A pap smear or HPV test is a test to screen for cells on the cervix that may have the potential to become cancerous in future. These are called pre-cancerous cells. A pap smear is able to pick up cancerous or non-cancerous related changes. Early detection of these changes is important because they can be effectively treated with early detection.
Went for a Pap Smear or HPV Test and Got Abnormal Results?
Let’s Break Down What’s Next
Pap Smears, HPV DNA Tests & Cervical Cancer Screening in Singapore
Understanding Your Pap Smear or HPV DNA Test Results
There are three possible outcomes.
- The most probable outcome is that the smear was normal, and no further action is required until the next scheduled examination.
- In some cases, the smear may be deemed ‘inadequate.’ This should not be confused with an abnormal smear. It simply means that an insufficient number of suitable cells were collected for testing, necessitating a repeat procedure.
- Finally, the result may be abnormal. It is important to note that this very rarely indicates the presence of cancer. More commonly, it suggests that there have been detectable changes that warrant either closer monitoring or treatment at a hospital clinic.
Abnormal Results - What’s Next?
If your Pap smear/HPV DNA results are abnormal, your doctor will discuss it with you and recommend further evaluation. It may include additional testing, such as colposcopy or HPV testing, to assess the extent of abnormalities and guide treatment decisions. It does not mean you have cancer but could indicate that there are pre-cancerous cells present.
Is a Colposcopy Your Next Step?
Your gynae might recommend a colposcopy — a closer, more detailed look at your cervix.
During this procedure, a special microscope (colposcope) is used to magnify the cervix, helping your gynae r spot any abnormal cells more clearly. It’s similar to a Pap smear, but with a better view. If any areas look concerning, a small tissue sample (biopsy) may be taken for further testing.
A colposcopy is typically recommended when your pap smear/HPV DNA test results are unclear or show atypical cells that need further investigation.
The procedure is quick, usually painless (though you might feel some pressure or mild discomfort), and helps ensure any cell changes are caught early and managed properly.
An abnormal result doesn’t automatically mean cancer — it just means you need a closer look to stay on top of your health.
Treatment Options If Pre-Cancerous Cells are Detected
There are several ways to treat pre-cancerous cells on the cervix. Not every woman will require the same treatment. The doctor will identify the most suitable treatment and discuss this with you.
1. LEEP (Loop Excision Electrical Procedure)
LEEP is performed using a fine-heated wire loop. An electrical current is passed through the wire loop and this is then used to cut away the abnormal area on the cervix.
2. Cone Biopsy
A cone biopsy is a minor operation where a small piece of the cervix, in the shape of a small cone containing abnormal cells, is removed from the cervix using either a laser, a surgical knife or by electrosurgery.
3. Laser Vaporisation
This procedure involves using a laser beam to destroy the area where the abnormal cells are on the cervix.
4. Cold Coagulation
Cold coagulation is a simple procedure which is usually performed in a colposcopy clinic. The area with the abnormal cells on your cervix is heated away using a hot coagulation probe. The procedure takes about 45 to 60 seconds.
Caring Female Gynae For Your Intimate Needs
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Astra Women’s Specialists (Mount Elizabeth Orchard)
3 Mount Elizabeth #12-11
Mount Elizabeth Medical Centre
Singapore 228510
Consultation Hours
Mon: 8:30am – 12:30pm
Tue, Wed, Fri: 8:30am – 5:00pm
Sat: 8:30am – 1:30pm
Astra Women’s Specialists (Katong)
112 East Coast Road #03-03/04
i12 Katong (Located in Core Clinic)
Singapore 428802
Consultation Hours
Mon: 2:30pm – 5:00pm
Thu: 8:30am – 12:30pm
