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My daughter is 25 and having her third child. She is due the end of August. She recieved a call that she needs to return for another test because her pap came back abnormal. I am wondering if we should be worried. Could it be cancer or could it just be from the pregnancy. She has never had an abnormal pap before. How will they do the neccessary tests with her being pregnant and will it harm her child?
All of her pregnancies have been healthy, but she does have the RH negative blood which she has to have shots for or she will be sick during her entire pregnancy.
I am worried for her.

2007-02-14 07:51:35 · 7 answers · asked by concerned mom 1 in Health Women's Health

7 answers

Yes, I appreciate your concern, since I have daughter too, I have this article sorted out on professional this will give you a good inside of this test:

Your test results

The Pap smear doesn't diagnose a disease but instead acts as a screening test to alert your doctor to check further. The words used to describe abnormal cells are carefully chosen to send specific messages to your doctor about risk.

Here are some terms your doctor might use and what your next course of action might be:

* Normal. Your test is negative — no abnormal cells are detected. You won't need any further treatment or testing until you're due for your next Pap smear and pelvic exam.
* Atypical squamous cells of undetermined significance. Squamous cells are thin and flat and grow on the surface of a healthy cervix. In this case, the Pap smear reveals slightly abnormal squamous cells, but the changes don't clearly suggest that precancerous cells are present. With the liquid-based test, your doctor can reanalyze the sample to check for the presence of viruses known to promote the development of cancer, such as HPV. If no viruses are present, the abnormal cells found as a result of the test aren't of great concern. If worrisome viruses are present, you'll need further testing.
* Squamous intraepithelial lesion. This term is used to indicate that the cells collected from the Pap smear may be precancerous. If the changes are low-grade, the size, shape and other characteristics of the cells suggest that if a precancerous lesion is present, it's likely to be years away from becoming a cancer. If the changes are high-grade, there's a greater chance that the lesion may develop into cancer much sooner. Diagnostic testing is necessary.
* Atypical glandular cells. Glandular cells produce mucus and grow in the opening of your cervix and within your uterus. Atypical glandular cells may appear to be slightly abnormal, but it's unclear whether they're cancerous. Further testing is needed to determine the source of the abnormal cells.
* Squamous cancer or adenocarcinoma cells. The cells collected for the Pap smear appear so abnormal that the pathologist is almost certain a cancer is present in the vagina, cervix or, occasionally, the uterus. Squamous refers to cancers arising in the flat surface cells of the cervix. Adenocarcinoma refers to cancers arising in glandular cells. If such cells are found, your doctor immediately investigates further.

Upon finding an abnormality, your doctor may decide to examine the tissues through a special microscope in a procedure called colposcopy and take a tissue sample (biopsy). Colposcopy often provides a definitive diagnosis.

2007-02-14 08:14:21 · answer #1 · answered by Dr.Qutub 7 · 0 0

It is actually very common to have an abnornal pap. Most of the time, it is nothing and the next test will come out normal. If it is in fact abnormal, they may want to do a biopsy which is pretty quick and not very painful. Either way, don't put it off! Go back and get her checked and get it over with!

2007-02-14 08:06:17 · answer #2 · answered by Anonymous · 0 0

For a woman to have an abnormal pap smear while pregnant or just after her pregnancy isn't really all that abnormal, due to the change of the cervix and hormones while pregnant.

Most woman will have to have a repeat pap to check for HPV and after the baby is born and then another in 6mo, just to rule out hormones and cervical changes due to the pregnancy. I wouldn't panic by any means. I sure she will be just fine!

2007-02-14 08:01:13 · answer #3 · answered by be happier own a pitbull 6 · 0 0

pap smears are kinda touchy, so many things can show up as abnormal, and especially if pregnant. she will be rechecked again 6 months after having the baby as part of the routine exam, however u might want to have her go again before that for a second test. the only way to be 100% sure of results is to have a cone biopsy, but that cant be done till a while after she has the baby...

but if it shows up in the biopsy as abnormal, dont wait to decide what to do!

2007-02-14 07:57:11 · answer #4 · answered by Psy_Chick 3 · 0 0

I wouldn't worry just yet. It isn't uncommon for a pap to come back abmormal. It has nothing to do with her pregnancy.

2007-02-14 07:58:52 · answer #5 · answered by JS 7 · 0 0

it could ne nothing or it could be HPV. Pregnancy can cause it to flare up when it never has before. They may do a biopsy but I am sure they will not to anything else as far along as she is.

2007-02-14 08:02:51 · answer #6 · answered by caclinder 1 · 0 0

since cervical cancer grows so slowly, even if it is cancer, it probably won't have to be treated until after the birth. chances are very good that it's nothing though. good luck!

2007-02-14 07:55:32 · answer #7 · answered by saveit 4 · 0 0

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