PAP smears screen for cervical cancer in women and are recommended to be done between the age of 21 to 65. In order to detect pre-cancerous cells, PAP smears are important for early detection and treatment. PAP smears do not screen for other GYN malignances.
Understanding Abnormal PAP Results: LSIL vs HSIL
Once you’ve gone for your PAP, you will either receive negative results or positive for abnormal cells present on the cervix. Let’s break it down.
LSIL stands for low-grade squamous intraepithelial lesion. These results are quite common and typically resolve on their own with no treatment. Low-grade cells are not pre-cancerous and only show up 1.5-2% of the time on all PAP smears.
HSIL stands for high-grade squamous intraepithelial lesion and show up less than 1% on all PAP smears. High-grade cells are pre-cancerous, which is why it is important to get screened in ordered to receive treatment early.
With a LSIL or HSIL diagnosis, your GYN will schedule and perform a colposcopy to view and biopsy any abnormal cells. Once the results from your colposcopy come back, your doctor will discuss your next steps and treatment plan.
Annual visits to your GYN are a time to discuss any health concerns related to your women’s health as well as scheduling all health screenings. We are here to guide you every step of the way.
Geri Schmitt, MD, is an OB/GYN with Hamptons Gynecology and Obstetrics. Dr. Schmitt sees patients in Riverhead, Center Moriches, Hampton Bays and Southampton.