This usually means that there are either too few cells to be certain of the diagnosis, or there are confusing findings and the cytologist is warning you not to rely too strongly on this smear.

It is wise to repeat “inconclusive” smears. Before repeating the Pap, treat any infection that may be present, avoid her menstrual flow, get a good, representative sample, and apply the fixative immediately.

When repeating an “inconclusive” Pap, it is sometimes helpful to the cytologist to obtain two slides rather than one, just to provide more material for review.