Introduction
Pap smear is a medical screening test used to detect cervical cancer. It is a simple procedure that involves collecting cells from the cervix and sending them to a laboratory for analysis. ASCUS stands for Atypical Squamous Cells of Undetermined Significance and is a term used to describe abnormal cervical cells that cannot be diagnosed as either normal or abnormal. If a Pap smear reveals ASCUS, it is important to follow up with additional tests to determine if further treatment is necessary.
When to Repeat Pap Smear for ASCUS
The American College of Obstetricians and Gynecologists (ACOG) recommends that women with ASCUS on their Pap smear should have a repeat Pap smear in four to six months. This is to ensure that the results are accurate and that any changes in the cells can be monitored. If the repeat Pap smear is still positive for ASCUS, it is recommended that a colposcopy be performed, which is a procedure in which the cervix is visualized with a microscope. During a colposcopy, a sample of tissue from the cervix may be taken for further examination.
Additional Tests for ASCUS
In addition to a repeat Pap smear and a colposcopy, other tests may be recommended to further assess any abnormal cells. These tests include the HPV test, which checks for the presence of the human papillomavirus, and the Endocervical Curettage (ECC) test, which is a procedure in which cells are collected from the inner lining of the cervix. Depending on the results of these tests, further treatment or monitoring may be recommended.
Conclusion
If a Pap smear reveals ASCUS, it is important to follow up with additional tests to determine the best course of action. The American College of Obstetricians and Gynecologists recommends that women with ASCUS should have a repeat Pap smear in four to six months. Additionally, other tests such as the HPV test and the Endocervical Curettage (ECC) may be recommended to further assess the abnormal cells. Talk to your doctor to determine the best course of action for you.