Abnormal Pap Smear & HPV Results in Austin, TX
An abnormal Pap or positive HPV result can feel alarming. Most abnormal results are not cancer, and many cell changes resolve on their own. At Compass Women’s Health, you can talk through what your result means, what follow-up is recommended and what to expect next.
What Does an Abnormal Pap Smear Mean?
A Pap test looks for changes in the cells of the cervix. An abnormal result means some cells look different than expected. These changes are often caused by human papillomavirus (HPV) and range from minor changes that often go away on their own to changes that need closer follow-up or treatment.
An HPV test checks for high-risk types of HPV that can cause cervical cell changes. A positive HPV result means the virus was found, not that you have cancer.
Common Result Terms
- NILM: no abnormal cells were seen
- ASC-US: atypical cells of undetermined significance, often minor
- LSIL: low-grade cell changes, often caused by HPV
- HSIL: high-grade changes that need closer evaluation
- Positive high-risk HPV: a cancer-causing HPV type was found
When Should You See a Gynecologist About Your Results?
Consider scheduling a visit if you
- Received an abnormal Pap result
- Tested positive for high-risk HPV
- Were told you need follow-up testing
- Are unsure what your result means
- Missed a recommended follow-up
- Have bleeding after sex
- Have unusual vaginal discharge or bleeding
- Have had abnormal results in the past
- Want to understand your screening schedule
- Have questions about the HPV vaccine
Following up as recommended is the most important step after an abnormal result.
What Happens After an Abnormal Result?
The next step depends on your result, your age, your past results and your HPV status. Options can include repeating the test after a period of time, HPV testing, or a closer examination of the cervix called a colposcopy, sometimes with a small tissue sample. Your gynecologist will explain which follow-up is recommended for you and why.
Understanding HPV
HPV is very common, and most sexually active people will have it at some point. Most infections clear on their own within one to two years. Persistent infection with high-risk types is what can lead to cervical cell changes over time, which is why regular screening and follow-up matter. The HPV vaccine helps protect against the types most likely to cause cancer.
Dr. Crystal Berry-Roberts, MD, MBA, FACOG
Abnormal Pap and HPV: Common Questions
Short answers to questions patients often ask after an abnormal result.
Does an abnormal Pap mean I have cancer?
In most cases, no. Most abnormal results reflect minor cell changes or HPV infection. Follow-up helps make sure any changes that need treatment are found early.
Can HPV go away on its own?
Yes. Most HPV infections clear on their own, especially in younger people. Some persist, which is why follow-up testing is recommended.
Does a positive HPV test mean a recent infection?
Not necessarily. HPV can stay inactive for years, so a positive result does not show when or from whom the infection came.
Should I still get the HPV vaccine?
The vaccine is routinely recommended through age 26, and some adults ages 27 to 45 may benefit after talking with their doctor.
Pap and HPV Follow-Up in Austin
Compass Women’s Health is located at:
4100 Duval Rd
Building 2, Suites 101–102
Austin, TX 78759
Compass Women’s Health welcomes new patients and provides in-person gynecologic care. If you have received an abnormal result, you can schedule an appointment to review it and plan your next steps.
Frequently Asked Questions
A Pap test looks for abnormal cervical cells. An HPV test looks for high-risk HPV types that can cause those changes. They can be done separately or together.
Many abnormal results only need repeat testing. Treatment is recommended only for certain higher-grade changes.
An abnormal result alone does not affect fertility. If you are pregnant or planning to be, tell your doctor, since it can affect the timing of follow-up.
Yes. Compass Women’s Health welcomes new patients.
Compass Women’s Health is located at 4100 Duval Rd, Building 2, Suites 101–102, Austin, TX 78759.
Have Questions About Your Results?
You do not need to figure out your results alone. Bring your report and your questions. Compass Women’s Health is here to listen.