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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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ASCUS Pap Smear Returned Abnormal. Does It Indicate HPV Virus?

My doctor called to inform me that my ASCUS pap smear came back abnormal and I will need to have a colposcopy . I took plan B the day before my appointment and had slight breakthrough bleeding during the morning of my appointment. I am extremely nervous that an abnormal pap smear could indicate the HPV virus or potentially something worse. What is the likelihood that taking plan B before my appointment could create a false positive pap smear?
Mon, 8 Jul 2013
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Pathologist and Microbiologist 's  Response
Hely o and welcome to HCM,

ASCUS stands for 'atypical squamous cells of uncertain malignant potential'.
ASCUS does not commit anything.
This condition indicates that the cells are abnormal.
A colposcopy of the cervix will identify the abnormal areas on the cervix.
These abnormal ares will be sampled for biopsy.
The biopsy will be examined microscopically.
Any squamous intra-epithelial lesion or squamous cell carcinoma if present will be identifies and management can be done accoringly.
Drugs or topical application of any agent will not interfere with the results of the Pap test, so do not worry.

Thanks and take care
Dr Shailja P Wahal
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OB & GYN Specialist Dr. Dr. ARIF N K's  Response
Hi,
Thank you for choosing Healthcaremagic. Plan B will usually not affect your PAP smear. It is difficult to come to a conclusion without knowing what abormality has been found after ASCUS. If the repeat smear is showing HSIL/ LSIL next best evaluation is COLPOSCOPY and directed biopsy. If that comes normal, you need not worry in the future. Colposcopy is a non-invasive test, it is painless and done without any anaesthesia.
I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow-ups. If you like my answers kindly rate it, and write a review as well. Please do not forget to accept it.
Thank you,
Wish you good health.
Regards,
Dr Arif
You can consult me again directly through my profile
http://www.healthcaremagic.com/doctors/dr-arif-n-khan/65133

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ASCUS Pap Smear Returned Abnormal. Does It Indicate HPV Virus?

Hely o and welcome to HCM, ASCUS stands for atypical squamous cells of uncertain malignant potential . ASCUS does not commit anything. This condition indicates that the cells are abnormal. A colposcopy of the cervix will identify the abnormal areas on the cervix. These abnormal ares will be sampled for biopsy. The biopsy will be examined microscopically. Any squamous intra-epithelial lesion or squamous cell carcinoma if present will be identifies and management can be done accoringly. Drugs or topical application of any agent will not interfere with the results of the Pap test, so do not worry. Thanks and take care Dr Shailja P Wahal