pic

My Pap Smear Results Were Abnormal — Now What?

misc image

Received abnormal Pap results? Don’t panic. These findings often show cellular changes that need monitoring, not cancer. Learn about follow-up options like repeat testing and colposcopy — and steps to protect your cervical health.


Getting that call from your doctor’s office about abnormal Pap results can make your mind jump to worst-case scenarios. While any abnormal test result can be concerning, most don’t automatically mean cancer. They just show cell changes that need a closer look.

At Innovative Women’s Care in Las Vegas, Nevada, board-certified OB/GYN Marguerite Brathwaite, MD, FACOG, helps women understand these results and walks them through the next steps.

What a Pap smear tests for

A Pap smear screens for cervical cancer by collecting cells from your cervix during your pelvic exam. The test looks for cell changes that might eventually develop into cancer if left untreated.

Most abnormal results are caused by the human papillomavirus (HPV), a common infection that often clears on its own. In some cases, certain high-risk HPV strains can cause cell changes that may develop into cancer over time.

What happens after an abnormal Pap test

Your next steps depend on your specific results, age, and medical history. Dr. Brathwaite might recommend:

Repeat Pap test in 6-12 months

For minor cell changes, especially in younger patients, watchful waiting is often appropriate. Many cell abnormalities resolve on their own as your immune system clears the HPV infection.

HPV testing

If not done with your initial Pap, HPV testing helps determine if you have a high-risk type. This information guides decisions about further testing or treatment.

Colposcopy

This in-office procedure allows Dr. Brathwaite to examine your cervix more closely using a special magnifying instrument (colposcope). If she identifies abnormal areas, she may take a biopsy (small tissue sample) for further testing.

Endocervical curettage (ECC)

Sometimes performed during colposcopy, this procedure collects cells from inside the cervical canal for testing.

Treatment options

If Dr. Brathwaite finds more significant cell changes, she may recommend procedures to remove the abnormal cells. These treatments are typically performed as outpatient procedures with minimal recovery time.

Factors that increase your risk for abnormal results

Several factors can increase your chances of abnormal Pap results:

  • HPV infection
  • Smoking
  • Weakened immune system
  • Multiple sexual partners
  • History of sexually transmitted infections
  • Early sexual activity

To protect your cervical health and reduce your risk of developing HPV:

  • Get regular Pap tests as recommended
  • Consider HPV vaccination if eligible
  • Practice safe sex
  • Don’t smoke

Dr. Brathwaite and our team work with you to develop a personalized health management plan to minimize your risk and catch any issues early when they’re most treatable.

Protect your cervical health in Las Vegas, Nevada

An abnormal Pap smear is not a diagnosis. It’s a screening tool that helps determine the next steps for protecting your cervical health. Most women with abnormal results never develop cervical cancer, especially with proper follow-up care.

The Innovative Women’s Care team is committed to guiding you through this process with compassion and expertise. If you’ve received abnormal Pap results or are due for screening, call our Las Vegas office to schedule an appointment with Dr. Brathwaite.