CCoPE
Date: 2009-01-19

Question:
I am 27 years old and planning to have a baby. I had 2 abnormal pap tests and therefore had a colposcopy and biopsy done. I got my biopsy results back and they are normal. What does a normal result mean? The doctor said it didn’t show the originating source of these abnormal cells. Could these abnormal cells come back again and be abnormal? Cancerous? Could it have been just an inflammation? I am also planning to conceive and wondering how long is it safe to wait after a colposcopy and biopsy procedure? Thank you!

Answer:
Consult your physician. The following information should not replace the assessment and advice you have been receiving from your physician (cancer specialist, obstetrician, or any other healthcare provider). It is offered for your information only A pap smear test gives doctors cytology results and, when abnormal, it should be followed by colposcopy and a biopsy. The most common reason for abnormal pap is HPV infection. There is a risk of malignancy when the biopsy reveals pathology (which is not the questioner's case since the results came out ?normal?). Follow ups should include: pap smears every 6-12 months (according to your gynecologist recommendation) and colposcopy as needed. Both can be done in pregnancy without any harm. It is possible that future paps will be abnormal again, in case of HPV reactivation. Following healing of the cervix after a biopsy, which usually takes about 2-3 weeks, you may plan to conceive.