ASCUS in Cytology: What Does It Mean and What to Do?

Many women encounter a result in their cytology analysis that reads ASCUS. This term can be concerning, so it’s important to understand what it means and how to proceed if you find yourself in this situation.

What Is ASCUS?

ASCUS (Atypical Squamous Cells of Undetermined Significance) refers to atypical squamous cells of unclear significance. This result means that the cytologist has noticed changes in the cells but cannot definitively determine whether these changes are related to inflammation, a viral infection, or other processes. Therefore, ASCUS is considered a borderline result that requires further testing.

What to Do with an ASCUS Result?

If you receive an ASCUS result in your cytology, it’s important not to panic. The next steps depend on the potential causes of these cellular changes.

Main Steps:

• Get tested for human papillomavirus (HPV): This virus can be one of the causes of cell changes.
• Undergo a colposcopy: If the HPV test is positive, the doctor may recommend this procedure to closely examine the cervix.
• Follow-up test: If no other abnormalities are found, it’s recommended to repeat the cytology test in 3–6 months to clarify the result.
• Biopsy: In some cases, a biopsy may be required to rule out serious conditions.

Why Is It Important Not to Ignore an ASCUS Result?

Although ASCUS doesn’t always indicate a serious condition, it can be an early signal of potential issues such as:

• Inflammatory processes in the cervix.
• Human papillomavirus infection.
• Early stages of pathological changes.

Regular monitoring and following the doctor’s recommendations will help identify and prevent potential complications in time.

Conclusion

An ASCUS result in cytology is not a cause for panic, but it does require careful attention. It’s important to consult a doctor in a timely manner, undergo additional tests, and follow the prescribed approach. Remember, prevention and early diagnosis are key to maintaining women’s health.

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