polyps would they have been easily noticed during my routine Pap smear recently?

If I had any cervical/endometrial polyps would they have been easily noticed during my routine Pap smear recently?

Not endometrial: Cervical polyps may be visible but endometrial polyps would not be. Even cervical polyps would not be obvious if the lesion is in the canal and not projecting outside.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex.
Get HPV vaccine. ...Read more

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Does it matter in what order you schedule an endometrial biopsy, a pap smear and an ultrasound for postmenoposal bleeding - or timing between them?

Does it matter in what order you schedule an endometrial biopsy, a pap smear and an ultrasound for postmenoposal bleeding - or timing between them?

Probably not: Though your doctor would most likely do the pap smear and endometrial biopsy at the same time, and in the office. The ultrasound may be before or after, and may be done at your doctors office, or at a hospital or imaging center. ...Read more

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Pelvic ultrasound shows thickness of lining to be 26mm. I am postmenopausal. Endometrial biopsy also pap smear negative I am obese. Worried

Postmenopausal bleed: The next recommendation is likely an endometrial biopsy. What was the indication for the ultrasound. Concerned rather than worried. The bottom line is to rule out endometrial cancer, especially if you have post menopausal bleeding. ...Read more

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What is an abornomal pap smear with precancerous cells?

A warning: Women with cells that have certain abnormal appearances are much more likely to develop cancer of the cervix or nearby structures. If the area with the cells can be found and removed before it turns cancerous, a life has likely been saved. Before pap smears, cancer of the cervix was a horribly common scourge of young women, as it still is in the poor nations. ...Read more

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What could cells of undetermined significance be on a pap smear?

A number of things: Atypical cells of undetermined significance (ascus) can represent a precancerous condition or may be associated with a variety of benign entities. The diagnosis must be interpreted in relation to other factors, such as the results of hpv testing, if performed. As such, the diagnosis of ascus "pigeon-holes" you into a defined follow up schedule that should be adhered to. ...Read more

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Possible reasons for abnormal cells stage 3 in a pap smear?

In situ Ca: Pap smears define the presence of cells that have been curetted or shed from the cervix. The test which is about 60% accurate defines early malignancy where there is no cervical bleeding or lesion seen on colposcopy. Abnormal cells require biopsy to see if in situ cervix ca is developing. ...Read more

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What do superficial and intermediate cells mean in pap smear result?

Nothing significant: These are normal cells. So you do not have any indication of abnormal cells like cancer or pre-cancer to worry about. ...Read more

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Help, what to do if pap smear report says satisfactory with metaplastic cells?

Help, what to do if pap smear report says satisfactory with metaplastic cells?

Normal: Metaplastic cells are completely normal findings on a pap test. What we are looking for is "dysplastic" or "neoplastic" cells. ...Read more

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What should I do if my pap smear report says satisfactory with metaplastic cells?

Follow advice: There is no immediate concern. You should follow your doctor's advice for repeat testing. ...Read more

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What exactly does it mean when you have epithelial cell abnormality on pap smear?

What exactly does it mean when you have epithelial cell abnormality on pap smear?

You need to followup: There are several categories of abnormal paps. Each category has a risk of finding a cervical precancer or (more rarely) a cancer associated with it. Your doctor may look at the cervix with a colposcope to get a magnified view of any abnormalities and may even take a small biopsy. It is important for you to contact your doctor about these abnormalities. ...Read more

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If a Pap smear didn't contain cervical cells, would t say inadequate sample and make you redo it?

If a Pap smear didn't contain cervical cells, would t say inadequate sample and make you redo it?

PAP report: Yes, the PAP smear report would indicate whether or not the specimen was adequate for them to analyze. If not, then the procedure would have to be repeated, I am sorry to say. ...Read more

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What does it mean to have abnormal cells on your pap smear? I was told I had dysplasia cells? Should I worry?

What does it mean to have abnormal cells on your pap smear? I was told I had dysplasia cells? Should I worry?

Follow advice: Worrying is not useful. Follow your doctor's advice for follow up tests. Disposals is reversible and may go away.
Get HPV vaccine. ...Read more

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I was told that my pap smear was abnormal due to inflammation on cells and I have to get a cloposcopy done. Should I worry?

Don't worry, but ask: Worry will not help anything, but you definitely do want to ask your provider to take the time to fully explain everything about the results of the pap smear and the followup testing. Don't be afraid to ask until you understand - that's an important part of healthcare. Then, whatever you learn - follow suggestions and stay alert. Still, whatever it is - worry is not helpful. Do your best! ...Read more

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Had a Pap smear and it didn't hurt. Would the report say if the sample was adequate? Can they see if there are cervical cells on the sample?

Had a Pap smear and it didn't hurt. Would the report say if the sample was adequate? Can they see if there are cervical cells on the sample?

PAP report: PAP smears should never really hurt, so I am happy to hear you have a great healthcare provider. Yes, the PAP smear report would indicate whether or not the specimen was adequate for them to analyze. ...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