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khagihara, OB/GYN (Doctor)
Category: OB GYN
Satisfied Customers: 6415
Experience:  Trained in OB & GYN for many years.
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What does bleeding from the cervix during a pap smear mean

Customer Question

What does bleeding from the cervix during a pap smear mean? My daughter has been told to come back after her period and the doctor will send her to a specialist.
Submitted: 5 years ago via HealthBoards.
Category: OB GYN
Expert:  khagihara replied 5 years ago.
There are some possibilities.

1. cervical infection
2. cervical dysplasia (precancer, not cancer)
3. cervical tumor

Since her doctor will send her to a specialist, she had an abnormal pap smear. The specialist will do colposcopy and biopsies.

Colposcopy is usually done in a doctor's office and the procedure typically takes 10 to 20 minutes. You'll lie on your back on a table with your feet in supports, just as during a pelvic exam or Pap test.
The doctor places a metal speculum in your vagina. The speculum holds open the walls of your vagina so that your doctor can see your cervix.
Your doctor positions the special magnifying instrument, called a colposcope, a few inches away from your vulva. A bright light is shown into your vagina and your doctor looks through the lens, as if using binoculars.
Your cervix and vagina are swabbed with cotton to clear away any mucus. Your doctor may apply a solution of vinegar or another type of solution to the area. This may cause a burning or tingling sensation. The solution helps highlight any areas of suspicious cells.
If your doctor finds a suspicious area, a small sample of tissue may be collected for laboratory testing. To collect the tissue, your doctor uses a sharp biopsy instrument to remove a small piece of tissue. If there are multiple suspicious areas, your doctor may take multiple biopsy samples.
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