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Abnormal Pap Test


Topic Overview

What is an abnormal Pap test?

When your doctor says that your Pap test, or Pap smear, was abnormal, it means that the test found some cells on your cervixClick here to see an illustration. that do not look normal.

A Pap test may be done as part of a woman's routine physical exam, because it's the best way to prevent cervical cancer. But having an abnormal test result doesn't mean you have cancer. In fact, the chances that you have cancer are very small.

What causes an abnormal Pap test?

Most of the time, the abnormal cell changes are caused by certain types of human papillomavirus, or HPV. HPV is a sexually transmitted infection.

Usually these cell changes go away on their own. But certain types of HPV have been linked to cervical cancer. That's why regular Pap tests are so important.

Sometimes the changed cells are due to other types of infection, such as those caused by bacteria or yeast. These infections can be treated.

In women who have been through menopause, a Pap test may find cell changes that are just the result of getting older.

What increases your risk for an abnormal Pap test?

Certain sexual behaviors, like having sex without condoms and having more than one sex partner (or having a sex partner who has other partners), can increase your risk for getting HPV. And HPV raises your risk for having an abnormal pap test.

HPV can stay in your body for many years without your knowing it. So even if you now have just one partner and practice safer sex, you could still have an abnormal Pap test if you were exposed to HPV in the past.

Smoking or having an impaired immune system also raises your chances of having cell changes in your cervix.

Do abnormal cell changes cause symptoms?

The cell changes themselves don't cause symptoms. HPV, which causes most abnormal Pap tests, usually doesn't cause symptoms either.

If a different sexually transmitted infection is the cause of your abnormal test, you may have symptoms such as:

  • A discharge from the vagina that isn't normal for you, such as a change in the amount, color, odor, or texture.
  • Pain, burning, or itching in your pelvic or genital area when you urinate or have sex.
  • Sores, lumps, blisters, rashes, or warts on or around your genitals.

What will you need to do if you have an abnormal Pap test?

You may need more tests to find out if you have an infection or to find out how severe the cell changes are. For example, you may need:

  • Colposcopy, a test to look at the vagina and cervix through a lighted magnifying tool.
  • An HPV test. Like a Pap test, an HPV test is done on a sample of cells taken from the cervix.
  • Another Pap test in about 6 to 12 months.

A colposcopy is usually done before any treatment is given. During a colposcopy, the doctor also takes a small sample of tissue from the cervix so that it can be looked at under a microscope. This is called a biopsy.

Treatment, if any, will depend on whether your abnormal cell changes are mild, moderate, or severe. In moderate to severe cases, you may have treatment to destroy or remove the abnormal cells.

Frequently Asked Questions

Learning about abnormal Pap tests:

  • What is a Pap test?
  • What is an abnormal Pap test?
  • What causes an abnormal Pap test?
  • What increases my risk for an abnormal Pap test?

Being diagnosed:

  • How are cell changes in the cervix diagnosed?
  • What do the Pap test results mean?
  • How are abnormal Pap tests classified?
  • What is HPV testing, and do I need the test?

Getting treatment:

  • What treatment will I need?
  • Click here to view a Decision Point.What follow-up will I need if my Pap test shows minor cell changes?
  • Is treatment different if I am pregnant?

Ongoing concerns:

  • What are the risks of no treatment?
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