Announcement: Specials Coming Soon!

Main logo for The Skin Care Center at Gulf Coast Plastic Surgery located in Pensacola, FL.

Pay Now

Account Number:

Abnormal Pap Smear

Conveniently located to serve Katy, Cypress, Houston, and Fulshear, TX

At Progressive Women’s Care, we provide excellent medical care that is comprehensive, compassionate, and cutting edge for women of all phases, in a collaborative, patient-centered setting.

woman getting medical care in a gown
Three young women having fun on city street
gynecologist communicates with her patient, pointing to the structure of the uterus, on her computer.

What is a Pap Smear?

During your annual exam, a pap smear is performed. Prior to the age of 30, unless abnormal, the cells of the cervix are examined by a microscope. After the age of 30, or if younger than 30 with abnormal cells, the presence of the high-risk HPV virus is determined. There are many subtypes of high-risk HPV. The presence of this virus can increase the chance of cervical and other female cancers.

Atypical Squamous Cells of Unknown Significance

ASCUS- atypical squamous cells of unknown significance. This is a common diagnosis and does not necessarily mean there are pre-cancer cells present. Other common causes are infection, inflammation, and atrophy. If the high-risk HPV virus is present with an ASCUS pap, it is more probable that abnormal cervical cells are present than if the HPV result is negative.

Low Grade Squamous Intraepithelial Lesion

LSIL- low grade squamous intraepithelial lesion. This is usually indicative of early pre-cancer cancer cells. When this is present, we typically do a colposcopy with biopsy to confirm the presence of pre-cancerous cells. Treatment depends on severity of cells and age of patient.

High Grade Intraepithelial Lesion

HSIL- high-grade intraepithelial lesion. This can be indicative of more advanced pre-cancerous cervical cells. A colposcopy and biopsy would be recommended in this case.

Atypical Glandular Cells of Unknown Significance

AGUS- atypical glandular cells of unknown significance. The cells that are usually on the surface of the cervix are squamous (flat). Glandular cells are shaped like columns and are usually in the cervical canal and internal lining of the uterus. This means the cells could be coming from the surface of the cervix or inside. In addition to a colposcopy and biopsy, we also frequently check an ultrasound of the uterus looking for other causes via an ultrasound.

Portrait image of a beautiful asian woman standing among nature in the park before sunset

What Should I Expect During Colposcopy?

A colposcopy is similar to a prolonged pap smear. You will be placed in stirrups and a speculum inserted. A mild acetic acid solution is placed on your cervix. This is absorbed differently by normal and abnormal cells, making them easier to see. A colposcope, which is like a microscope, is used to look at the cells. A biopsy is then taken both of the cervical canal and the surface of the cervix. Although there are different techniques, at Progressive Women’s Care, we do not use a sharp biopsy. You will feel a pressure feeling and scratching. We typically get results in about a week to determine any need for additional treatment or follow-up.

Related Services

Close-up of male hand holding his pregnant wife hands


When you decide you want to conceive, it can be an emotional roller coaster if there are any delays to that plan.

african american woman suffering for menstrual cramps

Irregular Bleeding

Irregular bleeding can mean different things to different people.
woman holding mid section and placing pressure

Hormonal Imbalance

There’s a long list of causes for hormonal imbalance and this can be narrowed by phase of life.

Meet The Team

Dr. Bertles is licensed by the Texas State Board of Medical Examiners and is board-certified by the American Board of Obstetrics and Gynecology. Amanda Smith, PA-C, spent the first 15 years of her career in primary care and is excited to join Progressive Women's Care and Dr. Bertles as she brings her primary care knowledge to women's health.

Photo of Ann Marie Bertles, MD and Amanda Smith, PA-C of Progressive Women's Care
asian woman speaking doctor

We're Here To Answer Your Questions

Diet & Exercise

Safe Traveling

Pregnancy Myths

Childbirth Worries