Atypical Cells: What You Need to Know About Cervical Health

Non-point cells... what are they...?

Hello, Doctor Gu.
I apologize for taking up your valuable time again.
I had a Pap smear on May 13 and called the obstetrics and gynecology department on May 24.
They informed me that I have a cervical infection...
(Is it serious?) The doctor said I need treatment because he keeps asking me to come in to discuss it.
I don't understand...
I really don't understand, so I called three times to ask for the name of the condition.
He said the medical term is "atypical cells," and the English name seems to be either "Atypical Squamous Cells" or "Atypical Glandular Cells." I couldn't find any related information online! So, could you please tell me if atypical cells are serious? How do they usually occur? Should I get another Pap smear? Also, regarding the hormonal imbalance I mentioned earlier, can an ultrasound check for that? Because when I asked the doctor, he said a Pap smear wouldn't reveal hormonal issues, but a friend said an ultrasound could help! How much does an ultrasound typically cost? Will it be very expensive? As for the bleeding, I am still experiencing light bleeding as of today, May 30.
I am unsure what is happening with my organs.
Please help me.

Wawa, 20~29 year old female. Ask Date: 2004/05/30

Dr. Gu Zhenting reply Pharmacology

Hello! General cervical infections refer to inflammation of the cervix.
After one week of medication treatment, a follow-up Pap smear should be performed three months later to confirm whether the infection has resolved.
If not, treatment should continue for another week.
Your situation seems to be similar, so it's important to seek treatment promptly.
As for endocrine issues, they can involve various factors such as the ovaries and uterus.
An ultrasound may help address some concerns, but it won't cover everything.
I recommend that you go to the hospital for a detailed examination, which should be covered by health insurance without out-of-pocket expenses.
Wishing you a speedy recovery!

Reply Date: 2004/05/30

More Info

Understanding atypical cells in cervical health can be quite daunting, especially when faced with medical terminology and the implications of abnormal findings. Based on your inquiry regarding the presence of atypical squamous cells, it is essential to clarify what this means for your health and the necessary steps moving forward.

Atypical squamous cells, often referred to in medical reports as ASC (Atypical Squamous Cells), can indicate a range of conditions, from benign changes to potential precursors of cervical cancer. The presence of these cells does not automatically mean that you have cancer; rather, it suggests that there may be some changes in the cervical cells that require further investigation. The most common follow-up procedures include repeat Pap smears, HPV testing, or colposcopy, which is a more detailed examination of the cervix.

In your case, the report indicating "cervical infection" suggests that there may be an inflammatory process occurring, which could be due to various factors, including infections (like HPV, chlamydia, or others), hormonal changes, or other benign conditions. It is crucial to follow your doctor's recommendations for treatment, as addressing any infections or inflammation can help restore cervical health.

Regarding your concern about the severity of atypical cells, it is important to note that not all atypical findings are indicative of severe disease. The classification of atypical cells can range from low-grade changes, which may resolve on their own, to high-grade changes that require more immediate intervention. Your healthcare provider will assess the degree of atypical changes and recommend the appropriate follow-up based on your specific situation.

If you are experiencing ongoing symptoms such as prolonged bleeding, it is essential to communicate this to your healthcare provider. They may recommend additional tests, such as an ultrasound, to evaluate your reproductive organs further. An ultrasound can provide valuable information about the structure of your uterus and ovaries, helping to identify any abnormalities that may be contributing to your symptoms.

As for the cost of an ultrasound, it can vary widely depending on your location, the facility where the procedure is performed, and whether you have insurance coverage. In the United States, the cost of an ultrasound can range from $200 to $1,000 or more. It is advisable to check with your insurance provider to understand your coverage and any out-of-pocket expenses you may incur.

In summary, while the presence of atypical squamous cells and a cervical infection can be concerning, they do not necessarily indicate a severe health issue. It is crucial to follow up with your healthcare provider for further evaluation and treatment. Regular monitoring through Pap smears and HPV testing, along with addressing any infections, can significantly contribute to maintaining cervical health. If you have ongoing concerns or symptoms, do not hesitate to seek further medical advice. Your health and peace of mind are paramount, and understanding your condition is the first step toward effective management.

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