Endometrial Cells in Pap Smear Results After Menstrual Cycle

The smear test report indicates inflammation, but endometrial cells are present?

Last year, after the removal of uterine polyps, my menstrual period lasted about 9-10 days, and both the pathology and hysteroscopy results were normal.
On March 4th, I had a Pap smear, and the report on the 8th showed normal inflammation but indicated the presence of endometrial cells.
What could be the possible reasons for this? 🤔 Could it be because the Pap smear was performed on the 7th day of my menstrual cycle? Do I need to schedule an urgent follow-up appointment? P.S.
A transvaginal ultrasound was also performed on the same day as the Pap smear, and the endometrial thickness was normal.

Guo Ke, 30~39 year old female. Ask Date: 2024/03/08

Dr. Chen Zhiyu reply Obstetrics and Gynecology

It is recommended to schedule a follow-up appointment for further examination.
Thank you.

Reply Date: 2024/03/08

More Info

Understanding the presence of endometrial cells in Pap smear results, especially after a menstrual cycle, can be quite complex. In your case, the presence of endometrial cells in the Pap smear taken on the 4th of March, following your menstrual period, raises some important considerations.

Firstly, it is essential to understand that the menstrual cycle involves the shedding of the endometrial lining, which can lead to the presence of endometrial cells in the vaginal canal. If the Pap smear was performed on the 7th day after your menstrual period, it is possible that some residual endometrial cells were still present, which could explain their appearance in the results. This is particularly true if your menstrual cycle is longer or if the shedding was not complete.

The presence of endometrial cells in a Pap smear can be categorized as either benign or indicative of a potential issue. In many cases, especially if the cells are few and there are no other abnormal findings, it may not be a cause for concern. However, the context of your previous medical history, including the recent hysteroscopic removal of endometrial polyps and the normal findings from your pathology and hysteroscopy, suggests that the endometrial cells might be a benign finding related to the timing of the smear in relation to your menstrual cycle.

The report indicating "normal inflammation" is also a reassuring sign, as it suggests that there is no acute infection or malignancy present. Inflammation can occur for various reasons, including hormonal changes, recent procedures, or even the normal physiological responses of the body.

Regarding the need for a follow-up appointment, it is advisable to consult with your healthcare provider to discuss the results in detail. They may recommend a repeat Pap smear in a few months, particularly if the endometrial cells were atypical or if there are other concerning symptoms. If you have any symptoms such as abnormal bleeding, pelvic pain, or changes in your menstrual cycle, it would be prudent to seek an earlier consultation.

In summary, the presence of endometrial cells in your Pap smear after your menstrual cycle could be a benign finding, especially given your recent medical history and the timing of the test. However, it is always best to discuss any concerns with your healthcare provider to ensure that you receive appropriate follow-up care and monitoring. Regular check-ups and open communication with your doctor are key components in managing your reproductive health, particularly after procedures like polyp removal.

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