Abnormal results
It is important to remember that almost all abnormal Pap smear results are not due to cancer.
Many women feel anxious or worried when they are told that their Pap smear result is abnormal. Talk to your doctor about what your results mean and the best follow-up process for you.
Low-grade abnormalities are:
- usually only minor changes to the cells of the cervix
- usually caused by a minor inflammation or by the Human Papilloma Virus (HPV)
- usually cleared naturally by your immune system in 1–2 years
- sometimes referred to as LSIL (low-grade squamous intraepithelial lesion)
The follow-up of a low-grade abnormality varies according to your age and whether you have had abnormal results in the past. Your doctor will explain the follow-up you require.
High-grade abnormalities are:
- usually caused by a persistent HPV infection
- more serious because if not treated, they have a greater chance of developing into cervical cancer
- sometimes referred to as HSIL (high-grade squamous intraepithelial lesion)
High-grade abnormalities need closer examination by a specialist. A test called a colposcopy may be required.
Glandular abnormalities are very uncommon. The glandular cells are located mainly in the canal of the cervix. All glandular abnormalities, whether high-grade or low-grade, are referred for colposcopy because they are harder to monitor by Pap smear alone.
Further reading:
» "An abnormal Pap smear result – what this means for you" (external link)
More information:
» Normal results
» Unsatisfactory smears
» More information about colposcopy
» Information about treatments
» After treatment
» Questions to ask your doctor