PAP SMEAR
A Pap smear is a screening test that is done to detect
abnormal changes in the cells which can lead to cancer.
It detects early changes in the cells of the cervix.
The cervix is the lower part of the uterus (womb),
which opens into the vagina (birth canal).
WHO NEEDS A PAP SMEAR?
Age 21 to 29 years :
Every 3 years with cytology (Pap testing), regardless of the age of onset of sexual activity or other risk factors.
Age 30 to 65 years :
Every 5 years with HPV co-test (Pap +HPV test) OR every 3 years with cytology. When NOT to Screen
Younger Than Age 21 years :
Screening is not recommended for women younger
than age 21.
Older Than Age 65 years :
No screening past age 65 if adequate prior screening can be assessed accurately (three consecutive negative cytology results or two consecutive negative HPV results within 10 years before screening cessation, with the most recent test occurring within 5 years) and not otherwise at high risk for cervical cancer.
No Cervix :
No screening if the cervix was removed for a benign reason.
How often do I need to get a Pap smear?
If you are 25-54 years old and have had 2 normal pap smear results in a row you should continue to do a
Pap smear every 3 years up to age 65 years If you are over 65 years old, ask your doctor if you can stop having a pap smear
How do I prepare for a Pap smear?
To make the Pap smear as accurate as possible, it is recommended that for 2 days before the Pap smear you
avoid: Douching, Using tampons, Using vaginal creams, suppositories, medicines, vaginal deodorant sprays or
powders, having sex. You should not have a Pap test done during your menstrual period.
How is a Pap smear done?
A doctor or nurse can do a Pap smear during a pelvic examination. It is a simple and quick test. While you lie on
the examination table the doctor or nurse puts an instrument called a speculum into your vagina, opening it to see the cervix. Cells are gently wiped with a soft brush or spatula from around the tiny opening in the cervix. The sample is sent to a lab where it is examined under a microscope to see if any abnormal cells are present.
Does the Pap smear hurt?
It may be a little uncomfortable but it should not be painful
When do I get the results?
When you have the test done, you will be told how, where and approximately when you will get the results.
What if the Pap smear is abnormal?
An abnormal Pap smear result means that changes were found on your cervix. This usually does not mean you have cervical cancer. Some abnormal cells will turn into cancer. But sometimes these unhealthy (abnormal) cells will go away on their own. If you have an abnormal result, talk with your doctor.