HPV and abnormal smear results: practical advice and next steps

Being told you have HPV or an abnormal smear result can understandably cause anxiety. However, it’s important to know that these findings are very common and in most cases, not serious.

Human papillomavirus (HPV) is a widespread virus that most women will be exposed to at some point in their lives. In the majority of cases, the immune system clears it naturally without causing any harm.

What does an abnormal smear result mean?

An abnormal result does not mean cancer. It usually indicates minor changes in the cells of the cervix, often caused by HPV.

These changes are monitored carefully because, over time (often years), some types of HPV can increase the risk of cervical cancer if left untreated.

What should you do next?

If you receive an abnormal result, the next step is usually:

  • Repeat testing after a period of time (to see if the virus clears)
  • Or a colposcopy, which is a more detailed examination of the cervix

This allows specialists to assess whether treatment is needed.

Treatment options and reassurance

In many cases, no immediate treatment is required, as the body clears HPV naturally.

If treatment is needed, it is typically:

  • Simple and highly effective
  • Performed as an outpatient procedure
  • Focused on removing abnormal cells before they progress

Examples include:

  • Removing abnormal cells using a small loop (lletz)
  • Targeted treatment of affected areas

When should you be concerned?

You should seek further advice if:

  • You miss follow-up appointments
  • You have symptoms such as unusual bleeding (especially after sex)
  • You feel unsure about your results

Final thoughts

The key message is reassurance: HPV is common, screening is effective, and early detection allows simple treatment with excellent outcomes.

Faqs

Does HPV mean my partner has been unfaithful?
No, HPV can remain dormant for many years.

Will HPV go away?
In most cases, yes your immune system clears it naturally.

Is treatment painful?
Most procedures are quick and well tolerated.


If you would like to discuss any concerns you have on this subject, please contact the London Gynaecologist to book an appointment