Abnormal Pap Smears
EARLY DETECTION OF ABNORMAL CELLS
A Pap test or Pap smear is a sampling of the cervix to allow for early detection of abnormal cells. If left untreated, these abnormal cells can develop into cancer.
Understanding Your Pap & HPV Results
For patients over 30, a Pap test is typically performed alongside an HPV screening.
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If your Pap result is normal but your HPV test is positive, both tests will usually be repeated in one year.
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If your Pap smear is abnormal, your provider may recommend a follow-up procedure to take a closer look at your cervical cells.
What to Expect After an Abnormal Pap Smear
Colposcopy
A colposcopy is a 15-minute procedure that allows your doctor to closely examine your cervix using a special microscope.
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A vinegar solution is applied to highlight abnormal cells.
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One or more biopsies may be taken, along with a sample from the cervical canal.
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You may feel brief cramping; taking 600mg of ibuprofen beforehand can ease discomfort.
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Normal activity can be resumed right after the procedure.
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Mild bleeding or dark discharge may occur for a few days.
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Avoid intercourse and tampons for 72 hours if a biopsy was performed.
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Call your provider if you experience heavy bleeding (soaking through a maxi pad).
Understanding Biopsy Results
Biopsy results typically take 4–5 business days. They will be graded as:
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Mild: Often resolves without treatment. Monitoring with more frequent Pap smears is usually recommended.
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Moderate to Severe: These cell changes should be removed to prevent progression.
Treatment: The LEEP Procedure
LEEP (Loop Electrosurgical Excision Procedure) is used to remove abnormal cervical tissue:
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Performed in-office, lasting 15–20 minutes
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A local numbing injection is given
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A thin wire loop removes a shallow layer of the cervix using a safe electrical current
What to Expect After LEEP:
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Mild cramping and pink or brownish discharge for up to two weeks
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Use ibuprofen for discomfort
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Avoid tampons and intercourse for two weeks
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Contact your provider if you experience heavy bleeding
Follow-Up and Long-Term Monitoring
A post-operative visit is scheduled about two weeks after your LEEP. At this visit, your doctor will:
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Examine your cervix
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Review your pathology report
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Discuss next steps for monitoring
Close follow-up is essential. Most patients return to annual screenings after several consecutive normal Pap smears, but more frequent monitoring may be recommended initially.
Why Choose Together Women's Health?
Whether you're dealing with reproductive health concerns, gynecological issues, breast health or any other women's health condition, we are here to help. We believe that building a strong and trusting relationship with our patients is essential to providing you the best care. With Together Women's Health, we support you through every stage, standing by our name. When you choose us, you get:
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