Doctor insights on:
Why A Colonoscopy Is Scheduled After An Abnormal Pap Smear
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.See 1 more doctor answer
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 35See 1 more doctor answer
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.
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.
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
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.See 1 more doctor answer
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.See 1 more doctor answer
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.See 1 more doctor answer
Slightly abnormal pap smear, negative HPV results, what does this mean and should I be concerned?
I was just diagnosed with HPV 53 having a abnormal pap smear. What information can you give me about this particular type. How common is it?
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?
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.
Abnormal pap smear: No - abnormal pap smears do not cause miscarriages.
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