Atypical squamous cells of undetermined significance (ASCUS) is a type of cell change that is detected during a Pap test. It indicates that the cells in the cervix appear in an abnormal way, but the change is not severe enough to be classified as a more serious abnormality. ASCUS can sometimes clear on its own, but further testing may be necessary to confirm this.
Risk Factors
Certain risk factors can increase a woman's chance of developing ASCUS. These include smoking, a weakened immune system, and exposure to the human papillomavirus (HPV). If a woman has any of these risk factors, it is important to have regular Pap tests to check for ASCUS.
Treatment
If ASCUS is found during a Pap test, the doctor may recommend follow-up testing, such as a colposcopy or HPV test. A colposcopy is a procedure where the doctor uses a lighted magnifying device to look at the cervix. An HPV test looks for the presence of the virus in the cervix.
If further testing shows that the cells are still abnormal, the doctor may recommend treatment, such as cryotherapy or a LEEP procedure. Cryotherapy involves freezing the abnormal cells, while a LEEP (loop electrosurgical excision procedure) removes them with an electrical current.
In some cases, ASCUS can clear on its own. If follow-up testing shows that the cells have returned to normal, the doctor may not recommend any additional treatment. However, it is important to continue having regular Pap tests to monitor for any changes.