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What does an LGSIL mean in a pap smear test?

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Posted on Mon, 18 Jul 2016
Question: My wife is 45-years old. She just had a pap smear. She received a letter from the lab saying she had LGSIL. Can you tell me what this might be?
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Answered by Dr. Rakhi Tayal (17 minutes later)
Brief Answer:
Not to worry much.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
Low grade squamous intraepithelial lesion (LGSIL) is a medical term given to a level of cervical dysplasia and is detected through a Pap smear. An LGSIL result means that mild dysplasia, more than likely caused by the human papillomavirus, has been detected. in most cases, clears up on its own within two years.If LGSIL is found through a Pap smear, a colposcopy is then done to confirm results. A colposcopy is an in-office procedure that allows a doctor to examine the cervix more in-depth.

It is done by using a colposcope, a lighted microscope that magnifies the cervix. During the colposcopy, the doctor may also do a cervical biopsy, the removal of small pieces of cervical tissue. The tissue samples are then sent to a lab for further examination.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
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Follow up: Dr. Rakhi Tayal (11 minutes later)
We have been married 23-years and both of us have stayed faithful. Is it possible to have LGSIL without having HPV?
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Answered by Dr. Rakhi Tayal (7 minutes later)
Brief Answer:
Yes.

Detailed Answer:
Hello.
Thanks for writing again.
Yes it is possible.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Follow up: Dr. Rakhi Tayal (5 minutes later)
Is it common to have a LGSIL result and not have HPV? What may cause LGSIL, other than HPV?

When they do a pap smear do they always test for HPV?
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Answered by Dr. Rakhi Tayal (1 hour later)
Brief Answer:
Details below.

Detailed Answer:
LIGSIL is commonly associated with HPV but if your HPV result is negative even then the mild dysplasia can happen due to a chronic infection or irritation of the cervic. Chronic cervicitis can also result in mild dysplasia.
With every PAP smear, HPV is not done. Only if there is an associated dysplasia then the test is done to find the cause.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Rakhi Tayal (10 minutes later)
3-Years ago she had a pap smear and was found to have ASCUS. She went back in and had a colposcopy. All came back negative. Having done that do you think the doctor did a HPV with the pap smear this time around? The reason I ask is because the doctor sent a letter that said LSIL but did not mention HPV. But when you research LSIL all you get back is HPV. I would imagine the doctor would have tested for HPV with the pap smear because of her past. Since she didn't say anything about HPV then would one figure she tested negative for HPV?
doctor
Answered by Dr. Rakhi Tayal (8 hours later)
Brief Answer:
It is better to ask about HPV status separately.

Detailed Answer:
If the HPV would have been negative then she would have mentioned about it. It is better to ask specifically about her HPV status. The infection can remain dormant without any symptoms for many years.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Rakhi Tayal

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Practicing since :2001

Answered : 13891 Questions

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What does an LGSIL mean in a pap smear test?

Brief Answer: Not to worry much. Detailed Answer: Hello, Thanks for trusting us with your health concern. Low grade squamous intraepithelial lesion (LGSIL) is a medical term given to a level of cervical dysplasia and is detected through a Pap smear. An LGSIL result means that mild dysplasia, more than likely caused by the human papillomavirus, has been detected. in most cases, clears up on its own within two years.If LGSIL is found through a Pap smear, a colposcopy is then done to confirm results. A colposcopy is an in-office procedure that allows a doctor to examine the cervix more in-depth. It is done by using a colposcope, a lighted microscope that magnifies the cervix. During the colposcopy, the doctor may also do a cervical biopsy, the removal of small pieces of cervical tissue. The tissue samples are then sent to a lab for further examination. Please feel free to discuss further. I will be glad to answer the follow up queries that you have. Wishing you good health. Regards. Dr. Rakhi Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal