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Updated on Mar 10, 2021 by Dr. Fernando Mariz (Gynecologist), Manhattan Women’s Health and Wellness

Pap Smear


This is a routine part of a yearly gynecological exam, along with a breast exam, palpation of your abdomen and a discussion with your local OBGYN specialist in Manhattan. Abnormal pap smears should always be evaluated with a thorough consultation and examination by a physician for an accurate diagnosis and treatment plan as it may be a sign of a serious illness or condition.

While performing a Pap smear, your gynecologist actually brushes cells from your cervix after inserting a speculum in your vagina. Dr. Fernando Mariz, a best-in-class gynecologist sent the tissue samples to a lab to be analyzed. Pap smears allow your doctor to track any changes in your cervix, which could be indicative of several things, including cancer.

The Pap smear results may contain any of the following:

  • Normal cells
  • Abnormal cells
  • Presence of the human papilloma virus (HPV)

Pap smear recommendations change frequently, make sure to always ask your gynecologist for the most current recommendation on screening

Normal cells constitute a negative result. Abnormal cells, and even the presence of HPV, can tell your local gynecologist several different things. A Pap smear allows your New York gynecologist to catch conditions in a very early stage — before the development of cervical cancer. Luckily, this is a very slow-growing form of cancer, so it can take years before it becomes life-threatening.

Gynecologist of Manhattan Women’s Health & Wellness offers comprehensive Obstetrics & Gynecology care in NYC for women of all ages. At our OBGYN clinic, we provide a full range of gynecology services, from annual check-ups and routine pap smears to the treatment of Menstrual Cramps and GYN procedures, surgeries performed in our office or in the hospital. Our state of the art New York gynecology center equipped with the latest equipment.

Abnormal Cells Are Not All the Same

Your Manhattan OBGYN may find a number of potentially dangerous results from a Pap smear test:

  • Atypical squamous cells of undetermined significance (ASCUS). These squamous cells normally are present on your cervix as thin, flat cells. Sometimes, though, a Pap smear reveals that some of the squamous cells are abnormal. At this point, your doctor or NYC gynecologist, can re-analyze the same sample, looking for viruses that are indicators of cancer.
  • Squamous intraepithelial lesion. This result points to changes that could indicate a very early form of a potentially precancerous condition. Depending on what else may be present in your Pap smear test results, such as HPV, these lesions can have a greater or lower impact. There are two types:
    • Low grade. These are minor changes in characteristics such as size and shape of the lesion, indicating that pre-cancerous cells, if present, are many years away from potentially developing into cancer.
    • High grade. These are changes that indicate a precancerous abnormality may be present and further testing is necessary.
  • Atypical glandular cells. Glandular cells produce mucus, and they’re found in both the uterus and the cervix. These cells can sometimes look irregular. Although gynecologists aren’t sure what exactly this indicates, there’s no clear correlation between these abnormal cells and cancer. Typically, your gynecology doctor orders more testing to develop a diagnosis.
  • Squamous cell cancer (or adenocarcinoma cells). This result refers to two different types of cancer that is almost certainly present:
    • Squamous cells reside in the cervix. Squamous cell cancer indicates the presence of cancer in the cervix.
    • Adenocarcinoma cells indicate that the glandular cells in either the uterus or the cervix are cancerous.

Seeking a Diagnosis

Pap smear diagnosis

Once the type of HPV on your cervix is determined, treatment for your symptoms can be arranged. There is no HPV treatment, but if you’re diagnosed with it, you may experience a range of symptoms, all of which are treatable. Again, your gynecologist selects the most appropriate treatment based on the type of HPV you have and what your symptoms are. Symptoms can include genital warts, cervical pre-cancer and other cancers caused by HPV.

In order to find a diagnosis, your gynecologist does one of the following, depending on your Pap test results:

  • Repeat the Pap smear test. The possibility exists that there could be a simple reason for the abnormal cells. For example, blood or other physical factors could have been in the way, which kept your OBGYN gynecologist from getting a clean swipe of cells. Your gynecologist may want to repeat the test immediately or — depending on your age, previous Pap test results and medical history — ask you to come back in three months, six months, or even a year.
  • HPV testing. People with cervical cancer were almost all noted to also have a subset of HPV strains. It is very important to note though that people with HPV rarely end up having cancer, however. Since HPV can cause changes that may lead to cancer or genital warts, it is important to know which strains you may have. A vaccination is also available that helps prevent many of the strains of HPV that may lead to cancer or warts.
  • Colposcopy: This procedure allows your OBGYN in NYC to closely examine the tissues of your cervix, vulva and vagina with a special magnifying microscope. While using the colposcope, your doctor may also opt to take a biopsy — that is, a small piece of the abnormal tissue. This procedure could mean some post-procedure discomfort for you, such as cramping and light bleeding.
  • Endocervical curettage: In this case, the doctor has to insert a small tool to take a scraping of the cells inside the cervix. This procedure may result in some cramping or bleeding.
  • Cone biopsy: This type of biopsy can also be a treatment, if the area of abnormal cells is small. In this instance, a cone-shaped section of the cervix is removed, potentially taking all the abnormal cells with it. This allows the healthy cells to grow back.

An Important Step in Your Life

Pap smear tests are the first line of defense against cancer and many other treatable conditions for all women. It’s a safe and simple procedure you should have done regularly — and during pre-natal care to ensure the health and safety of you and your baby.

Important Reminder: This information is only intended to provide Gynecology guidance, not definitive medical advice. Please consult ob-gyn doctor about your specific condition. Only a trained, experienced gynecologist or certified Gynecology specialist can determine an accurate diagnosis and proper treatment.

Have questions about Abnormal Pap Smear? Would like to schedule an appointment with top OB\GYN specialist in Manhattan, Dr. Fernando Mariz, today.

Dr. Fernando Mariz has either authored or reviewed and approved this content.
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DISCLAIMER: PLEASE READ CAREFULLY The information on this website is to provide general information. The information on this website does NOT reflect definitive medical advice and self diagnoses should not be made based on information obtained online. It is important to consult a physician for a consultation and examination regarding ANY and ALL symptoms or signs you may be having. An accurate diagnosis and treatment plan should only be made by your physician in order to exclude a serious condition.