HomeAnswersObstetrics and GynecologycolposcopyMy PAP smear test shows metaplastic epithelial cells. What to do?

PAP smear test shows metaplastic epithelial cells. Is colposcopy needed?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Uzma Arqam

Medically reviewed by

iCliniq medical review team

Published At March 1, 2024
Reviewed AtMarch 1, 2024

Patient's Query

Hello doctor,

I am 39 years old female. For the last three months, I am having a long period cycle for 10 days. The first day is flowing but rest days are spotting. I have done pap smear test as suggested by a gynecologist. The report is showing some metaplastic epithelial cells.I was suggested to do colposcopic. Please give me a second opinion.

Answered by Dr. Uzma Arqam

Hi,

Welcome to icliniq.com.

I have seen your report (attachment removed to protect patient identity), could not read it completely as important part is missing from the picture. But, there is some chronic infection of the cervix that affected cervical histology and there are some changes in the cell. As you have been symptomatic as well means you had a complaint of spotting so it needs further evaluation. Cervical changes or infection with herpes can lead to cervical neoplasia. It is better to have a check now and get the full treatment in early stage rather than deal with complications. Colposcopy is just investigations, not complicated. In the early stage, they can have treatment during colposcopy as well but in case of severe disease things become really complicated (need complicated surgeries even cancer, painful treatment). Care is better in advance.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Uzma Arqam
Dr. Uzma Arqam

Obstetrics and Gynecology

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