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Doctor insights on: Leep Causing Abnormal Pap

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Dr. John cuong Doan
175 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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What is an abnormal pap smear?

Needs follow-up: There are various grades of abnormalities on pap smear. Generally an abnormal smear means that some of the cells are at risk of becoming cancerous. It is important to follow-up an abnormal pap smear with repeat testing and/or additional tests, such as colposcopy and/or biopsy. ...Read more

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What could an abnormal pap smear mean?

What could an abnormal pap smear mean?

PAP smear: Definition of abnormal pap smear is too broad. It depends on the type of the abnormality detected. In any case any abnormal pap smear should be taken seriously and the obgyn should be contacted immediately. ...Read more

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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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What could causes an abnormal pap smear?

What could causes an abnormal pap smear?

Many causes: Inflammation, precancerous changes usually due to hpv changes, hormonal changes (esp postmenopause), smoking!, and infectoins. ...Read more

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What does an abnormal glandular pap smear mean?

Glandular cells: It means that there are glandular cells that appear abnormal. This type of pap result needs close follow up to include additional testing as there's a pretty high percentage of there being a precancerous or even cancerous lesion present. You may need a colposcopy and a scraping from the inside of your cervix performed. Be sure to see your doctor for follow up. ...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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My question is can an IUD cause abnormal pap smears?

Probably not: but you should ask your gyn just to be sure. Abnormal Pap smears can be caused by vaginal inflammation or infection, but not with IUD's. ...Read more

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Pap smear came back with abnormal cells. What does this indicate?

Common: That is relatively common, we would need to know how abnormal. Some could be due to inflammation, some to hpv involvement, and others to tumors. ...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 a pap smear cause irregular bleeding?

Can a pap smear cause irregular bleeding?

yes: Scraping the cervix to do a pap can cause bleeding after the exam. A day later there should be no further bleeding. ...Read more

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Is an abnormal pap smear result of low grade squamous intraepithelial lesion, mild dysplasia present always caused by hpv?

No: HPV is associated with most but not all cases of cervical intraepithelial lesions. That is why Pap smear remains the gold standard for cervical cancer screening. The reverse is also true: not every HPV infection is associated with dysplasia ...Read more

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Does chlamydia cause abnormal cells in a pap smear test?

Does chlamydia cause abnormal cells in a pap smear test?

Abnormal....: Cells can be seen on a pap if inflammation is present. Chlamydia will cause inflammation, so yes, in a sense. There are lots of different kinds of abnormal paps so if you were told that you have an abnormal pap and need a procedure to figure out why, you should get that done. Do not assume it was from chlamydia. Also don't assume that you have chlamydia because your pap is abnormal. Good luck! ...Read more

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What does abnormal cells mean in a pap smear examination result?

What does abnormal cells mean in a pap smear examination result?

Abnormal PAP: We do pap smears to screen for cervical cancer cells. The pap smear has helped us reduce cervical cancer to very small numbers. We think that cancer forms in stages over many years (about 10-15). The cells get progressively abnormal before they become cancerous and this is the opportunity that the pap smear gives us. Remove/kill the abnormal cells before cancer develops. ...Read more

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I got abnormal pap test immediately following leep procedure. Did the procedure cause the problem?

I got abnormal pap test immediately following leep procedure. Did the procedure cause the problem?

No: No, but the dysplasia may not have totally resolved after the leep. It is very important that you follow up as recommended by your physician to determine if additional excisional procedures are needed to prevent the dysplasia from progressing to cervical cancer. ...Read more

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Can recieving cryotherapy or a Leep procedure due to an abnormal pap cause infertility?

Can recieving cryotherapy or a Leep procedure due to an abnormal pap cause infertility?

Orherway: The point of the procedures is to try to protect you from other potential issues. So you can preserve fertility ...Read more

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I had a leep one month ago for CIN 3. I went to a new dr 15 days after leep and she took a pap-it was asc-h. Can inflammation from leep be the cause?

Possible: You are very likely correct, 15 days after a leep is far too early for a follow-up pap smear. There would be extensive inflammation that would compromise interpreting the pap and the result would be uninformative. 3 to 6 months after a leep is the recommended interval to re-screen with a pap. ...Read more

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Can squamous metaplasia cause an ASCUS pap result? Had leep for cin 2, 10 months ago. Just had f/u pap, came back ASCUS w/ squamous metaplasia. F/u colpo showed no lesions. Doc said 1 year pap f/u now. Likelihood I’ll get CIN grade again by then?

Maybe, maybe not: CIN can recur after appropriate treatment, however it is not present in the ASCUS/squamous metaplasia of today's report. It is a good idea to continue follow up pap smears regularly to get early notification if CIN does recur. ...Read more

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Pap smear went from normal to large hgsil cin3 lesion in 1 year. It causes painful heavy periods. Leep or hyst? I have no desire for more children.

Pap smear went from normal to large hgsil cin3 lesion in 1 year. It causes painful heavy periods. Leep or hyst?  I have no desire for more children.

Follow advice of Gyn: Your gynecologist is the one who can guide you best. I doubt if the cervix lesions have anything to do with heavy periods. So handle these as 2 separate issues for the sake of treatment. I would say hysterectomy is not indicated for treating the cin3(it can be manged with leep). Heavy menses/periods can be often manged with hormonal therapy with help from your gyncologist....Hystrecto last resort. ...Read more

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Can getting a leep procedure stop you from having abnormal paps?

Usually.: If you continue with the same life style (# of sexual partners, infections in the vagina) you could get the same problem. Follow up exams and pap smears are a must! ...Read more

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What are some more extensive evaluations and followup procedures to expect after multiple abnormal paps, cone biopsies and a leep procedure. ?

What are some more extensive evaluations and followup procedures to expect after multiple abnormal paps, cone biopsies and a leep procedure. ?

You named them: The procedures used to evaluate for pre-cancer cells of cervix are: paps, hpv dna probe, cervical biopsy, leep and cold knife conization of cervix. Typically a doctor will remove affected tissue of a cin 3 biopsy until the margins are clear of abnormal cells. At 29, docs should be conservative and try to remove as little tissue as possible, so not to ^ ur risk cervical incompet and preterm birth. ...Read more

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Is it possible to have cryosurgery or leep, then have an abnormal pap 3 months after?

Is it possible to have cryosurgery or leep, then have an abnormal pap 3 months after?

Yes: Yes, there can be residual dysplasia, it is important to follow up closely with your physician. ...Read more

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If had leep& the next pap is abnormal does that mean doc didn't remove all precancerous cells?If the next 2paps are abnormal should have 2nd leep done

If had leep& the next pap is abnormal does that mean doc didn't remove all precancerous cells?If the next 2paps are abnormal should have 2nd leep done

Depends: The repeat paps are to determine if there are abnormal cells. It is possible that not all the abnormal cells were removed with the leep, but it is more likely that the problem has recurred - that is why you must have continued follow-up. The recurrence risk for moderate and severe dysplasia is as high as 50%. ...Read more

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I've had an abnormal pap last year and a leep... And now another abnormal pap with high risk hpv, what can I expect?

Continued vigilance: Please follow your doctor's advice about regular check ups and any treatment recommendations. God forbid, the abnormality persists or get worse, you may need to consider a hysterectomy. ...Read more

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For the last few months i have felt a BB size bump om the cervix. I have had a abnormal pap and a LEEP about 7 years ago. ?

For the last few months i have felt a BB size bump om the cervix.  I  have had a abnormal pap and a LEEP about 7 years ago. ?

Bump on. Cervix: See your ob/gyn in the near future. He or she can take a good look at what you are feeling and remove it if needed. Good luck and feel better! ...Read more

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I am 22..Abnormal paps and it came back lsil. Had a colposcopy & biopsy which came back hsil. Do I have to get leep?How many choose not to & are fine

I am 22..Abnormal paps and it came back lsil. Had a colposcopy & biopsy which came back hsil. Do I have to get leep?How many choose not to & are fine

Don't have to..BUT: Hsil becomes cervical cancer in one out of five women. You could choose not to do anything but it would seem to be a very poor choice. We would all hate to see you perish from cervical cancer. ...Read more

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My pap test my pap test was abnormal, i did a biopsy last monday I have to go back on the 26th of this month. The doctor said base on the reults i might have to do a procedure call leep. My problem now is im having a discharge and it smells is their a ove

No simple answer: Leep is one type of treatment that may be appropriate depending on the exact pap result, your hpv status, your age, and the biopsy results. The treatment can also vary somewhat with your doctor's personal preferences. Check out guidelines from the asccp (there is even an app) to get a better idea of what your options are. ...Read more

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Abnormal pap/hpv 16 in may 2013, colposcopy june 2013 cin1 (doctor said looked like cin2), repeat pap jan 2014 abnormal . Colposcopy or leep next?

Abnormal pap/hpv 16 in may 2013, colposcopy june 2013 cin1 (doctor said looked like cin2), repeat pap jan 2014 abnormal . Colposcopy or leep next?

There are options: While hpv 16 + 18 are associated with high risk for cervical cancer, most pts with these will never develop cancer. However careful f/u and evals are mandatory. If the repeat biopsy was high grade sil (cin2 or 3) then either leep or close f/u is acceptable; most gyns would opt for treatment (leep) in pts older than 30 with high grade lesions. ...Read more

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I have history of LEEP 10 yr ago, normal paps since then but all say "reactive cellular changes assoc w/ inflam" neg HPV tests. What is going on??

I have history of LEEP 10 yr ago, normal paps since then but all say "reactive cellular changes assoc w/ inflam" neg HPV tests. What is going on??

Probably nothing: Probably nothing. There is no evidence of malignancy or pre-cancer. Your physician should screen for infection but that is probably being done already. I wouldn't worry about it. ...Read more

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Dr. Ed Friedlander
944 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