An abnormal Pap smear does not automatically mean cervical cancer. But it does mean — don’t ignore it and don’t wait a year to follow up. Here’s exactly what I would do as an oncology provider if it was my result: ⸻ 1. Understand what “abnormal” actually means There are different levels — ASCUS, LSIL, HSIL, ASC-H. Some mean mild changes from HPV that may clear. Others suggest higher-grade changes that need immediate follow-up. ⸻ 2. Make sure HPV testing was done High-risk HPV (especially types 1