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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Abnormal Pap Smear Mean During Pregnancy?

Hello im 21 years old I had my first pap smear done 4 weeks ago I am also pregnant yesterday that I went for my second prenatal appointment thwy told me it came back as abnormal but my doctor didn't explain me why and im so curious to know what's going on should I worry or take any precautions ?
Wed, 2 Mar 2016
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OBGYN 's  Response
Hi there,
Welcome to HCM,

PAP smear is done to assess the risk of cervical cancer in women. An abnormal PAP smear could mean a lot of things from mild infection, incomplete reporting to early stages of cancer.

You need to ask the doctor to give you a detailed report. If it is infection or if the smear reads mild inflammation,or atypical cells of unknown significance, you could just ignore the result till after pregnancy, and you could repeat a PAP smear 3 months post delivery.

But, if the report says CIN changes then your cervix needs to be evaluated further.One way would be HPV-DNA test.

But, generally 1 in 6 PAP smears in women under the age of 25 years turn up as abnormal and on follow are described normal. So please do not worry much for the same.

One more thing, pregnancy itself can make getting a smear and reading of the smear to be altered. So I would advise you to discuss these issue with your gynecologist and if at all another smear I required in pregnancy do in in the second trimester.

Hope this helps.
Regards.
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What Does Abnormal Pap Smear Mean During Pregnancy?

Hi there, Welcome to HCM, PAP smear is done to assess the risk of cervical cancer in women. An abnormal PAP smear could mean a lot of things from mild infection, incomplete reporting to early stages of cancer. You need to ask the doctor to give you a detailed report. If it is infection or if the smear reads mild inflammation,or atypical cells of unknown significance, you could just ignore the result till after pregnancy, and you could repeat a PAP smear 3 months post delivery. But, if the report says CIN changes then your cervix needs to be evaluated further.One way would be HPV-DNA test. But, generally 1 in 6 PAP smears in women under the age of 25 years turn up as abnormal and on follow are described normal. So please do not worry much for the same. One more thing, pregnancy itself can make getting a smear and reading of the smear to be altered. So I would advise you to discuss these issue with your gynecologist and if at all another smear I required in pregnancy do in in the second trimester. Hope this helps. Regards.