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A pap smear looks for abnormal cells on the cervix, or cervical dysplasia. Cervical dysplasia is usually caused by HPV. A pap smear makes no diagnosis, of cervical dysplasia or any other disease; it only points out what women need further testing in the form of colposcopy and biopsy.

The current Cervical cancer screening recommendations include cotesting for HPV for women 30 and over; this HPV test looks only for high-risk subtypes that are likely to cause cancer.

Rarely, a woman who has a herpes outbreak on the cervix at the time of hte pap may have herpes diagnosed this way.

Lastly, trichomoniasis may be diagnosed during a Pap smear.

A pap smear that makes no mention of cervical dysplasia doesn't mean a woman doesn't have HPV; it only means that there's no HPV-related damage. A woman with a negative HPV test isn't necessarily free of HPV infection; there's just no evidence of HPV high risk subtypes on the cervix. Most women with herpes will have a normal Pap, and the Pap missed many cases of trichomoniasis.

Pap smears do not diagnose chlamydia, gonorrhea, HIV, or syphilis.

So, to sum up, there is no sexually transmitted disease that is ruled out on the basis of an abnormal pap test. Certain findings on Pap smears can suggest trichomoniasis, herpes, or HPV infection.

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Q: What STD is diagnosed in women on the basis of abnormal Pap test?
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