Hello. I just got pap smear test done and the result says "focal koilocytosis and karyomegali noted". how serious is this n wats d next step? Thanks.

Your Gynec should he. Did your gynecologist not explain the results to you? You should ask this question and find out what it means. To me, it looks like there is nothing serious but you need to rely on the guidance provided by your gynecologist and be alert and find out if you might have HPV infection which is common and can create some cellular changes, most of which resolve with time.