HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Does Pap Smear Detect Abnormal Changes In Cervix?

default
Posted on Sat, 5 Sep 2015
Question: I was diagnosed to have genital warts inside my vagina so my doctor done pop smear and hpv test and it come negative then done laser surgery to cut them off. My doctor done anoscopy in my anal and no genital warts. My question how it comes i have negative hpv test and i have warts? Second question can my vagina and vulva get cancer from these genital warts? Can it be shown later in my anal and can these warts cause cancer? Can warts inside my vagina after cutting off transfer to cervix?
doctor
Answered by Dr. Aarti Abraham (1 hour later)
Brief Answer:
As below

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Sometimes it is possible to have a negative HPV test , and have warts.

The pap smear does not always show up abnormal changes on the cervix and in as much as 30 per cent of cases, the pap smear may be reported as being normal and there are significant underlying abnormal changes (false negative). There are some conditions that result in an increase in the false negative rates. If infection or inflammatory changes are present, these can alter the pickup rate. The presence of blood and semen can also affect the result of the pap smear. If the cervix is not readily visualised and an improper sample is taken then the pap smear can miss abnormal changes.

Genital warts are usually caused by HPV. Genital warts may also be the result of syphilis. It is quite possible for you to have genital warts and for the cervix to be completely free of the infection and as a result the pap smear will be normal. Sometimes the abnormal cells are high up in the cervix and may be missed at the time of the pap smear.


Cancer is a very rare event, and rarely happens in cases of genital warts.
Yes, it can show up later in the anal canal.

Yes, warts can come up on your cervix after some time.

HOpe your questions are answered.
All the best.
Please feel free to discuss further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Aarti Abraham (19 minutes later)
Sypilis is negative
I am 36 and my doctor asked me to take a cervix vaccination.
Do u think in this age the vaccination can protect me from hpv or warts?
Are the warts dangerous if i left them inside my vigaina or anal if appears?
doctor
Answered by Dr. Aarti Abraham (11 hours later)
Brief Answer:
As below

Detailed Answer:
Hi.
Once you already have warts, the vaccine has no role.
Can you upload all your doctor's papers, prescriptions and findings please ?
I need to go through them.
The warts will spread if you leave them untreated.
They are not dangerous as such, only you will be grossly infecting others, and childbirth will be risky.
Take care.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6004 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Does Pap Smear Detect Abnormal Changes In Cervix?

Brief Answer: As below Detailed Answer: Hello Thanks for writing to us with your health concern. Sometimes it is possible to have a negative HPV test , and have warts. The pap smear does not always show up abnormal changes on the cervix and in as much as 30 per cent of cases, the pap smear may be reported as being normal and there are significant underlying abnormal changes (false negative). There are some conditions that result in an increase in the false negative rates. If infection or inflammatory changes are present, these can alter the pickup rate. The presence of blood and semen can also affect the result of the pap smear. If the cervix is not readily visualised and an improper sample is taken then the pap smear can miss abnormal changes. Genital warts are usually caused by HPV. Genital warts may also be the result of syphilis. It is quite possible for you to have genital warts and for the cervix to be completely free of the infection and as a result the pap smear will be normal. Sometimes the abnormal cells are high up in the cervix and may be missed at the time of the pap smear. Cancer is a very rare event, and rarely happens in cases of genital warts. Yes, it can show up later in the anal canal. Yes, warts can come up on your cervix after some time. HOpe your questions are answered. All the best. Please feel free to discuss further.