Women's Health

Should I worry about abnormal Pap test results?

Ask the doctor

By , Editor in Chief, Harvard Women's Health Watch; Editorial Advisory Board Member, Harvard Health Publishing; Contributor
cropped photo of the midsection and arms of a doctor holding a vial and a dipper, about to insert it into the vialMy Pap test results came back as abnormal. Does this mean I have cervical cancer, or is there another possible explanation?

While nearly 4% of all Pap tests are flagged as abnormal, most of those findings don't indicate cancer. Indeed, most are benign and may result from a cervical or vaginal infection. Frequently, Pap tests show changes related to the presence of human papillomavirus, or HPV, which can cause genital warts and precancerous changes that need further testing. While HPV is a virus, it is not a typical infection. Most women are exposed to it at some point during their lifetime and become carriers of the virus after they are exposed. HPV does not often cause symptoms, and it can come and go — so just because your Pap shows you carry the virus today does not mean the test will still show the virus a year or two later.

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About the Author

photo of Toni Golen, MD

Toni Golen, MD, Editor in Chief, Harvard Women's Health Watch; Editorial Advisory Board Member, Harvard Health Publishing; Contributor

Dr. Toni Golen is a physician specializing in obstetrics and gynecology, practicing in Boston. Dr. Golen completed her residency training at George Washington University Medical Center in 1995, and is an associate professor at Harvard Medical … See Full Bio
View all posts by Toni Golen, MD

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