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What does finding of "ascus cells" in pap smear test indicate? - Online Doctor Chats

Date : 26-Sep-2014
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Very Good Posted in: Women's Health
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General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
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User:I have a gynaecological question
User:would you be the right person to talk to
Doctor:How can I help?
Doctor:I'm a Neurologist, but if the question is basic enough I will do my best to advise
User:I got a pap smear test done recently and the report says they found ASCUS cells
User:I am not sexually active, what could be the cause of abnormal cells?
Doctor:Ascus cells are the most basic form of altered cells
Doctor:They are not in any way a sign of cancer.
Doctor:So no worries there
Doctor:Now, As for why they may be present
Doctor:have you had any infections recently? UTI etc?
User:UTI may be a months ago
Doctor:Ok, that could be a cause.
Doctor:But the other things that may cause it are a high sugar diet which makes the vaginal area acidic and encourages candidal growth
Doctor:So that can irritate the cells in the area and cause some mild changes leading to ASCUS
Doctor:I wouldn't worry though. Eat a balanced diet, exercise regularly and maintain normal hygeine
Doctor:And you can rest assured your next PAP smear will be OK
User:I have not had penetrative sex, but we did try though
User:Does that put my partner at risk?
Doctor:I see, dont worry.
Doctor:Just make sure your partner has been screened for STDs and you should be safe
User:My partner has also not had any other partner apart from me
Doctor:and no, unless YOU have an STD (which is impossible given your history), your partner is at no risk
Doctor:Then you guys should be fine
User:The hospital has told me they will get back to me in 4 days about why the test was done considering my history which I disclosed before the test
User:They suggested screening for HPV
User:But when the consulting doctor was informed about me being sexually active
User:she seemed confused and that is worrying me
Doctor:Yhea, that's a smart screening test. You can get HPV from casual contact anyways.
User:Thats a good point
Doctor:It doesn't have to be spread through sexual contact alone. Unfortunately even using a public restroom can spread it.
User:So when you say casual contact, I am just trying to understand if my partner has to take some tests just to be sure
Doctor:Yhea, see there is a vaccine you guys can take to protect yourself from it if you like. You can both get screened, if negative, then get vaccinated.
User:By negative you mean, everything is normal right?
User:Ok what is the screening that my partner should undergo and what is the vaccine?
User:Just so that I can bring it up when I meet my doctor next
Doctor:The test is an HPV antibody test and the vaccine is simply referred to as the HPV vaccine.
Doctor:It protects you from the strains of HPV that are known to cause cancer and is safe for both men and women
User:How do men generally contract HPV?
Doctor:There are many brands, so just get the one that is available in your area.
User:apart from sexual contact
Doctor:Men get HPV from women and from less that careful hygiene in public places
Doctor:Unfortunately, even clothing can spread it, so like giving your clothes to a dhobi guy can do it
User:that is helpful. I just want to make sure I know enough before suggesting a screening for my partner
Doctor:not a very common occurance
Doctor:I mean, it's no big deal, especially since you guys are exclusive partners
Doctor:You can simply get the screening done the next time you have a checkup
Doctor:No need to go specially for that
User:Yes. However, this is just nerve wrecking till I get a call back from the hospital
Doctor:good point
Doctor:relax though, even if you have HPV, it's not a worrisome affair.
User:Hope so. One last question
Doctor:You would just need to get PAP screenings a bit more often is all
User:How long do we refrain from any sexual activity? Till we sort this out completely?
Doctor:Well, since you are getting the screening done, you could wait till then. But I'm not sure I see a reason to refrain at all
Doctor:Why do you think you need to ?
User:Just wondering because as I told you we are the first partners for each other and exclusive. After a long period of courtship we just about got explore the intimate side of our relationship and so in general the idea of sex is causing paranoia in me
User:and this test right at this time is stressing out
Doctor:Don't overthink it. HPV doesn't pose much risk in men. And it just means more frequent PAP smears for you
User:the pap smear is painful. is that normal?
User:Also i have slight bleeding after the test
Doctor:That's not fun, i'm sure. But don't stress out
Doctor:Hmm. Having never had one myself, i have no personal experience. :-)
Doctor:but from what i have been told, it can sting and bleed a bit
Doctor:a skilled Gyneacologist will know how to minimize the discomfort
User:you made me smile for the first time since i saw my test results. Thank you
Doctor:Happy to help
Doctor:Do you have any more queries?
User:Oh last question please
User:Does smoking have any impact on all this?
User:Okay...i just started, but i think i will stop right away
User:Thank you so much. Thats all from me for now
Doctor:Thanks for visiting me here. Bye for now.
User:Bye :)
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