Hello and welcome to HCM,
The second time when you had the Pap test, the results showed inflammation with reactive changes and parakeratosis
Inflammation is common in cervix
especially in women of child bearing age group.
The inflammation causes changes in the normal cervical lining of the cervix.
The inflammation is graded as mild, moderate or severe.
Usually mild to moderate inflammation needs no treatment.
Severe inflammation is treated with antimicrobials.
If some organism is isolated on the Pap test, specific medication is given for the infection.
Parakeratosis implies presence of nucleated squamous cells on the upper layers of the cervical lining.
This is a feature associated with inflammation.
There is no evidence of intra-epithelial lesion on the second Pap test.
There was some suspicion of intra-epithelial lesion on first Pap test but the suspicion is cleared on second Pap test. ASC-US does not imlies CIN-1.
There is nothing to worry.
Continue your Pap according to your previous routine.
Thanks and take care.
Dr Shailja P Wahal