{"id":1194,"date":"2021-11-30T15:32:24","date_gmt":"2021-11-30T15:32:24","guid":{"rendered":"https:\/\/www.toplinemd.com\/trogolo-obstetrics-and-gynecology\/?p=1194"},"modified":"2021-12-13T15:42:40","modified_gmt":"2021-12-13T15:42:40","slug":"everything-you-need-to-know-about-abnormal-pap-smear","status":"publish","type":"post","link":"https:\/\/www.toplinemd.com\/trogolo-obstetrics-and-gynecology\/everything-you-need-to-know-about-abnormal-pap-smear\/","title":{"rendered":"Everything You Need to Know About Abnormal Pap Smear"},"content":{"rendered":"<p><span style=\"font-weight: 400\">Waiting for your results after a Pap smear test can be nerve-wracking. Once the results come and they say it\u2019s an <\/span><a href=\"\/trogolo-obstetrics-and-gynecology\/gynecologist-jacksonville-florida\/\" target=\"_blank\" rel=\"noopener\"><b>abnormal Pap smear<\/b><\/a><span style=\"font-weight: 400\">, it can sound scary, and it\u2019s normal for you to be worried. An abnormal test result indicates that something isn\u2019t good, but it doesn\u2019t say much about it.\u00a0\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">This examination is used to detect cervical cancer, so a natural reaction is to think that your results indicate the worst-case scenario. But it doesn\u2019t have to be that, and in most cases, it isn\u2019t.<\/span><\/p>\n<p><span style=\"font-weight: 400\">We\u2019ll talk more about do\u2019s and don\u2019ts before a pap smear, what causes abnormal Pap and what you should do next.\u00a0<\/span><\/p>\n<h2><b>What Is a Pap Smear Test?\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400\">An examination like this is used to detect cervical cancer, and it\u2019s done by swabbing your cervix to collect samples. Those samples are further examined to determine if any changes in cervical cells can be precancerous.\u00a0\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">It\u2019s recommended to do this examination once every three years if you are between 21 and 29, or once every five years if you are between 30 and 65, alongside an HPV test. There are some exceptions based on your personal health history and whether you previously had an abnormal Pap smear.\u00a0<\/span><\/p>\n<h2><b>How to Prepare for a Pap Smear\u00a0\u00a0\u00a0<\/b><\/h2>\n<p><img decoding=\"async\" class=\"size-full wp-image-1195 aligncenter\" src=\"https:\/\/www.toplinemd.com\/trogolo-obstetrics-and-gynecology\/wp-content\/uploads\/sites\/35\/2021\/12\/How-to-Prepare-for-a-Pap-Smear-.jpg\" alt=\"Gynecologist Working for Vaginal and Cervix Pap Smear Patient in the Obstetrics and Gynecology Department.\" width=\"1000\" height=\"668\" srcset=\"https:\/\/www.toplinemd.com\/trogolo-obstetrics-and-gynecology\/wp-content\/uploads\/sites\/35\/2021\/12\/How-to-Prepare-for-a-Pap-Smear--200x134.jpg 200w, https:\/\/www.toplinemd.com\/trogolo-obstetrics-and-gynecology\/wp-content\/uploads\/sites\/35\/2021\/12\/How-to-Prepare-for-a-Pap-Smear--300x200.jpg 300w, https:\/\/www.toplinemd.com\/trogolo-obstetrics-and-gynecology\/wp-content\/uploads\/sites\/35\/2021\/12\/How-to-Prepare-for-a-Pap-Smear--400x267.jpg 400w, https:\/\/www.toplinemd.com\/trogolo-obstetrics-and-gynecology\/wp-content\/uploads\/sites\/35\/2021\/12\/How-to-Prepare-for-a-Pap-Smear--600x401.jpg 600w, https:\/\/www.toplinemd.com\/trogolo-obstetrics-and-gynecology\/wp-content\/uploads\/sites\/35\/2021\/12\/How-to-Prepare-for-a-Pap-Smear--768x513.jpg 768w, https:\/\/www.toplinemd.com\/trogolo-obstetrics-and-gynecology\/wp-content\/uploads\/sites\/35\/2021\/12\/How-to-Prepare-for-a-Pap-Smear--800x534.jpg 800w, https:\/\/www.toplinemd.com\/trogolo-obstetrics-and-gynecology\/wp-content\/uploads\/sites\/35\/2021\/12\/How-to-Prepare-for-a-Pap-Smear-.jpg 1000w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/p>\n<p><span style=\"font-weight: 400\">If you are reading this even before going to your exam, we will talk a bit about how you should prepare for it, can you get a Pap smear on your period, and what are do\u2019s and don\u2019ts before a Pap smear. We will also answer common questions like does a Pap smear hurt, can you get cramps after Pap smear, and what bleeding after Pap smear indicates.\u00a0\u00a0\u00a0<\/span><\/p>\n<h3><b>Do\u2019s and Don\u2019ts Before a Pap Smear\u00a0\u00a0\u00a0<\/b><\/h3>\n<p><span style=\"font-weight: 400\">You should avoid intercourse for at least two days before having a Pap smear, douching, or using any vaginal creams, jellies, or any vaginal medicine.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Can you get a Pap smear on your period is a common question. And technically, the answer is yes, but you should avoid scheduling an appointment around the time of your cycle.\u00a0<\/span><\/p>\n<h3><b>Does a Pap Smear Hurt\u00a0\u00a0\u00a0<\/b><\/h3>\n<p><span style=\"font-weight: 400\">It\u2019s normal to be interested and to ask does a Pap smear hurt. Usually, it shouldn\u2019t hurt, but it also isn\u2019t comfortable. You can feel slight discomfort for a short period.\u00a0<\/span><\/p>\n<h2><b>What Does Bleeding After Pap Smear Mean\u00a0\u00a0\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400\">Many can notice a bit of light bleeding or spotting after having a Pap smear. It can continue for a couple of days and usually stops by itself. It happens because your blood vessels can be irritated during the examination, but bleeding after a Pap smear in most cases isn\u2019t something alarming.\u00a0\u00a0\u00a0<\/span><\/p>\n<h2><b>What Do Cramps After Pap Smear Mean\u00a0\u00a0\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400\">Cramps after Pap smear are also expected, and many experience them after the exam. This kind of discomfort happens because this area of the body is susceptible. However, it is also nothing to be afraid of; you can always soothe yourself with a warm tea and a heating pouch.\u00a0\u00a0<\/span><\/p>\n<h2><b>What Does an Abnormal Pap Smear Mean?\u00a0\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400\">Even if your results came in with an abnormal Pap smear, it doesn\u2019t have to imply that there are cancerous cells in your cervix. We know that it\u2019s not easy to stay calm, but there\u2019s nothing to worry about in most cases.\u00a0\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The reason why you might get an abnormal result is because of an HPV virus.\u00a0\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Yes, we know what you are thinking, and you are right. HPV virus is one of the most common sexually transmitted diseases in the U.S. because you can easily spread it through skin-to-skin contact. The HPV virus can cause some types of cancers, like cervical cancer. But there are various HPV viruses, more than 100, and not all of them cause cancers.\u00a0\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">An HPV infection doesn\u2019t have to harm your health, and in most cases with younger people, HPV can fade away from the body in the period of six months to two years.\u00a0\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Due to that, you shouldn\u2019t be afraid, but you should consult with your doctor. You should always ask for more information about what causes abnormal Pap and what you should do next because a follow-up examination is necessary.\u00a0\u00a0<\/span><\/p>\n<h2><b>Are There More Things That Can Cause an Abnormal Pap Smear?\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400\">The most common cause is the HPV virus, but other things can cause an abnormal Pap smear. And you can know the potential cause by the type of the result you get.\u00a0\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Five types of results that you can get:\u00a0\u00a0\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><b>ASCUS (atypical squamous cells of undetermined significance)\u00a0\u00a0\u00a0<\/b><\/li>\n<li style=\"font-weight: 400\"><b>LSIL (low-grade squamous intraepithelial lesion)\u00a0\u00a0<\/b><\/li>\n<li style=\"font-weight: 400\"><b>HSIL (high-grade squamous intraepithelial lesion)\u00a0\u00a0<\/b><\/li>\n<li style=\"font-weight: 400\"><b>ASC-H (atypical squamous cells)\u00a0\u00a0<\/b><\/li>\n<li style=\"font-weight: 400\"><b>AGC (atypical glandular cells)\u00a0\u00a0<\/b><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">ASCUS indicates the presence of squamous cells that slightly changed cells due to an HPV infection, yeast infection, cysts, or benign polyps.\u00a0\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">LSIL indicates that cells are affected by a current HPV infection.\u00a0\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">HSIL indicates that severe changes are happening with the cells, and often it\u2019s referred to them as precancerous cells.\u00a0\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">ASC-H indicates changes that can later lead to HSIL.\u00a0\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">AGC result indicates a change in cells inside the cervix and the uterus, signaling potential cancer.\u00a0\u00a0\u00a0<\/span><\/p>\n<h2><b>What Happens Next?\u00a0\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400\">Depending on the results you got, the follow-up will be different.\u00a0\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">For an ASCUS result, a doctor can suggest a repeat Pap test in the following year if you are between 21 and 29.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">If you are older than 29, you should do an HPV test, and if it is positive, they can suggest a colposcopy. If the test is negative, your gynecologist may recommend coming for another Pap and HPV test in three years. During colposcopy, they may take a tissue sample for biopsy and further test it for cancer if they think it\u2019s necessary.\u00a0\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">For an LSIL result, the doctor may suggest colposcopy and an HPV test if you are older than 24. And if you are younger, the doctor can recommend coming for another Pap in a year.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">For an HSIL or ASC-H result, your doctor will recommend colposcopy no matter how old you are.\u00a0\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">And for an AGC test result, the follow-up tests are slightly different because the cells with changes can be found in the cervix and the uterus. The doctor can recommend a colposcopy and sampling tissue from the cervical canal and the uterus.\u00a0\u00a0<\/span><\/p>\n<h2><b>What if the Final Results Come With Precancer or Cancer?\u00a0\u00a0\u00a0<\/b><\/h2>\n<p><img decoding=\"async\" class=\"wp-image-1197 size-full aligncenter\" src=\"https:\/\/www.toplinemd.com\/trogolo-obstetrics-and-gynecology\/wp-content\/uploads\/sites\/35\/2021\/12\/What-if-the-Final-Results-Come-With-Precancer-or-Cancer-.jpg\" alt=\"Female Doctor Performing a Vaginal Smear on a Patient. \" width=\"1000\" height=\"667\" srcset=\"https:\/\/www.toplinemd.com\/trogolo-obstetrics-and-gynecology\/wp-content\/uploads\/sites\/35\/2021\/12\/What-if-the-Final-Results-Come-With-Precancer-or-Cancer--200x133.jpg 200w, https:\/\/www.toplinemd.com\/trogolo-obstetrics-and-gynecology\/wp-content\/uploads\/sites\/35\/2021\/12\/What-if-the-Final-Results-Come-With-Precancer-or-Cancer--300x200.jpg 300w, https:\/\/www.toplinemd.com\/trogolo-obstetrics-and-gynecology\/wp-content\/uploads\/sites\/35\/2021\/12\/What-if-the-Final-Results-Come-With-Precancer-or-Cancer--400x267.jpg 400w, https:\/\/www.toplinemd.com\/trogolo-obstetrics-and-gynecology\/wp-content\/uploads\/sites\/35\/2021\/12\/What-if-the-Final-Results-Come-With-Precancer-or-Cancer--600x400.jpg 600w, https:\/\/www.toplinemd.com\/trogolo-obstetrics-and-gynecology\/wp-content\/uploads\/sites\/35\/2021\/12\/What-if-the-Final-Results-Come-With-Precancer-or-Cancer--768x512.jpg 768w, https:\/\/www.toplinemd.com\/trogolo-obstetrics-and-gynecology\/wp-content\/uploads\/sites\/35\/2021\/12\/What-if-the-Final-Results-Come-With-Precancer-or-Cancer--800x534.jpg 800w, https:\/\/www.toplinemd.com\/trogolo-obstetrics-and-gynecology\/wp-content\/uploads\/sites\/35\/2021\/12\/What-if-the-Final-Results-Come-With-Precancer-or-Cancer-.jpg 1000w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/p>\n<p><span style=\"font-weight: 400\">If further tests find precancer with good care and surveillance, it can be prevented from becoming cancerous and invasive. But it\u2019s of utmost importance to do regular follow-ups, to consult and listen to your doctor.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">If you have cervical cancer, the treatment should be individualized based on your specific case. The treatment can include chemotherapy, radiation, cryotherapy, hysterectomy, and some types of surgery. Many factors affect further treatment.\u00a0\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The prognosis can be good if cervical cancer is detected early. If it\u2019s found early while it\u2019s still localized to the cervix, and uterus the relative survival rate is 92%. Because of that, it is vital to schedule regular visits with your gynecologist.\u00a0\u00a0<\/span><\/p>\n<h2><b>We Are Here for You\u00a0\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400\">Our primary goal here at Trogolo Obstetrics and Gynecology is to help women feel safe and stay healthy. Every day at the clinic, we perform numerous <\/span><a href=\"https:\/\/en.wikipedia.org\/wiki\/Pap_test\" target=\"_blank\" rel=\"nofollow noopener\"><span style=\"font-weight: 400\">Pap smear tests<\/span><\/a><span style=\"font-weight: 400\"> because it\u2019s one of the best ways to discover cervical cancer early.\u00a0\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">If you\u2019ve got an abnormal test result and don\u2019t know what you should do next, feel free to contact us to advise you what the best next step is. <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Waiting for your results after a Pap smear test can be nerve-wracking. Once the results come and they say it\u2019s<\/p>\n","protected":false},"author":3,"featured_media":1196,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"categories":[14,28,157],"tags":[158,161,159,162,160,164,165,163],"class_list":["post-1194","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","category-gynecology","category-pap-smear","tag-abnormal-pap-smear","tag-bleeding-after-pap-smear","tag-can-you-get-a-pap-smear-on-your-period","tag-cramps-after-pap-smear","tag-does-a-pap-smear-hurt","tag-dos-and-donts-before-a-pap-smear","tag-things-that-can-cause-an-abnormal-pap-smear","tag-what-causes-abnormal-pap-smear"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.toplinemd.com\/trogolo-obstetrics-and-gynecology\/wp-json\/wp\/v2\/posts\/1194","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.toplinemd.com\/trogolo-obstetrics-and-gynecology\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.toplinemd.com\/trogolo-obstetrics-and-gynecology\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.toplinemd.com\/trogolo-obstetrics-and-gynecology\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.toplinemd.com\/trogolo-obstetrics-and-gynecology\/wp-json\/wp\/v2\/comments?post=1194"}],"version-history":[{"count":0,"href":"https:\/\/www.toplinemd.com\/trogolo-obstetrics-and-gynecology\/wp-json\/wp\/v2\/posts\/1194\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.toplinemd.com\/trogolo-obstetrics-and-gynecology\/wp-json\/wp\/v2\/media\/1196"}],"wp:attachment":[{"href":"https:\/\/www.toplinemd.com\/trogolo-obstetrics-and-gynecology\/wp-json\/wp\/v2\/media?parent=1194"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.toplinemd.com\/trogolo-obstetrics-and-gynecology\/wp-json\/wp\/v2\/categories?post=1194"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.toplinemd.com\/trogolo-obstetrics-and-gynecology\/wp-json\/wp\/v2\/tags?post=1194"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}