Abnormal Pap. Now What?

According to the Foundation for Women’s Cancer, for over 50 years, routine use of the Pap test to screen for cervical cancer has reduced deaths from the disease by more than 70%. A Pap test is a standard way healthcare providers can check to see if there are any changes in the cervix that might cause concern. The Pap test involves looking at a sample of cells from the cervix under a microscope to see if there are any that are abnormal. It is a good test for finding not only cancer, but also finding cells that might become cancerous in the future.

Usually, healthcare providers perform the Pap test as part of a routine pelvic exam at recommended intervals. However, a Pap is not always done at the time of a routine pelvic exam, so it is important to ask your healthcare provider if a Pap was done.

Gynecologist Dr. Robert Boyd with Catawba Women’s Center says that it is important that women know and understand their Pap test results and follow through with any recommendations made by their healthcare provider.

“Some abnormal Pap tests will be followed by colposcopy (examination of the cervix using a magnifying device to see the cervix more clearly) and biopsy of any abnormal appearing areas on the cervix,” said Dr. Boyd. “Any pre-cancerous areas can then be seen and treated if necessary.”

A study by the Centers for Disease Control (CDC) found 20% of American women state they have had at least one abnormal Pap in their lifetime. Those who undergo regular Pap smears are highly unlikely to develop cervical cancer because Pap smears allow providers to identify who might be at risk for cervical cancer and to monitor and intervene when necessary to avoid cervical cancer.

Often when a patient has an abnormal Pap, a colposcopy examination is recommended. A colposcopy examination involves looking at the cervix with a colposcope. Acetic acid (i.e., vinegar) is applied to the cervix. This interacts with any abnormal cells in such a way to cause them to become white and possibly form patterns that can be recognized by your provider. If these areas are seen, a biopsy (sampling of the tissue) is often performed.

piechartFor most, the anticipation of having a cervical biopsy is by far the worst part of the experience. It is typically a mild to moderate pinch that, while not pleasant, is “do-able.” Afterwards, a small amount of bleeding is expected and different (non-painful) measures are available to your provider to make it stop. These measures often will cause slight discharge for a couple of days and your provider may recommend that you abstain from intercourse for a few days as well.

After the biopsy specimen results are available, your provider will recommend a course of action along well-established national guidelines. For most, this will simply consist of returning in several months for another Pap smear. For others, an in-office or surgical procedure might be recommended.

If you have a Pap smear come back abnormal, learn more about abnormal Pap smears, the colposcopy, and cervical biopsy. With knowledge, most women feel more in control of your health care. To schedule an appointment with Dr. Boyd or any of the qualified providers at Catawba Women’s Center located at 1501 Tate Boulevard, SE , Hickory, North Carolina 28602, patients are asked to call 828.322.4140.

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