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Pap test showed HPV negative with a typical cells of undetermined significance. What to do?

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Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6011 Questions

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Posted on Wed, 6 Feb 2013 in X-ray, Lab tests and Scans
Question: I am 55 yrs old...went to gyn and he told me that my pap test showed ...HPV negative with a typical cells of undetermined significance. He said I should get another pap in 6 months. Is that tooo long to weight?
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Answered by Dr. Aarti Abraham 2 hours later
Hello XXXXXXX
Thanks for writing in.

Women older than 20 years who have a single Pap result of ASC- US ( atypical squamous cells of undetermined significance ) , are ideally managed by one of the following three options, as per guidelines :

1. HPV testing. If positive, proceed for a colposcopy, and if negative, have a repeat Pap smear after 12 months.

2. Follow up Pap smear after 6 months. After a woman has two consecutive normal smears, she can go for routine surveillance.

3. Directly proceed for colposcopy.

Of the three options, the first is the most recommended and evidence based.
Hence, you are on the right track, and do not worry as 6 months is definitely not too long to wait, as per guidelines.

Take care, and feel free to ask for further clarifications.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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