An Abnormal Pap: What It Really Means

    A male gynecologist holding a speculumA Pap test, or Pap smear, is part of a woman’s routine physical exam. It is the best way to prevent cervical cancer, because it can find cells on your cervix camera that could turn into cancer. The cervix is the lower part of the uterus that opens into the vagina.

    When your doctor says that your Pap test was “abnormal,” it means that the test found some cells on your cervix that do not look normal. It does not mean that you have cancer. In fact, the chances that you have cancer are very small.

    What causes an abnormal Pap test?

    Most of the time, abnormal cell changes on the cervix are caused by certain types of human papillomavirus, or HPV. HPV is a sexually transmitted infection. Usually these cell changes go away on their own. But certain types of HPV have been linked to cervical cancer. That’s why it’s important for women to have regular Pap tests. It usually takes many years for cell changes in the cervix to turn into cancer.

    Sometimes cell changes in the cervix are due to other types of infection, such as infections caused by bacteria or yeast. These types of cell changes can be treated. In women who have been through menopause, a Pap test may find cell changes that are just the result of getting older.

    What increases your risk for an abnormal Pap test?

    High-risk sex raises your chances of getting HPV and having an abnormal Pap test. High-risk sex includes having sex without condoms and having more than one sex partner (or having a sex partner who has other partners).

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