Doctor insights on:
Low Grade Abnormal Pap Smear
Can my low grade abnormal pap smear or birth control be a reason why I spot alittle during sex. How long will be be this way? Std negative also.
Had 3 low grade abnormal pap smears within 10 months with no colposcopy. Doctor wants to wait 6 months before rechecking. Suggestions? Have ms.
You should have: Colposcopy done to determine if there actually is cervical dysplasia present (if there is no abnormal area on outside of cervix a scraping from just inside the cervix should be done that is called ecc for short). If your doctor does not know how to do colposcopy, it's time to see one that does. ...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
Is an abnormal pap smear result of low grade squamous intraepithelial lesion, mild dysplasia present always caused by hpv?
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
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
Colposcopy.: If your pap smear is abnormal, you are scheduled for colposcopy to see where the abnormal lesion is on your cervix. Acetic acid is added and the lesion shows up as a white patch. Then a procedure like cone or leep biopsy is done and this is examined by a pathologist, who evaluates the lesion. Depending on the result, the next step is determined by you and you doctor. ...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
I had two abnormal pap smear, what does that mean and what could be the cause of my test being abnormal?
"Abnormal" pap: The pap smear's "abnormal" status could be everything form a cervical infection from the human papilloma virus (HPV) to actual cervical cancer. Your MD needs to look at the area with a microscope on wheels (Colposcope) and take tissue samples to be certain as to what the cause is or not. ...Read more
I've never bad an abnormal Pap smear-- is that really uncommon? How can in have never had an abnormal pap despite having different partners?
Abnormal pap: First let me congratulate you on getting regular pap smears. Never having an abnormal pap smear means that either you have never had HPV or that your body has cleared itself. This is not unusual in women under thirty. This is why the new guidelines from the American College of Obstetrics and Gynecology now has us not treat simple HPV infections in women under thirty. Use condoms, safe sex. ...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
Abnormal pap smear: No - abnormal pap smears do not cause miscarriages. ...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
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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