Cervical Pap Smear Results: What You Need to Know - Obstetrics and Gynecology

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Pap smear


Hello, last Saturday I visited a gynecology clinic because my menstrual period lasted for two weeks.
After asking some questions, the doctor performed a pelvic examination and decided to do a Pap smear (even though there was still some menstrual blood).
The doctor mentioned that it wasn't a lot and it was okay to proceed.
They also conducted a blood test and prescribed medication.
After taking the medication for three days, the bleeding stopped.
Yesterday, during a follow-up visit, the blood test results indicated that the abnormal bleeding was due to insufficient progesterone, and I was prescribed medication for a week.
Today, I received a call from the clinic stating that the Pap smear results showed inflammation of the cervix that requires treatment.
I did some research online regarding the accuracy of Pap smears when there is menstrual blood present, and I would like to ask the doctor about this.
Thank you.

Rongrong, 30~39 year old female. Ask Date: 2016/03/21

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, the amount of bleeding is not significant enough to cause concern.
It is recommended that you follow your doctor's advice and return for treatment.
Thank you! Wishing you safety and good health.
Dr.
Chang

Reply Date: 2016/03/21

More Info


Understanding cervical Pap smear results can be quite daunting, especially when you receive unexpected findings. In your case, it appears that your Pap smear results indicated inflammation of the cervix, which is a common finding and can be caused by various factors, including infections, hormonal changes, or irritation.
Firstly, it’s important to understand what a Pap smear is. A Pap smear, or Pap test, is a procedure that collects cells from your cervix to check for abnormalities that may indicate cervical cancer or precancerous conditions. It is also used to detect infections and inflammation. The presence of inflammation in your results suggests that there may be an underlying issue that needs to be addressed, but it does not necessarily mean that you have cancer.

Regarding the accuracy of the Pap smear while on your menstrual period, it is generally recommended to avoid scheduling a Pap test during your menstrual cycle, as the presence of menstrual blood can obscure the sample and potentially lead to inconclusive results. However, if the amount of blood is minimal, as your doctor indicated, the test may still provide useful information. It’s always best to discuss with your healthcare provider about the timing of your Pap smear, especially if you are experiencing abnormal bleeding.

In your case, since the results indicated inflammation, your doctor will likely recommend further evaluation and treatment. This could include additional tests to determine the cause of the inflammation, such as testing for sexually transmitted infections (STIs) or a more thorough examination of the cervix through colposcopy. Treatment may involve addressing any infections or irritants identified during these evaluations.

Moreover, you mentioned that you were experiencing abnormal bleeding due to low progesterone levels, which can also contribute to cervical inflammation. Hormonal imbalances can affect the cervical tissue and its response to infections or irritants. Your doctor has prescribed medication to help manage this issue, which is a positive step towards restoring your hormonal balance and reducing abnormal bleeding.

It’s essential to follow up with your healthcare provider regarding the inflammation and any treatment recommendations. Regular monitoring and follow-up Pap smears are crucial, especially if you have had previous abnormal results or if there are ongoing concerns about your cervical health.

In summary, while receiving a Pap smear result indicating inflammation can be concerning, it is a common finding that can often be treated effectively. Ensure you maintain open communication with your healthcare provider about your symptoms, treatment options, and any further testing that may be necessary. Regular check-ups and following your doctor's advice will help you stay on top of your cervical health. Remember, early detection and treatment are key to maintaining good health.

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